Medical City Weatherford — Pricing

772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772
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 772 procedures

Procedures with negotiated rates only

These 772 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 $649 – $13,954 · median $9,258 10 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $649 – $17,468 · median $11,047 10 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC — 10 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $649 – $17,468 · median $10,879 10 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $649 – $17,468 · median $11,047 10 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC — 10 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $649 – $17,468 · median $10,879 10 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $649 – $13,954 · median $9,258 10 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $649 – $13,954 · median $9,258 10 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $649 – $11,419 · median $9,258 10 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $649 – $13,954 · median $9,258 10 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $649 – $11,419 · median $9,258 10 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $649 – $11,419 · median $9,258 10 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $22,465 – $45,036 · median $28,687 5 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $16,803 – $45,036 · median $27,792 5 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $15,380 – $45,036 · median $27,792 5 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $10,650 – $114,617 · median $63,652 4 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $52,399 – $424,776 · median $93,188 4 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $52,399 – $230,670 · median $88,223 4 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $52,399 – $230,670 · median $71,425 4 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $52,399 – $228,162 · median $68,750 4 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $52,399 – $206,674 · median $78,157 4 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $52,399 – $206,674 · median $65,316 4 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $48,320 – $195,900 · median $63,652 4 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $52,399 – $128,506 · median $82,031 4 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $52,399 – $127,654 · median $69,588 4 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $52,399 – $74,905 · median $61,809 4 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $43,264 – $74,905 · median $57,054 4 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $23,881 – $61,767 · median $46,770 4 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,881 – $52,399 · median $37,469 4 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,399 – $207,460 · median $74,629 4 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $52,399 – $100,361 · median $70,039 4 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $48,950 – $101,410 · median $63,652 4 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,924 – $25,639 · median $13,866 3 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,924 – $25,639 · median $8,628 3 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC Pediatric $5,924 – $25,639 · median $6,553 3 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $52,430 – $119,566 · median $74,905 3 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $32,682 – $116,458 · median $74,905 3 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $74,905 – $99,850 · median $82,238 3 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $55,976 – $100,502 · median $74,905 3 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $18,989 – $74,449 · median $28,223 3 plans
245 AICD GENERATOR PROCEDURES $51,416 – $82,676 · median $52,399 3 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $23,881 – $28,630 · median $24,334 3 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $16,441 – $25,435 · median $23,881 3 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $28,223 – $31,625 · median $29,518 3 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Pediatric $18,493 – $28,223 · median $23,832 3 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $28,223 – $35,846 · median $35,527 3 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $19,964 – $28,223 · median $27,370 3 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $15,969 – $28,223 · median $20,172 3 plans
265 AICD LEAD PROCEDURES Pediatric $37,531 – $110,731 · median $51,055 3 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $63,031 – $274,771 · median $74,905 3 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $49,500 – $210,648 · median $74,905 3 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $52,399 – $196,935 · median $70,152 3 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $43,776 – $125,430 · median $52,399 3 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $52,399 – $142,604 · median $54,007 3 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $36,242 – $94,647 · median $52,399 3 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $26,326 – $67,789 · median $52,399 3 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,275 – $23,288 · median $18,087 3 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $11,465 – $16,275 · median $14,791 3 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $20,947 – $29,953 · median $23,881 3 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $19,035 – $43,867 · median $23,881 3 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $10,650 – $44,815 · median $23,881 3 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $10,650 – $33,618 · median $23,881 3 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $10,650 – $30,114 · median $23,881 3 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,924 – $14,020 · median $8,210 3 plans
603 CELLULITIS WITHOUT MCC $5,924 – $14,020 · median $9,269 3 plans
683 RENAL FAILURE WITH CC $5,924 – $14,020 · median $9,353 3 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,924 – $25,639 · median $12,315 3 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,924 – $14,020 · median $8,445 3 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,924 – $25,639 · median $20,647 3 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,924 – $14,020 · median $10,848 3 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $296,367 – $415,166 · median $355,766 2 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $115,949 – $415,166 · median $265,557 2 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $10,650 – $56,773 · median $33,711 2 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $10,650 – $43,176 · median $26,913 2 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $10,650 – $27,881 · median $19,265 2 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $84,813 – $163,624 · median $124,218 2 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $58,158 – $167,818 · median $112,988 2 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $37,147 – $167,818 · median $102,482 2 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $60,025 – $166,991 · median $113,508 2 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $39,998 – $161,577 · median $100,787 2 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $47,054 – $65,333 · median $56,193 2 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $32,180 – $65,333 · median $48,756 2 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $25,964 – $65,642 · median $45,803 2 plans
028 SPINAL PROCEDURES WITH MCC $40,470 – $63,964 · median $52,217 2 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $29,915 – $35,317 · median $32,616 2 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC Pediatric $23,414 – $28,451 · median $25,932 2 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC Pediatric $40,877 – $44,090 · median $42,483 2 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $22,470 – $46,086 · median $34,278 2 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $16,787 – $40,877 · median $28,832 2 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $39,541 – $40,915 · median $40,228 2 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $23,933 – $27,179 · median $25,556 2 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $19,287 – $25,481 · median $22,384 2 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $20,850 – $34,940 · median $27,895 2 plans
038 EXTRACRANIAL PROCEDURES WITH CC $16,952 – $24,795 · median $20,874 2 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,976 – $20,926 · median $16,451 2 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $39,687 – $98,343 · median $69,015 2 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $23,765 – $93,903 · median $58,834 2 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $18,492 – $93,903 · median $56,198 2 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,924 – $21,174 · median $13,549 2 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Pediatric $5,924 – $9,694 · median $7,809 2 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,924 – $15,774 · median $10,849 2 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,924 – $11,478 · median $8,701 2 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,924 – $26,347 · median $16,136 2 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,924 – $14,044 · median $9,984 2 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,924 – $19,420 · median $12,672 2 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,924 – $12,874 · median $9,399 2 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,924 – $9,390 · median $7,657 2 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,924 – $28,443 · median $17,184 2 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,924 – $18,738 · median $12,331 2 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $5,924 – $14,780 · median $10,352 2 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,924 – $20,929 · median $13,427 2 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,924 – $10,701 · median $8,312 2 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,924 – $7,242 · median $6,583 2 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,924 – $15,318 · median $10,621 2 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,924 – $9,276 · median $7,600 2 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,924 – $8,420 · median $7,172 2 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,924 – $18,295 · median $12,109 2 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,924 – $11,088 · median $8,506 2 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,924 – $7,893 · median $6,908 2 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,924 – $16,262 · median $11,093 2 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,924 – $10,968 · median $8,446 2 plans
075 VIRAL MENINGITIS WITH CC/MCC $5,924 – $18,123 · median $12,024 2 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,924 – $9,648 · median $7,786 2 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,924 – $16,269 · median $11,097 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,924 – $10,499 · median $8,211 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,924 – $7,015 · median $6,470 2 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,924 – $20,916 · median $13,420 2 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,924 – $9,520 · median $7,722 2 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $6,829 – $24,412 · median $15,621 2 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,829 – $14,629 · median $10,729 2 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,829 – $10,059 · median $8,444 2 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $6,829 – $23,842 · median $15,335 2 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,829 – $13,801 · median $10,315 2 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,829 – $9,301 · median $8,065 2 plans
088 CONCUSSION WITH MCC Pediatric $5,924 – $14,842 · median $10,383 2 plans
089 CONCUSSION WITH CC $5,924 – $11,281 · median $8,602 2 plans
090 CONCUSSION WITHOUT CC/MCC $5,924 – $9,019 · median $7,472 2 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,924 – $19,180 · median $12,552 2 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,924 – $11,141 · median $8,532 2 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,924 – $8,305 · median $7,115 2 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,924 – $38,388 · median $22,156 2 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,924 – $25,221 · median $15,573 2 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,924 – $25,221 · median $15,573 2 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,924 – $37,719 · median $21,822 2 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,924 – $22,823 · median $14,374 2 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,924 – $14,659 · median $10,292 2 plans
100 SEIZURES WITH MCC $5,924 – $20,888 · median $13,406 2 plans
101 SEIZURES WITHOUT MCC $5,924 – $9,697 · median $7,811 2 plans
102 HEADACHES WITH MCC $5,924 – $12,199 · median $9,062 2 plans
103 HEADACHES WITHOUT MCC $5,924 – $8,946 · median $7,435 2 plans
113 ORBITAL PROCEDURES WITH CC/MCC $10,650 – $23,744 · median $17,197 2 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,650 – $12,438 · median $11,544 2 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,650 – $16,108 · median $13,379 2 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,650 – $17,556 · median $14,103 2 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $10,650 – $11,349 · median $10,999 2 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,924 – $12,238 · median $9,081 2 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,924 – $7,137 · median $6,531 2 plans
123 NEUROLOGICAL EYE DISORDERS $5,924 – $8,451 · median $7,188 2 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $5,924 – $13,719 · median $9,821 2 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,924 – $8,688 · median $7,306 2 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $10,650 – $25,367 · median $18,009 2 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $10,293 – $10,650 · median $10,471 2 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,650 – $14,715 · median $12,682 2 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,560 – $10,650 · median $9,605 2 plans
139 SALIVARY GLAND PROCEDURES $10,650 – $14,446 · median $12,548 2 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $10,650 – $44,498 · median $27,574 2 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $10,650 – $22,604 · median $16,627 2 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,650 – $16,544 · median $13,597 2 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $10,650 – $34,740 · median $22,695 2 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $10,650 – $18,483 · median $14,566 2 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $12,465 · median $11,557 2 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,924 – $24,136 · median $15,030 2 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,924 – $13,097 · median $9,510 2 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,924 – $8,425 · median $7,174 2 plans
149 DYSEQUILIBRIUM $5,924 – $7,865 · median $6,895 2 plans
150 EPISTAXIS WITH MCC $5,924 – $14,542 · median $10,233 2 plans
151 EPISTAXIS WITHOUT MCC $5,924 – $7,976 · median $6,950 2 plans
152 OTITIS MEDIA AND URI WITH MCC $5,924 – $11,939 · median $8,932 2 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,924 – $7,489 · median $6,706 2 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,924 – $17,111 · median $11,517 2 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,924 – $9,823 · median $7,874 2 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,924 – $7,075 · median $6,499 2 plans
157 DENTAL AND ORAL DISEASES WITH MCC $5,924 – $17,229 · median $11,576 2 plans
158 DENTAL AND ORAL DISEASES WITH CC $5,924 – $9,896 · median $7,910 2 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,924 – $6,940 · median $6,432 2 plans
163 MAJOR CHEST PROCEDURES WITH MCC $10,650 – $48,495 · median $29,572 2 plans
164 MAJOR CHEST PROCEDURES WITH CC $10,650 – $26,482 · median $18,566 2 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,650 – $19,612 · median $15,131 2 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $10,650 – $40,520 · median $25,585 2 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $10,650 – $19,225 · median $14,937 2 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $14,245 · median $12,447 2 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $10,650 – $32,286 · median $21,468 2 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,924 – $14,827 · median $10,375 2 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,924 – $8,570 · median $7,247 2 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,924 – $17,009 · median $11,466 2 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,924 – $10,439 · median $8,181 2 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,924 – $8,099 · median $7,011 2 plans
180 RESPIRATORY NEOPLASMS WITH MCC $5,924 – $18,389 · median $12,157 2 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,924 – $11,682 · median $8,803 2 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,924 – $8,812 · median $7,368 2 plans
183 MAJOR CHEST TRAUMA WITH MCC $5,924 – $16,701 · median $11,312 2 plans
184 MAJOR CHEST TRAUMA WITH CC $5,924 – $11,238 · median $8,581 2 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,924 – $8,182 · median $7,053 2 plans
186 PLEURAL EFFUSION WITH MCC $5,924 – $16,625 · median $11,274 2 plans
187 PLEURAL EFFUSION WITH CC $5,924 – $10,563 · median $8,244 2 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,924 – $7,724 · median $6,824 2 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,924 – $13,021 · median $9,472 2 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,924 – $11,819 · median $8,872 2 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,924 – $9,039 · median $7,482 2 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,924 – $6,810 · median $6,367 2 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,924 – $19,826 · median $12,875 2 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,924 – $10,416 · median $8,170 2 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,924 – $7,370 · median $6,647 2 plans
199 PNEUMOTHORAX WITH MCC $5,924 – $18,573 · median $12,249 2 plans
200 PNEUMOTHORAX WITH CC $5,924 – $11,652 · median $8,788 2 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,924 – $7,122 · median $6,523 2 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,924 – $10,172 · median $8,048 2 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,924 – $7,326 · median $6,625 2 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,924 – $8,532 · median $7,228 2 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,924 – $19,862 · median $12,893 2 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,924 – $9,531 · median $7,727 2 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $5,924 – $68,053 · median $36,989 2 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,924 – $28,242 · median $17,083 2 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $10,650 – $52,994 · median $31,822 2 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $10,650 – $30,640 · median $20,645 2 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $10,650 – $15,886 · median $13,268 2 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $35,691 – $91,042 · median $63,366 2 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $23,703 – $93,135 · median $58,419 2 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $31,128 – $36,093 · median $33,610 2 plans
253 OTHER VASCULAR PROCEDURES WITH CC $26,862 – $28,456 · median $27,659 2 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $18,406 – $28,456 · median $23,431 2 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $10,650 – $27,529 · median $19,089 2 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $10,650 – $17,820 · median $14,235 2 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,385 – $10,650 · median $10,017 2 plans
263 VEIN LIGATION AND STRIPPING Pediatric $28,219 – $45,006 · median $36,612 2 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,687 – $36,773 · median $27,730 2 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $31,128 – $52,641 · median $41,884 2 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $27,840 – $33,715 · median $30,777 2 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $17,272 – $27,026 · median $22,149 2 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,699 – $27,026 · median $18,363 2 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,630 – $27,026 · median $17,328 2 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $20,575 – $26,419 · median $23,497 2 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Pediatric $7,796 – $23,991 · median $15,893 2 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,906 – $22,741 · median $14,324 2 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $26,908 – $28,739 · median $27,823 2 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $16,589 – $17,012 · median $16,800 2 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $10,301 – $13,594 · median $11,948 2 plans
291 HEART FAILURE AND SHOCK WITH MCC $13,453 – $13,730 · median $13,592 2 plans
292 HEART FAILURE AND SHOCK WITH CC $9,063 – $11,761 · median $10,412 2 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,777 – $15,385 · median $10,581 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,924 – $12,920 · median $9,422 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,924 – $8,310 · median $7,117 2 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,924 – $17,238 · median $11,581 2 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,924 – $7,412 · median $6,668 2 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,647 – $5,924 · median $5,285 2 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,736 – $17,021 · median $15,879 2 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,264 – $14,736 · median $13,000 2 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,505 – $14,169 · median $10,837 2 plans
302 ATHEROSCLEROSIS WITH MCC $5,924 – $12,239 · median $9,082 2 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,924 – $7,075 · median $6,499 2 plans
304 HYPERTENSION WITH MCC $5,924 – $12,361 · median $9,143 2 plans
305 HYPERTENSION WITHOUT MCC $5,924 – $7,899 · median $6,911 2 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,924 – $15,756 · median $10,840 2 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,924 – $9,747 · median $7,835 2 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,924 – $12,690 · median $9,307 2 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,924 – $7,779 · median $6,851 2 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,887 – $5,924 · median $5,906 2 plans
311 ANGINA PECTORIS $5,924 – $7,350 · median $6,637 2 plans
312 SYNCOPE AND COLLAPSE $5,924 – $9,168 · median $7,546 2 plans
313 CHEST PAIN $7,505 – $11,417 · median $9,461 2 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,924 – $22,658 · median $14,291 2 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,924 – $10,125 · median $8,025 2 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,924 – $7,182 · median $6,553 2 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $65,089 – $89,104 · median $77,096 2 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $46,218 – $99,788 · median $73,003 2 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $24,354 – $58,750 · median $41,552 2 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $10,650 – $53,438 · median $32,044 2 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $10,650 – $25,548 · median $18,099 2 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,650 – $16,766 · median $13,708 2 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,650 – $48,314 · median $29,482 2 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,650 – $24,871 · median $17,760 2 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,650 – $17,372 · median $14,011 2 plans
332 RECTAL RESECTION WITH MCC $10,650 – $36,496 · median $23,573 2 plans
333 RECTAL RESECTION WITH CC $10,650 – $22,360 · median $16,505 2 plans
334 RECTAL RESECTION WITHOUT CC/MCC $10,650 – $17,450 · median $14,050 2 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $10,650 – $38,131 · median $24,390 2 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $10,650 – $22,227 · median $16,438 2 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,650 – $16,151 · median $13,400 2 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,650 – $28,350 · median $19,500 2 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,650 – $15,669 · median $13,159 2 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,650 – $13,102 · median $11,876 2 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $10,650 – $24,901 · median $17,775 2 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,650 – $13,245 · median $11,947 2 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,269 – $10,650 · median $9,959 2 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,650 – $25,461 · median $18,055 2 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,650 – $15,832 · median $13,241 2 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,650 – $11,601 · median $11,125 2 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $10,650 – $30,859 · median $20,754 2 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,650 – $17,899 · median $14,274 2 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,650 – $14,027 · median $12,338 2 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $10,650 – $44,881 · median $27,765 2 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $10,650 – $23,694 · median $17,172 2 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $14,257 · median $12,453 2 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,924 – $17,571 · median $11,747 2 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,924 – $10,707 · median $8,316 2 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,924 – $7,343 · median $6,634 2 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,924 – $18,396 · median $12,160 2 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,924 – $10,830 · median $8,377 2 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,924 – $7,632 · median $6,778 2 plans
374 DIGESTIVE MALIGNANCY WITH MCC $5,924 – $22,217 · median $14,071 2 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,924 – $12,928 · median $9,426 2 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,924 – $9,290 · median $7,607 2 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,924 – $19,130 · median $12,527 2 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,924 – $10,374 · median $8,149 2 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,924 – $6,698 · median $6,311 2 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $5,924 – $20,247 · median $13,086 2 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,924 – $11,460 · median $8,692 2 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Pediatric $5,924 – $7,884 · median $6,904 2 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,924 – $13,302 · median $9,613 2 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Pediatric $5,924 – $9,150 · median $7,537 2 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,924 – $17,095 · median $11,510 2 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,924 – $10,442 · median $8,183 2 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,924 – $7,053 · median $6,488 2 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,924 – $15,467 · median $10,696 2 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,924 – $8,435 · median $7,180 2 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,757 – $5,924 · median $5,840 2 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,924 – $13,520 · median $9,722 2 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,924 – $17,423 · median $11,674 2 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,924 – $9,904 · median $7,914 2 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,924 – $6,696 · median $6,310 2 plans
397 APPENDIX PROCEDURES WITH MCC $10,650 – $26,069 · median $18,359 2 plans
398 APPENDIX PROCEDURES WITH CC $10,650 – $15,923 · median $13,286 2 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,650 – $11,828 · median $11,239 2 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $41,343 – $124,584 · median $82,964 2 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $10,650 – $57,118 · median $33,884 2 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $10,650 – $29,548 · median $20,099 2 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $10,650 – $22,471 · median $16,560 2 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $10,650 – $36,839 · median $23,744 2 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $10,650 – $22,057 · median $16,353 2 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $10,650 – $16,320 · median $13,485 2 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $10,650 – $28,792 · median $19,721 2 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $10,650 – $22,428 · median $16,539 2 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,650 – $17,492 · median $14,071 2 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $10,650 – $36,865 · median $23,757 2 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $10,650 – $20,813 · median $15,731 2 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,650 – $14,417 · median $12,533 2 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $10,650 – $25,006 · median $17,828 2 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $10,650 – $17,451 · median $14,050 2 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,650 – $13,864 · median $12,257 2 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $10,650 – $37,134 · median $23,892 2 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,650 – $17,230 · median $13,940 2 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,650 – $15,460 · median $13,055 2 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $10,650 – $42,794 · median $26,722 2 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $10,650 – $24,023 · median $17,336 2 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $16,264 · median $13,457 2 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $110,287 – $333,589 · median $221,938 2 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $74,693 – $226,185 · median $150,439 2 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $57,926 – $175,278 · median $116,602 2 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $87,753 – $265,606 · median $176,680 2 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $57,556 – $174,208 · median $115,882 2 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,924 – $20,614 · median $13,269 2 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,924 – $11,255 · median $8,590 2 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,924 – $7,328 · median $6,626 2 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,924 – $19,197 · median $12,561 2 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,924 – $11,865 · median $8,894 2 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,924 – $8,261 · median $7,092 2 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,924 – $17,507 · median $11,715 2 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,924 – $9,051 · median $7,488 2 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,924 – $6,472 · median $6,198 2 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,924 – $19,890 · median $12,907 2 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,924 – $10,166 · median $8,045 2 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $5,924 – $7,393 · median $6,658 2 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,924 – $17,724 · median $11,824 2 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,924 – $11,410 · median $8,667 2 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,924 – $8,388 · median $7,156 2 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $70,542 – $213,511 · median $142,026 2 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $42,963 – $130,039 · median $86,501 2 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $54,185 – $164,005 · median $109,095 2 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $32,469 – $98,274 · median $65,371 2 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $89,107 – $166,086 · median $127,596 2 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $60,386 – $166,086 · median $113,236 2 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $45,431 – $164,528 · median $104,979 2 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $64,570 – $85,719 · median $75,145 2 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,131 – $82,168 · median $56,149 2 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $30,915 – $56,826 · median $43,871 2 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $21,690 – $31,025 · median $26,358 2 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $18,265 – $20,745 · median $19,505 2 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $53,602 – $88,428 · median $71,015 2 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $36,037 – $70,667 · median $53,352 2 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $27,601 – $71,375 · median $49,488 2 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $34,391 – $42,548 · median $38,470 2 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $19,839 – $41,320 · median $30,580 2 plans
471 CERVICAL SPINAL FUSION WITH MCC $51,105 – $54,325 · median $52,715 2 plans
472 CERVICAL SPINAL FUSION WITH CC $30,482 – $54,868 · median $42,675 2 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $24,908 – $54,868 · median $39,888 2 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $10,650 – $47,185 · median $28,917 2 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,650 – $22,697 · median $16,673 2 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $10,650 – $12,237 · median $11,443 2 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,650 – $36,183 · median $23,416 2 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,650 – $24,605 · median $17,627 2 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,650 – $18,684 · median $14,667 2 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $30,945 – $37,065 · median $34,005 2 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $21,832 – $37,594 · median $29,713 2 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $16,692 – $37,416 · median $27,054 2 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $10,650 – $26,811 · median $18,730 2 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $16,609 – $33,919 · median $25,264 2 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $20,858 – $22,314 · median $21,586 2 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $16,609 – $16,626 · median $16,617 2 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $16,715 – $20,679 · median $18,697 2 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,033 – $21,203 · median $17,118 2 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $19,537 – $37,364 · median $28,450 2 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $23,188 – $25,263 · median $24,225 2 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $19,619 – $19,839 · median $19,729 2 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $37,041 – $41,668 · median $39,354 2 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $14,098 – $20,759 · median $17,428 2 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $14,131 – $15,590 · median $14,861 2 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $10,650 – $26,565 · median $18,607 2 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $10,650 – $12,214 · median $11,432 2 plans
500 SOFT TISSUE PROCEDURES WITH MCC $10,650 – $33,339 · median $21,994 2 plans
501 SOFT TISSUE PROCEDURES WITH CC $10,650 – $18,781 · median $14,715 2 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC Pediatric $10,650 – $14,700 · median $12,675 2 plans
503 FOOT PROCEDURES WITH MCC $26,470 – $27,846 · median $27,158 2 plans
504 FOOT PROCEDURES WITH CC $18,075 – $18,472 · median $18,273 2 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $16,399 – $18,472 · median $17,436 2 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,650 – $15,772 · median $13,211 2 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $20,393 – $20,805 · median $20,599 2 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,580 – $16,948 · median $15,264 2 plans
509 ARTHROSCOPY $10,650 – $18,482 · median $14,566 2 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $27,477 – $30,072 · median $28,774 2 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,506 – $20,638 · median $18,072 2 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $15,506 – $16,916 · median $16,211 2 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,650 – $15,841 · median $13,245 2 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $10,650 – $10,728 · median $10,689 2 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $32,536 – $41,233 · median $36,884 2 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $21,166 – $41,233 · median $31,199 2 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $15,705 – $41,645 · median $28,675 2 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $22,440 – $37,709 · median $30,074 2 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $20,455 – $20,746 · median $20,600 2 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $15,079 – $15,374 · median $15,227 2 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $30,667 – $40,911 · median $35,789 2 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $22,182 – $40,911 · median $31,547 2 plans
533 FRACTURES OF FEMUR WITH MCC $5,924 – $16,044 · median $10,984 2 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,924 – $8,564 · median $7,244 2 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,924 – $13,993 · median $9,959 2 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,924 – $8,532 · median $7,228 2 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,924 – $9,669 · median $7,796 2 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,924 – $7,066 · median $6,495 2 plans
539 OSTEOMYELITIS WITH MCC $5,924 – $21,283 · median $13,603 2 plans
540 OSTEOMYELITIS WITH CC $5,924 – $13,620 · median $9,772 2 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,924 – $9,205 · median $7,564 2 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,924 – $19,622 · median $12,773 2 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,924 – $11,162 · median $8,543 2 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $5,924 – $7,951 · median $6,938 2 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,924 – $26,586 · median $16,255 2 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,924 – $12,181 · median $9,053 2 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,924 – $7,852 · median $6,888 2 plans
548 SEPTIC ARTHRITIS WITH MCC $5,924 – $21,197 · median $13,560 2 plans
549 SEPTIC ARTHRITIS WITH CC Pediatric $5,924 – $12,679 · median $9,302 2 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,924 – $9,071 · median $7,498 2 plans
551 MEDICAL BACK PROBLEMS WITH MCC $6,829 – $17,954 · median $12,391 2 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,829 – $10,141 · median $8,485 2 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,924 – $13,745 · median $9,834 2 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,924 – $8,782 · median $7,353 2 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Pediatric $5,924 – $14,168 · median $10,046 2 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,924 – $8,591 · median $7,258 2 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,924 – $16,306 · median $11,115 2 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Pediatric $5,924 – $9,089 · median $7,506 2 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,924 – $19,530 · median $12,727 2 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,924 – $11,982 · median $8,953 2 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,924 – $8,603 · median $7,263 2 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,924 – $15,401 · median $10,663 2 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $5,924 – $9,404 · median $7,664 2 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,924 – $16,511 · median $11,218 2 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,924 – $10,728 · median $8,326 2 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,924 – $7,870 · median $6,897 2 plans
570 SKIN DEBRIDEMENT WITH MCC $10,650 – $31,675 · median $21,162 2 plans
571 SKIN DEBRIDEMENT WITH CC Pediatric $10,650 – $17,622 · median $14,136 2 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,650 – $12,020 · median $11,335 2 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Pediatric $10,650 – $64,792 · median $37,721 2 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $10,650 – $36,456 · median $23,553 2 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,650 – $21,007 · median $15,828 2 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $10,650 – $56,765 · median $33,707 2 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $10,650 – $28,016 · median $19,333 2 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,650 – $17,785 · median $14,217 2 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $10,650 – $34,292 · median $22,471 2 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $10,650 – $18,654 · median $14,652 2 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,650 – $15,142 · median $12,896 2 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,650 – $18,425 · median $14,537 2 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,650 – $17,282 · median $13,966 2 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $10,650 – $21,542 · median $16,096 2 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $10,650 – $20,886 · median $15,768 2 plans
592 SKIN ULCERS WITH MCC Pediatric $5,924 – $21,635 · median $13,780 2 plans
593 SKIN ULCERS WITH CC Pediatric $5,924 – $12,864 · median $9,394 2 plans
594 SKIN ULCERS WITHOUT CC/MCC Pediatric $5,924 – $8,929 · median $7,426 2 plans
595 MAJOR SKIN DISORDERS WITH MCC $5,924 – $22,254 · median $14,089 2 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,924 – $11,374 · median $8,649 2 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $5,924 – $18,482 · median $12,203 2 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,924 – $11,352 · median $8,638 2 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,924 – $8,995 · median $7,460 2 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,924 – $10,072 · median $7,998 2 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,924 – $6,308 · median $6,116 2 plans
602 CELLULITIS WITH MCC $5,924 – $15,461 · median $10,693 2 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $6,829 – $15,633 · median $11,231 2 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,829 – $9,719 · median $8,274 2 plans
606 MINOR SKIN DISORDERS WITH MCC $5,924 – $16,941 · median $11,433 2 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $5,924 – $9,094 · median $7,509 2 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $10,650 – $23,978 · median $17,314 2 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,650 – $15,077 · median $12,863 2 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $10,650 – $40,666 · median $25,658 2 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $10,650 – $20,331 · median $15,490 2 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $10,650 – $13,100 · median $11,875 2 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric $10,650 – $39,394 · median $25,022 2 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric $10,650 – $20,139 · median $15,394 2 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $10,555 – $10,650 · median $10,602 2 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Pediatric $10,650 – $30,166 · median $20,408 2 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,650 – $15,880 · median $13,265 2 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,650 – $13,329 · median $11,989 2 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $10,650 – $41,523 · median $26,086 2 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,650 – $23,676 · median $17,163 2 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $14,743 · median $12,696 2 plans
637 DIABETES WITH MCC $5,924 – $15,323 · median $10,624 2 plans
638 DIABETES WITH CC $5,924 – $9,651 · median $7,787 2 plans
639 DIABETES WITHOUT CC/MCC $5,924 – $6,593 · median $6,259 2 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $5,924 – $13,974 · median $9,949 2 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $5,924 – $8,223 · median $7,073 2 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,924 – $13,059 · median $9,491 2 plans
643 ENDOCRINE DISORDERS WITH MCC $5,924 – $17,438 · median $11,681 2 plans
644 ENDOCRINE DISORDERS WITH CC $5,924 – $10,874 · median $8,399 2 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,924 – $8,197 · median $7,060 2 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $10,650 – $58,652 · median $34,651 2 plans
654 MAJOR BLADDER PROCEDURES WITH CC $10,650 – $29,692 · median $20,171 2 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $10,650 – $21,856 · median $16,253 2 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $10,650 – $34,278 · median $22,464 2 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,650 – $19,234 · median $14,942 2 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $15,824 – $18,336 · median $17,080 2 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $27,191 – $41,992 · median $34,591 2 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $14,098 – $22,856 · median $18,477 2 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $10,802 – $16,418 · median $13,610 2 plans
662 MINOR BLADDER PROCEDURES WITH MCC $10,650 – $32,822 · median $21,736 2 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,650 – $16,070 · median $13,360 2 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,650 – $11,362 · median $11,006 2 plans
665 PROSTATECTOMY WITH MCC $10,650 – $36,126 · median $23,388 2 plans
666 PROSTATECTOMY WITH CC $10,650 – $17,332 · median $13,991 2 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,650 – $10,813 · median $10,731 2 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $10,650 – $30,683 · median $20,666 2 plans
669 TRANSURETHRAL PROCEDURES WITH CC $10,650 – $16,283 · median $13,466 2 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Pediatric $10,055 – $10,650 · median $10,352 2 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,650 – $18,136 · median $14,393 2 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,650 – $11,514 · median $11,082 2 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $10,650 – $44,087 · median $27,368 2 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $10,650 – $24,288 · median $17,469 2 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,650 – $16,469 · median $13,559 2 plans
682 RENAL FAILURE WITH MCC $5,924 – $15,804 · median $10,864 2 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,924 – $6,392 · median $6,158 2 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,924 – $19,840 · median $12,882 2 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,924 – $11,075 · median $8,500 2 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,924 – $7,620 · median $6,772 2 plans
693 URINARY STONES WITH MCC $14,522 – $15,471 · median $14,996 2 plans
694 URINARY STONES WITHOUT MCC $8,222 – $10,466 · median $9,344 2 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,924 – $11,866 · median $8,895 2 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,924 – $7,278 · median $6,601 2 plans
697 URETHRAL STRICTURE $5,924 – $10,541 · median $8,232 2 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,924 – $17,686 · median $11,805 2 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,924 – $10,730 · median $8,327 2 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,924 – $7,303 · median $6,614 2 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $20,418 – $22,231 · median $21,324 2 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $15,598 – $20,558 · median $18,078 2 plans
709 PENIS PROCEDURES WITH CC/MCC $10,650 – $23,643 · median $17,146 2 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,650 – $15,797 · median $13,223 2 plans
711 TESTES PROCEDURES WITH CC/MCC Pediatric $10,650 – $20,103 · median $15,376 2 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $10,650 – $11,254 · median $10,952 2 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,650 – $15,214 · median $12,932 2 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $9,886 – $10,650 · median $10,268 2 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,650 – $23,761 · median $17,205 2 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,650 – $14,933 · median $12,791 2 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $10,650 – $19,523 · median $15,086 2 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,650 – $12,961 · median $11,805 2 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,924 – $18,190 · median $12,057 2 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,924 – $11,815 · median $8,870 2 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,924 – $7,666 · median $6,795 2 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,924 – $13,290 · median $9,607 2 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,924 – $7,832 · median $6,878 2 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,924 – $15,460 · median $10,692 2 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,924 – $8,598 · median $7,261 2 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,924 – $11,583 · median $8,753 2 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,924 – $6,386 · median $6,155 2 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $10,650 – $22,125 · median $16,387 2 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,650 – $12,772 · median $11,711 2 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $10,650 – $41,428 · median $26,039 2 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $10,650 – $21,026 · median $15,838 2 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,650 – $15,960 · median $13,305 2 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $41,885 – $44,024 · median $42,954 2 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $18,799 – $19,131 · median $18,965 2 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $14,125 – $14,452 · median $14,288 2 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $18,413 – $19,219 · median $18,816 2 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,612 – $15,853 · median $14,232 2 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $10,650 – $20,559 · median $15,604 2 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,650 – $10,783 · median $10,716 2 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,650 – $17,619 · median $14,134 2 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,050 – $10,650 · median $10,350 2 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $14,333 – $16,295 · median $15,314 2 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $10,650 – $27,235 · median $18,942 2 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $13,568 · median $12,109 2 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,924 – $19,036 · median $12,480 2 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,924 – $11,680 · median $8,802 2 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,924 – $10,047 · median $7,986 2 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,924 – $14,891 · median $10,407 2 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,924 – $10,725 · median $8,325 2 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,924 – $6,733 · median $6,329 2 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,924 – $10,369 · median $8,147 2 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,924 – $6,670 · median $6,297 2 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,650 – $14,620 · median $12,635 2 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,650 – $11,321 · median $10,985 2 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,924 – $7,506 · median $6,715 2 plans
779 ABORTION WITHOUT D&C $5,924 – $9,835 · median $7,879 2 plans
799 SPLENIC PROCEDURES WITH MCC $10,650 – $50,027 · median $30,338 2 plans
800 SPLENIC PROCEDURES WITH CC $10,650 – $30,657 · median $20,653 2 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,650 – $17,274 · median $13,962 2 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $10,650 – $37,717 · median $24,183 2 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $10,650 – $18,728 · median $14,689 2 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,650 – $11,632 · median $11,141 2 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,924 – $24,100 · median $15,012 2 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,924 – $13,032 · median $9,478 2 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $5,924 – $10,014 · median $7,969 2 plans
811 RED BLOOD CELL DISORDERS WITH MCC $5,924 – $14,802 · median $10,363 2 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,924 – $9,711 · median $7,817 2 plans
813 COAGULATION DISORDERS $5,924 – $16,287 · median $11,106 2 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,924 – $21,994 · median $13,959 2 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,924 – $10,691 · median $8,308 2 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,924 – $6,938 · median $6,431 2 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $10,650 – $61,258 · median $35,954 2 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $10,650 – $23,487 · median $17,068 2 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $12,033 · median $11,341 2 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $10,650 – $49,235 · median $29,942 2 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $10,650 – $23,141 · median $16,895 2 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,650 – $12,949 · median $11,799 2 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $10,650 – $50,245 · median $30,447 2 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $10,650 – $24,829 · median $17,739 2 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $10,650 – $16,865 · median $13,757 2 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $10,650 – $32,446 · median $21,548 2 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $10,650 – $15,387 · median $13,018 2 plans
834 ACUTE LEUKEMIA WITH MCC $5,924 – $58,154 · median $32,039 2 plans
835 ACUTE LEUKEMIA WITH CC $5,924 – $22,473 · median $14,198 2 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $5,924 – $13,370 · median $9,647 2 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $5,924 – $52,682 · median $29,303 2 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $5,924 – $21,340 · median $13,632 2 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,924 – $14,418 · median $10,171 2 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,924 – $33,559 · median $19,741 2 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,924 – $16,497 · median $11,211 2 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,924 – $11,067 · median $8,496 2 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,924 – $19,919 · median $12,922 2 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,924 – $12,575 · median $9,249 2 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $5,924 – $8,804 · median $7,364 2 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,924 – $26,869 · median $16,396 2 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,924 – $13,369 · median $9,647 2 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,924 – $8,616 · median $7,270 2 plans
849 RADIOTHERAPY $5,924 – $28,103 · median $17,014 2 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $10,650 – $96,921 · median $53,785 2 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $10,650 – $52,626 · median $31,638 2 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $10,650 – $21,025 · median $15,837 2 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $17,104 · median $13,877 2 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $10,650 – $47,468 · median $29,059 2 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $10,650 – $22,926 · median $16,788 2 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,650 – $13,557 · median $12,103 2 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,924 – $19,346 · median $12,635 2 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,924 – $10,521 · median $8,222 2 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,924 – $9,448 · median $7,686 2 plans
865 VIRAL ILLNESS WITH MCC $5,924 – $15,529 · median $10,727 2 plans
866 VIRAL ILLNESS WITHOUT MCC $5,924 – $9,309 · median $7,616 2 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,924 – $22,561 · median $14,243 2 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,924 – $11,048 · median $8,486 2 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,924 – $7,571 · median $6,747 2 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $5,924 – $73,196 · median $39,560 2 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $10,650 – $41,345 · median $25,997 2 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,924 – $10,086 · median $8,005 2 plans
881 DEPRESSIVE NEUROSES $5,924 – $9,618 · median $7,771 2 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,924 – $10,121 · median $8,023 2 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $5,924 – $19,533 · median $12,729 2 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $5,924 – $17,573 · median $11,748 2 plans
885 PSYCHOSES $5,924 – $14,831 · median $10,377 2 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $5,924 – $18,902 · median $12,413 2 plans
887 OTHER MENTAL DISORDER DIAGNOSES $5,924 – $12,514 · median $9,219 2 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,924 – $6,567 · median $6,245 2 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,924 – $15,235 · median $10,579 2 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,924 – $18,738 · median $12,331 2 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,924 – $9,283 · median $7,603 2 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $10,650 – $46,615 · median $28,632 2 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,650 – $19,964 · median $15,307 2 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $10,650 – $12,826 · median $11,738 2 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC Pediatric $10,650 – $40,624 · median $25,637 2 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,650 – $17,341 · median $13,995 2 plans
906 HAND PROCEDURES FOR INJURIES $10,650 – $22,963 · median $16,806 2 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $10,650 – $41,914 · median $26,282 2 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $10,650 – $21,223 · median $15,936 2 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,650 – $13,344 · median $11,997 2 plans
913 TRAUMATIC INJURY WITH MCC $5,924 – $17,027 · median $11,475 2 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,924 – $9,641 · median $7,783 2 plans
915 ALLERGIC REACTIONS WITH MCC $5,924 – $18,285 · median $12,105 2 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,924 – $6,987 · median $6,455 2 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,924 – $17,252 · median $11,588 2 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,924 – $9,306 · median $7,615 2 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $5,924 – $19,186 · median $12,555 2 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,924 – $10,688 · median $8,306 2 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,924 – $7,235 · median $6,579 2 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,924 – $17,774 · median $11,849 2 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,924 – $10,730 · median $8,327 2 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $10,650 – $33,395 · median $22,022 2 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $10,650 – $22,215 · median $16,432 2 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $10,650 – $20,562 · median $15,606 2 plans
947 SIGNS AND SYMPTOMS WITH MCC Pediatric $5,924 – $13,532 · median $9,728 2 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC Pediatric $5,924 – $8,360 · median $7,142 2 plans
949 AFTERCARE WITH CC/MCC $5,924 – $11,352 · median $8,638 2 plans
950 AFTERCARE WITHOUT CC/MCC $5,924 – $6,167 · median $6,045 2 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,924 – $5,965 · median $5,944 2 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $12,302 – $71,843 · median $42,073 2 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $12,302 – $40,217 · median $26,260 2 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,302 – $78,533 · median $45,418 2 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,302 – $43,240 · median $27,771 2 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,302 – $27,817 · median $20,060 2 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $6,829 – $28,584 · median $17,707 2 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $6,829 – $15,785 · median $11,307 2 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,829 – $9,601 · median $8,215 2 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $10,650 – $66,540 · median $38,595 2 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $10,650 – $27,917 · median $19,283 2 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,924 – $31,419 · median $18,671 2 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,924 – $14,955 · median $10,439 2 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,924 – $10,553 · median $8,238 2 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,924 – $15,171 · median $10,547 2 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,650 – $50,025 · median $30,337 2 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,650 – $25,763 · median $18,206 2 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,650 – $17,552 · median $14,101 2 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $10,650 – $36,859 · median $23,754 2 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,650 – $18,056 · median $14,353 2 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,650 – $12,157 · median $11,403 2 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH — 1 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC — 1 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
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 $2,563 – $2,563 · median $2,563 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
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 1 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 1 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $10,650 – $10,650 · median $10,650 1 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 1 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,924 – $5,924 · median $5,924 1 plans
935 NON-EXTENSIVE BURNS $5,924 – $5,924 · median $5,924 1 plans
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