Methodist Hospital Atascosa — Pricing

768 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 768 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 768
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 768 procedures

Procedures with negotiated rates only

These 768 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
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,938 – $27,563 · median $18,095 18 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,938 – $14,787 · median $9,920 18 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,938 – $22,338 · median $16,935 17 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,938 – $22,338 · median $15,659 17 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,938 – $22,338 · median $15,659 17 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,938 – $12,245 · median $9,284 17 plans
603 CELLULITIS WITHOUT MCC $3,938 – $12,245 · median $9,284 17 plans
683 RENAL FAILURE WITH CC $3,938 – $12,245 · median $9,284 17 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,938 – $22,338 · median $16,020 17 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,938 – $12,245 · median $9,284 17 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $4,700 – $32,530 · median $9,200 16 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $15,478 – $58,307 · median $27,860 16 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $15,478 – $58,307 · median $27,529 16 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $15,478 – $58,307 · median $27,529 16 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $8,400 – $17,827 · median $11,079 16 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,400 – $17,827 · median $11,079 16 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,400 – $17,827 · median $11,079 16 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,400 – $17,827 · median $11,079 16 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,400 – $17,827 · median $11,079 16 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,800 – $14,076 · median $8,756 16 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,800 – $14,076 · median $8,756 16 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,800 – $14,076 · median $8,756 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,800 – $12,335 · median $8,756 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,800 – $12,335 · median $8,756 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,800 – $12,335 · median $8,756 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $41,756 – $168,913 · median $80,132 15 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $41,756 – $166,046 · median $80,132 15 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $41,756 – $166,046 · median $80,132 15 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $39,896 – $119,785 · median $78,701 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $39,896 – $119,785 · median $74,903 15 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $39,896 – $117,435 · median $74,903 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $25,787 – $121,399 · median $68,206 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $25,787 – $119,019 · median $64,462 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $37,019 – $106,983 · median $70,123 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $37,019 – $94,097 · median $70,123 15 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $26,835 – $94,097 · median $60,812 15 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $26,835 – $94,097 · median $56,282 15 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $3,938 – $72,776 · median $24,741 15 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,938 – $56,526 · median $23,034 15 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,938 – $55,831 · median $23,034 15 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $11,486 – $41,322 · median $29,218 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,486 – $40,512 · median $26,618 15 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $3,938 – $108,857 · median $41,985 15 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $3,938 – $75,083 · median $41,985 15 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $3,938 – $86,561 · median $41,985 15 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,938 – $60,439 · median $40,734 15 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,938 – $49,393 · median $36,042 15 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,938 – $30,630 · median $13,607 15 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,938 – $18,449 · median $11,887 15 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $3,938 – $62,111 · median $34,485 15 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,938 – $50,903 · median $24,763 15 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,700 – $22,702 · median $9,200 15 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,700 – $18,035 · median $9,200 15 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $3,938 – $317,917 · median $114,543 14 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $42,293 – $134,564 · median $79,530 14 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $42,293 – $134,564 · median $79,530 14 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $3,938 – $64,177 · median $26,596 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $3,938 – $46,591 · median $26,596 14 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,800 – $12,335 · median $9,000 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,400 – $17,827 · median $11,079 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $3,938 – $58,300 · median $13,773 12 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,938 – $43,733 · median $13,773 12 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,938 – $39,175 · median $13,773 12 plans
693 URINARY STONES WITH MCC $3,938 – $20,125 · median $7,909 11 plans
694 URINARY STONES WITHOUT MCC $3,938 – $15,177 · median $7,909 11 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $3,938 – $160,698 · median $89,498 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $3,938 – $147,791 · median $83,526 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $3,938 – $140,673 · median $74,257 10 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $3,938 – $70,000 · median $62,799 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $3,938 – $182,164 · median $94,843 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $3,938 – $123,514 · median $75,563 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC — 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC — 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL — 10 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,938 – $75,000 · median $65,549 10 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $3,938 – $89,559 · median $75,000 10 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,938 – $75,000 · median $49,537 10 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $3,938 – $115,918 · median $70,872 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $3,938 – $109,197 · median $70,872 10 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $3,938 – $82,505 · median $69,906 10 plans
471 CERVICAL SPINAL FUSION WITH MCC $3,938 – $66,483 · median $35,000 10 plans
472 CERVICAL SPINAL FUSION WITH CC $3,938 – $39,654 · median $35,000 10 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,938 – $37,448 · median $33,701 10 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $3,938 – $64,942 · median $46,244 9 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $3,938 – $64,942 · median $38,451 9 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,938 – $64,942 · median $39,220 9 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $3,938 – $59,405 · median $39,030 9 plans
253 OTHER VASCULAR PROCEDURES WITH CC $3,938 – $41,674 · median $28,581 9 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,938 – $41,674 · median $27,381 9 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,938 – $35,812 · median $10,658 9 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,938 – $31,757 · median $10,658 9 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,938 – $31,757 · median $10,658 9 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $3,938 – $38,400 · median $24,166 9 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,938 – $31,757 · median $23,869 9 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $3,938 – $46,632 · median $22,862 9 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,938 – $38,175 · median $22,862 9 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,938 – $38,175 · median $20,774 9 plans
263 VEIN LIGATION AND STRIPPING $3,938 – $36,710 · median $19,174 9 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,938 – $47,838 · median $37,899 9 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,938 – $22,998 · median $15,109 9 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,938 – $22,547 · median $14,505 9 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,938 – $21,889 · median $14,382 9 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,938 – $26,766 · median $15,579 9 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,938 – $23,019 · median $13,277 9 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,938 – $23,019 · median $13,277 9 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $3,938 – $69,517 · median $10,658 9 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,938 – $33,236 · median $10,658 9 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,938 – $26,574 · median $10,658 9 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,938 – $40,144 · median $9,200 9 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,938 – $23,285 · median $9,200 9 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,938 – $18,247 · median $9,200 9 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $3,938 – $69,731 · median $37,038 9 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $3,938 – $54,942 · median $37,038 9 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,938 – $54,942 · median $36,098 9 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $3,938 – $44,739 · median $37,038 9 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $3,938 – $37,038 · median $26,713 9 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,938 – $35,806 · median $10,658 9 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,938 – $25,003 · median $15,484 9 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,938 – $16,406 · median $11,627 9 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $3,938 – $93,460 · median $10,658 9 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $3,938 – $165,508 · median $10,658 9 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,938 – $197,568 · median $10,658 9 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,938 – $191,812 · median $10,658 9 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,938 – $191,812 · median $10,658 9 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,938 – $37,185 · median $8,019 9 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,938 – $35,374 · median $8,019 9 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,938 – $34,344 · median $8,019 9 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $6,971 – $74,304 · median $9,200 8 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $6,971 – $38,439 · median $9,200 8 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $6,971 – $29,232 · median $9,200 8 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,938 – $28,782 · median $8,727 8 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,938 – $16,614 · median $8,727 8 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $3,938 – $149,105 7 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,938 – $23,008 · median $6,785 7 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,938 – $27,563 · median $9,200 7 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,938 – $73,855 · median $9,200 6 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $3,938 – $56,167 · median $9,200 6 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,938 – $36,270 · median $9,200 6 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $3,938 – $135,094 · median $112,322 6 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,938 – $137,795 · median $103,566 6 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $3,938 – $136,458 · median $102,562 6 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,938 – $101,621 · median $82,037 6 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,938 – $100,370 · median $75,438 6 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,938 – $61,213 · median $51,226 6 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,938 – $59,351 · median $46,042 6 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,938 – $59,351 · median $44,608 6 plans
028 SPINAL PROCEDURES WITH MCC $3,938 – $83,211 · median $27,668 6 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,938 – $45,944 · median $29,838 6 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,938 – $32,056 · median $27,124 6 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $3,938 – $57,357 · median $27,645 6 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,938 – $32,672 · median $27,645 6 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,938 – $32,032 · median $24,471 6 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $3,938 – $53,226 · median $10,299 6 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,938 – $31,135 · median $10,299 6 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,938 – $25,090 · median $10,299 6 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $3,938 – $45,454 · median $11,675 6 plans
038 EXTRACRANIAL PROCEDURES WITH CC $3,938 – $22,053 · median $10,123 6 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,938 – $15,580 · median $11,772 6 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,938 – $27,546 · median $6,785 6 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,938 – $12,611 · median $6,785 6 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,938 – $20,520 · median $6,785 6 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,938 – $14,932 · median $6,785 6 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,938 – $34,275 · median $6,785 6 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,938 – $18,269 · median $6,785 6 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,938 – $25,264 · median $6,785 6 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,938 – $16,747 · median $6,785 6 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,938 – $12,215 · median $6,785 6 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $3,938 – $37,001 · median $6,785 6 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $3,938 – $24,376 · median $6,785 6 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $3,938 – $19,228 · median $6,785 6 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,938 – $27,227 · median $6,785 6 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,938 – $13,921 · median $6,785 6 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,938 – $9,421 · median $6,785 6 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,938 – $19,927 · median $6,785 6 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,938 – $12,067 · median $6,785 6 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,938 – $10,953 · median $6,785 6 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,938 – $23,799 · median $6,785 6 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,938 – $14,424 · median $6,785 6 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,938 – $10,267 · median $6,785 6 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,938 – $21,155 · median $6,785 6 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,938 – $14,268 · median $6,785 6 plans
075 VIRAL MENINGITIS WITH CC/MCC $3,938 – $23,576 · median $6,785 6 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,938 – $12,551 · median $6,785 6 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,938 – $21,164 · median $6,785 6 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,938 – $13,658 · median $6,785 6 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,938 – $9,126 · median $6,785 6 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,938 – $27,209 · median $6,785 6 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,938 – $12,385 · median $6,785 6 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,938 – $31,758 · median $6,785 6 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,938 – $19,030 · median $6,785 6 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,938 – $13,086 · median $6,785 6 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,938 – $31,016 · median $6,785 6 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,938 – $17,953 · median $6,785 6 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,938 – $12,100 · median $6,785 6 plans
088 CONCUSSION WITH MCC $3,938 – $19,308 · median $6,785 6 plans
089 CONCUSSION WITH CC $3,938 – $14,675 · median $6,785 6 plans
090 CONCUSSION WITHOUT CC/MCC $3,938 – $11,733 · median $6,785 6 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,938 – $24,950 · median $6,785 6 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,938 – $14,493 · median $6,785 6 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,938 – $10,804 · median $6,785 6 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,938 – $49,939 · median $6,785 6 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,938 – $32,810 · median $6,785 6 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,938 – $32,810 · median $6,785 6 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,938 – $49,069 · median $6,785 6 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,938 – $29,691 · median $6,785 6 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,938 – $19,070 · median $6,785 6 plans
100 SEIZURES WITH MCC $3,938 – $27,173 · median $6,785 6 plans
101 SEIZURES WITHOUT MCC $3,938 – $12,615 · median $6,785 6 plans
102 HEADACHES WITH MCC $3,938 – $15,870 · median $6,785 6 plans
103 HEADACHES WITHOUT MCC $3,938 – $11,638 · median $6,785 6 plans
113 ORBITAL PROCEDURES WITH CC/MCC $3,938 – $30,888 · median $9,200 6 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,938 – $16,181 · median $9,200 6 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,938 – $20,955 · median $9,200 6 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,938 – $22,838 · median $9,200 6 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,938 – $14,764 · median $9,200 6 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,938 – $15,921 · median $6,785 6 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,938 – $9,285 · median $6,785 6 plans
123 NEUROLOGICAL EYE DISORDERS $3,938 – $10,994 · median $6,785 6 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,938 – $17,846 · median $6,785 6 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,938 – $11,302 · median $6,785 6 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,938 – $33,000 · median $9,200 6 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,938 – $13,390 · median $9,200 6 plans
137 MOUTH PROCEDURES WITH CC/MCC $3,938 – $19,143 · median $9,200 6 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,938 – $11,135 · median $9,200 6 plans
139 SALIVARY GLAND PROCEDURES $3,938 – $18,792 · median $9,200 6 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,938 – $57,887 · median $9,200 6 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,938 – $29,406 · median $9,200 6 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,938 – $21,522 · median $9,200 6 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,938 – $45,194 · median $9,200 6 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,938 – $24,044 · median $9,200 6 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $16,216 · median $9,200 6 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,938 – $31,399 · median $6,785 6 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,938 – $17,037 · median $6,785 6 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,938 – $10,960 · median $6,785 6 plans
149 DYSEQUILIBRIUM $3,938 – $10,232 · median $6,785 6 plans
150 EPISTAXIS WITH MCC $3,938 – $18,918 · median $6,785 6 plans
151 EPISTAXIS WITHOUT MCC $3,938 – $10,376 · median $6,785 6 plans
152 OTITIS MEDIA AND URI WITH MCC $3,938 – $15,532 · median $6,785 6 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,938 – $9,742 · median $6,785 6 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,938 – $22,259 · median $6,785 6 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,938 – $12,779 · median $6,785 6 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,938 – $9,204 · median $6,785 6 plans
157 DENTAL AND ORAL DISEASES WITH MCC $3,938 – $22,413 · median $6,785 6 plans
158 DENTAL AND ORAL DISEASES WITH CC $3,938 – $12,874 · median $6,785 6 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,938 – $9,029 · median $6,785 6 plans
163 MAJOR CHEST PROCEDURES WITH MCC $3,938 – $63,087 · median $9,200 6 plans
164 MAJOR CHEST PROCEDURES WITH CC $3,938 – $34,450 · median $9,200 6 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,938 – $25,513 · median $9,200 6 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $3,938 – $52,712 · median $9,200 6 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,938 – $25,009 · median $9,200 6 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $18,531 · median $9,200 6 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $3,938 – $42,000 · median $9,200 6 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,938 – $19,288 · median $6,785 6 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,938 – $11,149 · median $6,785 6 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,938 – $22,127 · median $6,785 6 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,938 – $13,580 · median $6,785 6 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,938 – $10,536 · median $6,785 6 plans
180 RESPIRATORY NEOPLASMS WITH MCC $3,938 – $23,923 · median $6,785 6 plans
181 RESPIRATORY NEOPLASMS WITH CC $3,938 – $15,196 · median $6,785 6 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,938 – $11,464 · median $6,785 6 plans
183 MAJOR CHEST TRAUMA WITH MCC $3,938 – $21,726 · median $6,785 6 plans
184 MAJOR CHEST TRAUMA WITH CC $3,938 – $14,619 · median $6,785 6 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,938 – $10,644 · median $6,785 6 plans
186 PLEURAL EFFUSION WITH MCC $3,938 – $21,627 · median $6,785 6 plans
187 PLEURAL EFFUSION WITH CC $3,938 – $13,741 · median $6,785 6 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,938 – $10,048 · median $6,785 6 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,938 – $16,939 · median $6,785 6 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,938 – $15,376 · median $6,785 6 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,938 – $11,759 · median $6,785 6 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,938 – $8,859 · median $6,785 6 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,938 – $25,791 · median $6,785 6 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $3,938 – $13,550 · median $6,785 6 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,938 – $9,587 · median $6,785 6 plans
199 PNEUMOTHORAX WITH MCC $3,938 – $24,162 · median $6,785 6 plans
200 PNEUMOTHORAX WITH CC $3,938 – $15,158 · median $6,785 6 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,938 – $9,265 · median $6,785 6 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,938 – $13,232 · median $6,785 6 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,938 – $9,531 · median $6,785 6 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $3,938 – $11,100 · median $6,785 6 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,938 – $25,839 · median $6,785 6 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,938 – $12,399 · median $6,785 6 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $3,938 – $88,530 · median $6,785 6 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,938 – $36,740 · median $6,785 6 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $3,938 – $68,940 · median $9,200 6 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,938 – $39,859 · median $9,200 6 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $3,938 – $20,666 · median $9,200 6 plans
245 AICD GENERATOR PROCEDURES $3,938 – $76,158 · median $64,442 6 plans
265 AICD LEAD PROCEDURES $3,938 – $54,773 · median $46,346 6 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $3,938 – $180,102 · median $135,363 6 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $3,938 – $140,883 · median $105,887 6 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $3,938 – $68,480 · median $50,266 6 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $3,938 – $43,859 · median $35,264 6 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,938 – $37,386 · median $14,591 6 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,938 – $21,581 · median $14,591 6 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,938 – $17,244 · median $13,996 6 plans
291 HEART FAILURE AND SHOCK WITH MCC $3,938 – $18,912 · median $16,002 6 plans
292 HEART FAILURE AND SHOCK WITH CC $3,938 – $15,760 · median $12,563 6 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,938 – $15,607 · median $11,731 6 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,938 – $16,808 · median $6,785 6 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,938 – $10,811 · median $6,785 6 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,938 – $22,425 · median $6,785 6 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,938 – $9,642 · median $6,785 6 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,938 – $8,019 · median $6,415 6 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,938 – $22,143 · median $11,493 6 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,938 – $14,653 · median $9,919 6 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,938 – $11,722 · median $9,841 6 plans
302 ATHEROSCLEROSIS WITH MCC $3,938 – $15,922 · median $6,785 6 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,938 – $9,204 · median $6,785 6 plans
304 HYPERTENSION WITH MCC $3,938 – $16,081 · median $6,785 6 plans
305 HYPERTENSION WITHOUT MCC $3,938 – $10,276 · median $6,785 6 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,938 – $20,496 · median $6,785 6 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,938 – $12,679 · median $6,785 6 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,938 – $16,508 · median $6,785 6 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,938 – $10,120 · median $6,785 6 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,938 – $8,019 · median $6,785 6 plans
311 ANGINA PECTORIS $3,938 – $9,561 · median $6,785 6 plans
312 SYNCOPE AND COLLAPSE $3,938 – $11,926 · median $6,785 6 plans
313 CHEST PAIN $3,938 – $10,476 · median $8,864 6 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,938 – $29,476 · median $6,785 6 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,938 – $13,172 · median $6,785 6 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,938 – $9,343 · median $6,785 6 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $3,938 – $95,409 · median $80,730 6 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $3,938 – $89,312 · median $67,849 6 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,938 – $51,133 · median $38,431 6 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,938 – $62,851 · median $9,200 6 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,938 – $32,354 · median $9,200 6 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,938 – $22,599 · median $9,200 6 plans
332 RECTAL RESECTION WITH MCC $3,938 – $47,477 · median $9,200 6 plans
333 RECTAL RESECTION WITH CC $3,938 – $29,088 · median $9,200 6 plans
334 RECTAL RESECTION WITHOUT CC/MCC $3,938 – $22,700 · median $9,200 6 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $3,938 – $49,604 · median $9,200 6 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $3,938 – $28,915 · median $9,200 6 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,938 – $21,011 · median $9,200 6 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,938 – $36,881 · median $9,200 6 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,938 – $20,384 · median $9,200 6 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,938 – $17,044 · median $9,200 6 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,938 – $32,394 · median $9,200 6 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $3,938 – $17,230 · median $9,200 6 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,938 – $12,058 · median $9,200 6 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,938 – $33,122 · median $9,200 6 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,938 – $20,596 · median $9,200 6 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,938 – $15,091 · median $9,200 6 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $8,254 – $58,385 · median $9,929 6 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $8,254 – $30,824 · median $9,929 6 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,254 – $18,547 · median $9,929 6 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,938 – $22,858 · median $6,785 6 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,938 – $13,929 · median $6,785 6 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,938 – $9,553 · median $6,785 6 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,938 – $23,931 · median $6,785 6 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,938 – $14,089 · median $6,785 6 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,938 – $9,928 · median $6,785 6 plans
374 DIGESTIVE MALIGNANCY WITH MCC $3,938 – $28,902 · median $6,785 6 plans
375 DIGESTIVE MALIGNANCY WITH CC $3,938 – $16,818 · median $6,785 6 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,938 – $12,085 · median $6,785 6 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,938 – $24,886 · median $6,785 6 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,938 – $13,495 · median $6,785 6 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,938 – $8,714 · median $6,785 6 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $3,938 – $26,340 · median $6,785 6 plans
381 COMPLICATED PEPTIC ULCER WITH CC $3,938 – $14,908 · median $6,785 6 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,938 – $10,256 · median $6,785 6 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,938 – $17,304 · median $6,785 6 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,938 – $11,903 · median $6,785 6 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,938 – $22,239 · median $6,785 6 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,938 – $13,584 · median $6,785 6 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,938 – $9,175 · median $6,785 6 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,938 – $20,121 · median $6,785 6 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,938 – $10,974 · median $6,785 6 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,938 – $8,019 · median $6,785 6 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,938 – $17,588 · median $6,785 6 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,938 – $22,666 · median $6,785 6 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,938 – $12,885 · median $6,785 6 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,938 – $8,711 · median $6,785 6 plans
397 APPENDIX PROCEDURES WITH MCC $3,938 – $33,913 · median $9,200 6 plans
398 APPENDIX PROCEDURES WITH CC $3,938 – $20,714 · median $9,200 6 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,938 – $15,387 · median $9,200 6 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $3,938 – $47,923 · median $9,200 6 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $3,938 – $28,694 · median $9,200 6 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $3,938 – $21,230 · median $9,200 6 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,938 – $37,456 · median $9,200 6 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,938 – $29,176 · median $9,200 6 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,938 – $22,755 · median $9,200 6 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $8,254 – $47,957 · median $9,929 6 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $8,254 – $27,075 · median $9,929 6 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,254 – $18,755 · median $9,929 6 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,938 – $48,308 · median $9,200 6 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,938 – $22,414 · median $9,200 6 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,938 – $20,112 · median $9,200 6 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $3,938 – $55,670 · median $9,200 6 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,938 – $31,251 · median $9,200 6 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $21,158 · median $9,200 6 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $3,938 – $95,715 · median $78,173 6 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,938 – $26,816 · median $6,785 6 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,938 – $14,642 · median $6,785 6 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,938 – $9,532 · median $6,785 6 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,938 – $24,974 · median $6,785 6 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,938 – $15,435 · median $6,785 6 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,938 – $10,746 · median $6,785 6 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,938 – $22,774 · median $6,785 6 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,938 – $11,774 · median $6,785 6 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,938 – $8,419 · median $6,785 6 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,938 – $25,874 · median $6,785 6 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,938 – $13,225 · median $6,785 6 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $3,938 – $9,617 · median $6,785 6 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,938 – $23,057 · median $6,785 6 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,938 – $14,843 · median $6,785 6 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,938 – $10,912 · median $6,785 6 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $3,938 – $95,180 · median $80,538 6 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,938 – $95,180 · median $71,537 6 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $3,938 – $73,925 · median $32,881 6 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $3,938 – $40,360 · median $33,033 6 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $3,938 – $38,273 · median $28,766 6 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,938 – $61,382 · median $9,200 6 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,938 – $29,526 · median $9,200 6 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $3,938 – $15,919 · median $9,200 6 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,938 – $47,070 · median $9,200 6 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,938 – $32,008 · median $9,200 6 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,938 – $24,306 · median $9,200 6 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $3,938 – $40,256 · median $24,277 6 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,938 – $28,401 · median $23,201 6 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,938 – $27,420 · median $22,458 6 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,938 – $44,125 · median $13,847 6 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,938 – $38,064 · median $30,618 6 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,938 – $21,628 · median $15,364 6 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,938 – $26,901 · median $14,808 6 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,938 – $17,284 · median $14,625 6 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $3,938 – $48,606 · median $23,277 6 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,938 – $32,865 · median $26,481 6 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,938 – $29,021 · median $24,556 6 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $3,938 – $48,186 · median $19,289 6 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $3,938 – $27,005 · median $16,260 6 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $3,938 – $19,216 · median $16,260 6 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $3,938 – $34,558 · median $9,200 6 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $3,938 – $15,889 · median $9,200 6 plans
500 SOFT TISSUE PROCEDURES WITH MCC $3,938 – $43,370 · median $9,200 6 plans
501 SOFT TISSUE PROCEDURES WITH CC $3,938 – $24,432 · median $9,200 6 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,938 – $19,124 · median $9,200 6 plans
503 FOOT PROCEDURES WITH MCC $3,938 – $36,225 · median $13,951 6 plans
504 FOOT PROCEDURES WITH CC $3,938 – $24,031 · median $13,322 6 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $3,938 – $24,031 · median $14,651 6 plans
506 MAJOR THUMB OR JOINT PROCEDURES $3,938 – $20,518 · median $9,200 6 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,938 – $26,529 · median $20,493 6 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,938 – $24,218 · median $19,079 6 plans
509 ARTHROSCOPY $3,938 – $24,043 · median $9,200 6 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,938 – $39,120 · median $20,493 6 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,938 – $26,848 · median $10,451 6 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $3,938 – $22,006 · median $11,660 6 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,938 – $20,607 · median $9,200 6 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,938 – $13,956 · median $9,200 6 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,938 – $46,898 · median $39,684 6 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,938 – $37,493 · median $29,630 6 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $3,938 – $43,869 · median $32,972 6 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $3,938 – $53,769 · median $45,497 6 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,938 – $26,989 · median $13,949 6 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,938 – $20,726 · median $17,537 6 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $3,938 – $39,895 · median $28,208 6 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,938 – $30,377 · median $25,704 6 plans
533 FRACTURES OF FEMUR WITH MCC $3,938 – $20,871 · median $6,785 6 plans
534 FRACTURES OF FEMUR WITHOUT MCC $3,938 – $11,141 · median $6,785 6 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,938 – $18,204 · median $6,785 6 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,938 – $11,100 · median $6,785 6 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,938 – $12,578 · median $6,785 6 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,938 – $9,191 · median $6,785 6 plans
539 OSTEOMYELITIS WITH MCC $3,938 – $27,687 · median $6,785 6 plans
540 OSTEOMYELITIS WITH CC $3,938 – $17,718 · median $6,785 6 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $3,938 – $11,974 · median $6,785 6 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $3,938 – $25,527 · median $6,785 6 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $3,938 – $14,520 · median $6,785 6 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $3,938 – $10,344 · median $6,785 6 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,938 – $34,585 · median $6,785 6 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,938 – $15,847 · median $6,785 6 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,938 – $10,214 · median $6,785 6 plans
548 SEPTIC ARTHRITIS WITH MCC $3,938 – $27,574 · median $6,785 6 plans
549 SEPTIC ARTHRITIS WITH CC $3,938 – $16,494 · median $6,785 6 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,938 – $11,800 · median $6,785 6 plans
551 MEDICAL BACK PROBLEMS WITH MCC $3,938 – $23,356 · median $6,785 6 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,938 – $13,192 · median $6,785 6 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,938 – $17,881 · median $6,785 6 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,938 – $11,424 · median $6,785 6 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,938 – $18,431 · median $6,785 6 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,938 – $11,176 · median $6,785 6 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,938 – $21,212 · median $6,785 6 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,938 – $11,824 · median $6,785 6 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,938 – $25,406 · median $6,785 6 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,938 – $15,588 · median $6,785 6 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,938 – $11,191 · median $6,785 6 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $3,938 – $20,035 · median $6,785 6 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $3,938 – $12,233 · median $6,785 6 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,938 – $21,479 · median $6,785 6 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,938 – $13,956 · median $6,785 6 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,938 – $10,239 · median $6,785 6 plans
570 SKIN DEBRIDEMENT WITH MCC $3,938 – $41,206 · median $9,200 6 plans
571 SKIN DEBRIDEMENT WITH CC $3,938 – $22,925 · median $9,200 6 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,938 – $15,637 · median $9,200 6 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,938 – $84,288 · median $9,200 6 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,938 – $47,425 · median $9,200 6 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,938 – $27,328 · median $9,200 6 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,938 – $73,845 · median $9,200 6 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,938 – $36,446 · median $9,200 6 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,938 – $23,137 · median $9,200 6 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $3,938 – $44,611 · median $9,200 6 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,938 – $24,267 · median $9,200 6 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,938 – $19,698 · median $9,200 6 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,938 – $23,969 · median $9,200 6 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,938 – $22,483 · median $9,200 6 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,938 – $28,023 · median $9,200 6 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,938 – $27,171 · median $9,200 6 plans
592 SKIN ULCERS WITH MCC $3,938 – $28,145 · median $6,785 6 plans
593 SKIN ULCERS WITH CC $3,938 – $16,735 · median $6,785 6 plans
594 SKIN ULCERS WITHOUT CC/MCC $3,938 – $11,616 · median $6,785 6 plans
595 MAJOR SKIN DISORDERS WITH MCC $3,938 – $28,950 · median $6,785 6 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,938 – $14,797 · median $6,785 6 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,938 – $24,043 · median $6,785 6 plans
598 MALIGNANT BREAST DISORDERS WITH CC $3,938 – $14,768 · median $6,785 6 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,938 – $11,702 · median $6,785 6 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,938 – $13,102 · median $6,785 6 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,938 – $8,206 · median $6,785 6 plans
602 CELLULITIS WITH MCC $3,938 – $20,113 · median $6,785 6 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,938 – $20,336 · median $6,785 6 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,938 – $12,644 · median $6,785 6 plans
606 MINOR SKIN DISORDERS WITH MCC $3,938 – $22,039 · median $6,785 6 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $3,938 – $11,831 · median $6,785 6 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,938 – $31,192 · median $9,200 6 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,938 – $19,614 · median $9,200 6 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $3,938 – $52,903 · median $9,200 6 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $3,938 – $26,448 · median $9,200 6 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $3,938 – $17,042 · median $9,200 6 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $3,938 – $51,248 · median $9,200 6 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $3,938 – $26,199 · median $9,200 6 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $3,938 – $13,730 · median $9,200 6 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,938 – $39,242 · median $9,200 6 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,938 – $20,658 · median $9,200 6 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,938 – $17,340 · median $9,200 6 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $3,938 – $54,017 · median $9,200 6 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,938 – $30,799 · median $9,200 6 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $19,180 · median $9,200 6 plans
637 DIABETES WITH MCC $3,938 – $19,934 · median $6,785 6 plans
638 DIABETES WITH CC $3,938 – $12,555 · median $6,785 6 plans
639 DIABETES WITHOUT CC/MCC $3,938 – $8,577 · median $6,785 6 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $3,938 – $18,179 · median $6,785 6 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $3,938 – $10,697 · median $6,785 6 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,938 – $16,988 · median $6,785 6 plans
643 ENDOCRINE DISORDERS WITH MCC $3,938 – $22,685 · median $6,785 6 plans
644 ENDOCRINE DISORDERS WITH CC $3,938 – $14,147 · median $6,785 6 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,938 – $10,663 · median $6,785 6 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $3,938 – $76,300 · median $9,200 6 plans
654 MAJOR BLADDER PROCEDURES WITH CC $3,938 – $38,626 · median $9,200 6 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,938 – $28,433 · median $9,200 6 plans
662 MINOR BLADDER PROCEDURES WITH MCC $3,938 – $42,698 · median $9,200 6 plans
663 MINOR BLADDER PROCEDURES WITH CC $3,938 – $20,906 · median $9,200 6 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,938 – $14,780 · median $9,200 6 plans
665 PROSTATECTOMY WITH MCC $3,938 – $46,996 · median $9,200 6 plans
666 PROSTATECTOMY WITH CC $3,938 – $22,547 · median $9,200 6 plans
667 PROSTATECTOMY WITHOUT CC/MCC $3,938 – $14,067 · median $9,200 6 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $3,938 – $39,916 · median $9,200 6 plans
669 TRANSURETHRAL PROCEDURES WITH CC $3,938 – $21,182 · median $9,200 6 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,938 – $13,080 · median $9,200 6 plans
671 URETHRAL PROCEDURES WITH CC/MCC $3,938 – $23,593 · median $9,200 6 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,938 – $14,979 · median $9,200 6 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $3,938 – $57,353 · median $9,200 6 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $3,938 – $31,596 · median $9,200 6 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,938 – $21,424 · median $9,200 6 plans
682 RENAL FAILURE WITH MCC $3,938 – $20,559 · median $6,785 6 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,938 – $8,315 · median $6,785 6 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,938 – $25,810 · median $6,785 6 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,938 – $14,408 · median $6,785 6 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,938 – $9,913 · median $6,785 6 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,938 – $15,436 · median $6,785 6 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,938 – $9,468 · median $6,785 6 plans
697 URETHRAL STRICTURE $3,938 – $13,713 · median $6,785 6 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,938 – $13,959 · median $6,785 6 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,938 – $9,501 · median $6,785 6 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,938 – $26,562 · median $20,025 6 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,938 – $20,291 · median $15,166 6 plans
709 PENIS PROCEDURES WITH CC/MCC $3,938 – $30,757 · median $9,200 6 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $3,938 – $20,550 · median $9,200 6 plans
711 TESTES PROCEDURES WITH CC/MCC $3,938 – $26,152 · median $9,200 6 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $3,938 – $14,641 · median $9,200 6 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,938 – $19,791 · median $9,200 6 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,938 – $12,861 · median $9,200 6 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,938 – $30,910 · median $9,200 6 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,938 – $19,426 · median $9,200 6 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,938 – $25,397 · median $9,200 6 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,938 – $16,861 · median $9,200 6 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,938 – $23,664 · median $6,785 6 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,938 – $15,370 · median $6,785 6 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,938 – $9,973 · median $6,785 6 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,938 – $17,289 · median $6,785 6 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,938 – $10,188 · median $6,785 6 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,938 – $20,112 · median $6,785 6 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,938 – $11,184 · median $6,785 6 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,938 – $15,068 · median $6,785 6 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,938 – $8,307 · median $6,785 6 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $3,938 – $53,894 · median $9,200 6 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,938 – $27,353 · median $9,200 6 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,938 – $20,762 · median $9,200 6 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $3,938 – $54,488 · median $34,758 6 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,938 – $24,888 · median $18,346 6 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $3,938 – $20,745 · median $17,554 6 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,938 – $26,745 · median $9,200 6 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,938 – $14,027 · median $9,200 6 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,938 – $22,921 · median $9,200 6 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,938 – $13,073 · median $9,200 6 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,938 – $18,646 · median $11,648 6 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,938 – $35,430 · median $9,200 6 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $17,651 · median $9,200 6 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,938 – $24,764 · median $6,785 6 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,938 – $15,195 · median $6,785 6 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,938 – $13,071 · median $6,785 6 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,938 – $19,371 · median $6,785 6 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,938 – $13,952 · median $6,785 6 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,938 – $8,759 · median $6,785 6 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,938 – $13,490 · median $6,785 6 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,938 – $8,677 · median $6,785 6 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,938 – $19,019 · median $9,200 6 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,938 – $14,727 · median $9,200 6 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,938 – $9,765 · median $6,785 6 plans
779 ABORTION WITHOUT D&C $3,938 – $12,794 · median $6,785 6 plans
799 SPLENIC PROCEDURES WITH MCC $3,938 – $65,080 · median $9,200 6 plans
800 SPLENIC PROCEDURES WITH CC $3,938 – $39,881 · median $9,200 6 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $3,938 – $22,472 · median $9,200 6 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,938 – $49,066 · median $9,200 6 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,938 – $24,363 · median $9,200 6 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,938 – $15,132 · median $9,200 6 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $3,938 – $31,351 · median $6,785 6 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $3,938 – $16,953 · median $6,785 6 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $3,938 – $13,027 · median $6,785 6 plans
811 RED BLOOD CELL DISORDERS WITH MCC $3,938 – $19,256 · median $6,785 6 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,938 – $12,633 · median $6,785 6 plans
813 COAGULATION DISORDERS $3,938 – $21,188 · median $6,785 6 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,938 – $28,612 · median $6,785 6 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,938 – $13,908 · median $6,785 6 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,938 – $9,026 · median $6,785 6 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $3,938 – $79,690 · median $9,200 6 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,938 – $30,554 · median $9,200 6 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $15,654 · median $9,200 6 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $3,938 – $64,049 · median $9,200 6 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,938 – $30,104 · median $9,200 6 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,938 – $16,846 · median $9,200 6 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $3,938 – $65,363 · median $9,200 6 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $3,938 – $32,300 · median $9,200 6 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $3,938 – $21,939 · median $9,200 6 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $3,938 – $42,208 · median $9,200 6 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $3,938 – $20,017 · median $9,200 6 plans
834 ACUTE LEUKEMIA WITH MCC $3,938 – $75,652 · median $6,785 6 plans
835 ACUTE LEUKEMIA WITH CC $3,938 – $29,235 · median $6,785 6 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,938 – $17,393 · median $6,785 6 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $3,938 – $68,533 · median $6,785 6 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $3,938 – $27,761 · median $6,785 6 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,938 – $18,757 · median $6,785 6 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,938 – $43,657 · median $6,785 6 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,938 – $21,461 · median $6,785 6 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,938 – $14,397 · median $6,785 6 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $3,938 – $25,913 · median $6,785 6 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $3,938 – $16,359 · median $6,785 6 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $3,938 – $11,453 · median $6,785 6 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,938 – $34,954 · median $6,785 6 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,938 – $17,392 · median $6,785 6 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,938 – $11,209 · median $6,785 6 plans
849 RADIOTHERAPY $3,938 – $36,559 · median $6,785 6 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 6 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $3,938 – $68,461 · median $9,200 6 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $22,250 · median $9,200 6 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,938 – $61,751 · median $9,200 6 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,938 – $29,825 · median $9,200 6 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $17,636 · median $9,200 6 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,938 – $25,167 · median $6,785 6 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,938 – $13,687 · median $6,785 6 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,938 – $12,290 · median $6,785 6 plans
865 VIRAL ILLNESS WITH MCC $3,938 – $20,202 · median $6,785 6 plans
866 VIRAL ILLNESS WITHOUT MCC $3,938 – $12,110 · median $6,785 6 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,938 – $29,350 · median $6,785 6 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,938 – $14,372 · median $6,785 6 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,938 – $9,849 · median $6,785 6 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $3,938 – $95,221 · median $6,785 6 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,938 – $60,641 · median $9,200 6 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,938 – $25,972 · median $9,200 6 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,938 – $16,686 · median $9,200 6 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,938 – $52,848 · median $9,200 6 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,938 – $22,559 · median $9,200 6 plans
906 HAND PROCEDURES FOR INJURIES $3,938 – $29,873 · median $9,200 6 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $3,938 – $54,526 · median $9,200 6 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,938 – $27,609 · median $9,200 6 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,938 – $17,359 · median $9,200 6 plans
913 TRAUMATIC INJURY WITH MCC $3,938 – $22,150 · median $6,785 6 plans
914 TRAUMATIC INJURY WITHOUT MCC $3,938 – $12,542 · median $6,785 6 plans
915 ALLERGIC REACTIONS WITH MCC $3,938 – $23,787 · median $6,785 6 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,938 – $9,089 · median $6,785 6 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,938 – $22,443 · median $6,785 6 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,938 – $12,106 · median $6,785 6 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $3,938 – $24,959 · median $6,785 6 plans
920 COMPLICATIONS OF TREATMENT WITH CC $3,938 – $13,904 · median $6,785 6 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,938 – $9,412 · median $6,785 6 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,938 – $23,122 · median $6,785 6 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,938 – $13,959 · median $6,785 6 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $3,938 – $324,718 6 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,938 – $91,415 · median $9,200 6 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $3,938 – $43,531 · median $9,200 6 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,938 – $59,224 · median $6,785 6 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,938 – $29,370 · median $6,785 6 plans
935 NON-EXTENSIVE BURNS $3,938 – $30,063 · median $6,785 6 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,938 – $43,443 · median $9,200 6 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,938 – $28,899 · median $9,200 6 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $3,938 – $26,749 · median $9,200 6 plans
947 SIGNS AND SYMPTOMS WITH MCC $3,938 – $17,604 · median $6,785 6 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,938 – $10,875 · median $6,785 6 plans
949 AFTERCARE WITH CC/MCC $3,938 – $14,768 · median $6,785 6 plans
950 AFTERCARE WITHOUT CC/MCC $3,938 – $8,023 · median $6,785 6 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,938 – $8,019 · median $6,785 6 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $3,938 – $86,562 · median $9,200 6 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,938 – $36,317 · median $9,200 6 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,938 – $40,872 · median $6,785 6 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,938 – $19,455 · median $6,785 6 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,938 – $13,728 · median $6,785 6 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,938 – $19,735 · median $6,785 6 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,938 – $65,077 · median $9,200 6 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,938 – $33,515 · median $9,200 6 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,938 – $22,833 · median $9,200 6 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,938 – $47,949 · median $9,200 6 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,938 – $23,489 · median $9,200 6 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,938 – $15,815 · median $9,200 6 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $8,254 – $44,591 · median $9,200 5 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $8,254 – $25,022 · median $9,200 5 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,181 – $20,585 · median $16,974 5 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $28,959 – $44,075 · median $37,296 5 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $16,575 – $25,227 · median $21,346 5 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $11,145 – $16,962 · median $14,353 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $8,254 – $53,786 · median $9,200 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,069 – $13,121 · median $6,785 5 plans
881 DEPRESSIVE NEUROSES $5,069 – $12,512 · median $6,785 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,069 – $13,166 · median $6,785 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $5,069 – $25,410 · median $6,785 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $5,069 – $22,860 · median $6,785 5 plans
885 PSYCHOSES $5,069 – $19,293 · median $6,785 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $5,069 – $24,589 · median $6,785 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $5,069 – $16,279 · median $6,785 5 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,069 – $8,543 · median $6,785 5 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,069 – $19,819 · median $6,785 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,069 – $24,376 · median $6,785 5 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,069 – $12,076 · median $6,785 5 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $223,755 – $340,559 · median $288,168 4 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $208,863 – $317,894 · median $268,989 4 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $213,105 – $305,073 · median $258,141 4 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC $140,502 – $201,137 · median $170,194 4 plans
007 LUNG TRANSPLANT — 2 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 2 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $3,938 – $108,501 · median $56,219 2 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $3,938 – $63,061 · median $33,499 2 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $3,938 – $47,527 · median $25,733 2 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,938 – $34,700 · median $19,319 2 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,938 – $17,630 · median $10,784 2 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $11,176 · median $7,557 2 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,938 – $15,754 · median $9,846 2 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,938 – $10,229 · median $7,084 2 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,938 – $7,115 · median $5,527 2 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $145,758 – $145,758 · median $145,758 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $121,322 – $121,322 · median $121,322 1 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $74,474 – $74,474 · median $74,474 1 plans
010 PANCREAS TRANSPLANT $109,129 – $109,129 · median $109,129 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $179,325 – $179,325 · median $179,325 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $82,614 – $82,614 · median $82,614 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $82,614 – $82,614 · median $82,614 1 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR $40,096 – $40,096 · median $40,096 1 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $40,096 – $40,096 · median $40,096 1 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 $40,096 – $40,096 · median $40,096 1 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $40,096 – $40,096 · median $40,096 1 plans
652 KIDNEY TRANSPLANT $66,627 – $66,627 · median $66,627 1 plans
945 REHABILITATION WITH CC/MCC $20,893 – $20,893 · median $20,893 1 plans
946 REHABILITATION WITHOUT CC/MCC $15,281 – $15,281 · median $15,281 1 plans
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