Northwest Texas Healthcare System — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771
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 771 procedures

Procedures with negotiated rates only

These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $220,342 – $374,582 · median $248,726 15 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $86,200 – $146,540 · median $97,304 15 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $167,646 – $284,998 · median $189,241 15 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $110,530 – $187,901 · median $124,768 15 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $83,303 – $141,616 · median $94,034 15 plans
006 LIVER TRANSPLANT WITHOUT MCC $37,932 – $64,485 · median $42,818 15 plans
007 LUNG TRANSPLANT $102,229 – $173,789 · median $115,398 15 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $42,562 – $72,356 · median $48,045 15 plans
010 PANCREAS TRANSPLANT $62,368 – $106,025 · median $70,402 15 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $42,209 – $71,755 · median $47,646 15 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $32,101 – $54,571 · median $36,236 15 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,729 – $35,240 · median $23,400 15 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $102,487 – $174,228 · median $115,689 15 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $47,215 – $80,265 · median $53,297 15 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $47,215 – $80,265 · median $53,297 15 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $295,003 – $501,505 · median $333,004 15 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $62,010 – $105,417 · median $69,998 15 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $63,057 – $107,197 · median $71,180 15 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $43,237 – $73,502 · median $48,806 15 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $27,616 – $46,947 · median $31,173 15 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $44,627 – $75,866 · median $50,376 15 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,738 – $50,555 · median $33,569 15 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $34,984 – $59,473 · median $39,490 15 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $23,925 – $40,673 · median $27,007 15 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,304 – $32,817 · median $21,791 15 plans
028 SPINAL PROCEDURES WITH MCC $47,556 – $80,845 · median $53,682 15 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,257 – $44,637 · median $29,640 15 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,408 – $29,593 · median $19,650 15 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,780 – $55,727 · median $37,003 15 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,705 – $28,399 · median $18,857 15 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,481 – $21,217 · median $14,088 15 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $30,419 – $51,712 · median $34,337 15 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,794 – $30,250 · median $20,086 15 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,339 – $24,377 · median $16,186 15 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $25,977 – $44,161 · median $29,324 15 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,604 – $21,427 · median $14,228 15 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,903 – $15,136 · median $10,050 15 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $29,507 – $50,161 · median $33,308 15 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $17,664 – $30,030 · median $19,940 15 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,749 – $23,373 · median $15,520 15 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $15,742 – $26,762 · median $17,770 15 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,208 – $12,253 · median $8,136 15 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,726 – $19,935 · median $13,237 15 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,534 – $14,508 · median $9,634 15 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,588 – $33,300 · median $22,111 15 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,438 – $17,745 · median $11,783 15 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $14,439 – $24,547 · median $16,299 15 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,571 – $16,271 · median $10,804 15 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,981 – $11,867 · median $7,880 15 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $21,147 – $35,950 · median $23,871 15 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,931 – $23,682 · median $15,725 15 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,989 – $18,681 · median $12,404 15 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,560 – $26,452 · median $17,565 15 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,955 – $13,523 · median $8,979 15 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,384 – $9,153 · median $6,078 15 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,381 – $19,347 · median $12,847 15 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,895 – $11,722 · median $7,784 15 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,259 – $10,640 · median $7,065 15 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $13,602 – $23,123 · median $15,354 15 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,244 – $14,015 · median $9,306 15 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,868 – $9,976 · median $6,624 15 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,090 – $20,553 · median $13,648 15 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,154 – $13,862 · median $9,204 15 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,473 – $22,904 · median $15,209 15 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,172 – $12,193 · median $8,096 15 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,096 – $20,563 · median $13,654 15 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,806 – $13,270 · median $8,811 15 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,215 – $8,866 · median $5,887 15 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $15,549 – $26,434 · median $17,552 15 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,078 – $12,032 · median $7,989 15 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $18,149 – $30,854 · median $20,487 15 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,876 – $18,490 · median $12,277 15 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,479 – $12,714 · median $8,442 15 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,725 – $30,133 · median $20,009 15 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,260 – $17,442 · median $11,581 15 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,915 – $11,755 · median $7,806 15 plans
088 CONCUSSION WITH MCC $11,035 – $18,760 · median $12,456 15 plans
089 CONCUSSION WITH CC $8,386 – $14,257 · median $9,467 15 plans
090 CONCUSSION WITHOUT CC/MCC $6,706 – $11,400 · median $7,570 15 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $14,259 – $24,241 · median $16,096 15 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,282 – $14,079 · median $9,348 15 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,174 – $10,496 · median $6,970 15 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $28,541 – $48,520 · median $32,218 15 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,752 – $31,878 · median $21,167 15 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,752 – $31,878 · median $21,167 15 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $28,040 – $47,668 · median $31,652 15 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,969 – $28,847 · median $19,155 15 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,899 – $18,528 · median $12,303 15 plans
100 SEIZURES WITH MCC $15,530 – $26,401 · median $17,530 15 plans
101 SEIZURES WITHOUT MCC $7,210 – $12,257 · median $8,139 15 plans
102 HEADACHES WITH MCC $9,070 – $15,419 · median $10,238 15 plans
103 HEADACHES WITHOUT MCC $6,651 – $11,306 · median $7,507 15 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,652 – $30,008 · median $19,926 15 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,247 – $15,720 · median $10,438 15 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,976 – $20,359 · median $13,519 15 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,052 – $22,189 · median $14,734 15 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,437 – $14,343 · median $9,524 15 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,099 – $15,468 · median $10,271 15 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,306 – $9,020 · median $5,989 15 plans
123 NEUROLOGICAL EYE DISORDERS $6,283 – $10,681 · median $7,092 15 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,200 – $17,339 · median $11,513 15 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,459 – $10,980 · median $7,291 15 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $18,860 – $32,063 · median $21,290 15 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,652 – $13,008 · median $8,638 15 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,940 – $18,599 · median $12,350 15 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,363 – $10,818 · median $7,183 15 plans
139 SALIVARY GLAND PROCEDURES $10,740 – $18,258 · median $12,124 15 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $33,082 – $56,240 · median $37,344 15 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,806 – $28,571 · median $18,971 15 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,300 – $20,910 · median $13,884 15 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $25,829 – $43,909 · median $29,156 15 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,742 – $23,361 · median $15,512 15 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,268 – $15,755 · median $10,462 15 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $17,945 – $30,507 · median $20,257 15 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,737 – $16,553 · median $10,992 15 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,263 – $10,648 · median $7,070 15 plans
149 DYSEQUILIBRIUM $5,847 – $9,940 · median $6,600 15 plans
150 EPISTAXIS WITH MCC $10,812 – $18,381 · median $12,205 15 plans
151 EPISTAXIS WITHOUT MCC $5,929 – $10,080 · median $6,693 15 plans
152 OTITIS MEDIA AND URI WITH MCC $8,877 – $15,091 · median $10,020 15 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,567 – $9,464 · median $6,284 15 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,722 – $21,627 · median $14,360 15 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,303 – $12,415 · median $8,244 15 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,260 – $8,942 · median $5,937 15 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,809 – $21,775 · median $14,459 15 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,358 – $12,508 · median $8,306 15 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,160 – $8,771 · median $5,824 15 plans
163 MAJOR CHEST PROCEDURES WITH MCC $36,055 – $61,293 · median $40,699 15 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,689 – $33,471 · median $22,225 15 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,581 – $24,787 · median $16,459 15 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $30,118 – $51,201 · median $33,998 15 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,293 – $24,298 · median $16,134 15 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,591 – $18,004 · median $11,955 15 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $24,004 – $40,806 · median $27,096 15 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,022 – $18,738 · median $12,442 15 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,371 – $10,831 · median $7,192 15 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,645 – $21,496 · median $14,274 15 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,761 – $13,193 · median $8,760 15 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,021 – $10,235 · median $6,796 15 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,672 – $23,242 · median $15,433 15 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,685 – $14,765 · median $9,804 15 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,551 – $11,137 · median $7,395 15 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,416 – $21,108 · median $14,016 15 plans
184 MAJOR CHEST TRAUMA WITH CC $8,355 – $14,204 · median $9,431 15 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,083 – $10,342 · median $6,867 15 plans
186 PLEURAL EFFUSION WITH MCC $12,359 – $21,011 · median $13,951 15 plans
187 PLEURAL EFFUSION WITH CC $7,854 – $13,351 · median $8,865 15 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,743 – $9,763 · median $6,483 15 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,679 – $16,455 · median $10,926 15 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,785 – $14,934 · median $9,916 15 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,720 – $11,424 · median $7,586 15 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,063 – $8,606 · median $5,715 15 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,308 – $17,523 · median $11,635 15 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,414 – $10,904 · median $7,241 15 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,871 – $8,281 · median $5,498 15 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,738 – $25,055 · median $16,637 15 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,744 – $13,165 · median $8,742 15 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,479 – $9,314 · median $6,185 15 plans
199 PNEUMOTHORAX WITH MCC $13,809 – $23,475 · median $15,588 15 plans
200 PNEUMOTHORAX WITH CC $8,663 – $14,728 · median $9,779 15 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,297 – $9,004 · median $5,979 15 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,562 – $12,855 · median $8,536 15 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,449 – $9,263 · median $6,151 15 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,344 – $10,785 · median $7,161 15 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,767 – $25,104 · median $16,669 15 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,085 – $12,045 · median $7,998 15 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $50,589 – $86,001 · median $57,105 15 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $20,994 – $35,689 · median $23,698 15 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $85,216 – $144,867 · median $96,193 15 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $82,876 – $140,890 · median $93,552 15 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $75,494 – $128,340 · median $85,219 15 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $50,516 – $85,877 · median $57,023 15 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $46,538 – $79,114 · median $52,532 15 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $60,525 – $102,893 · median $68,322 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $41,433 – $70,436 · median $46,770 15 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,925 – $61,072 · median $40,553 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $38,981 – $66,268 · median $44,003 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $24,299 – $41,308 · median $27,429 15 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $66,286 – $112,686 · median $74,825 15 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $47,784 – $81,234 · median $53,940 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $61,143 – $103,943 · median $69,019 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $41,617 – $70,748 · median $46,977 15 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $46,028 – $78,248 · median $51,957 15 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $32,166 – $54,683 · median $36,310 15 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $39,400 – $66,981 · median $44,476 15 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,780 – $38,726 · median $25,715 15 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,811 – $20,079 · median $13,332 15 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $26,533 – $45,107 · median $29,951 15 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $17,622 – $29,958 · median $19,892 15 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,117 – $23,999 · median $15,936 15 plans
245 AICD GENERATOR PROCEDURES $38,226 – $64,985 · median $43,150 15 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $18,090 – $30,753 · median $20,420 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,223 – $20,779 · median $13,798 15 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $26,834 – $45,617 · median $30,290 15 plans
253 OTHER VASCULAR PROCEDURES WITH CC $19,970 – $33,950 · median $22,543 15 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,684 – $23,264 · median $15,447 15 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,467 – $34,794 · median $23,104 15 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,249 – $22,523 · median $14,955 15 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,977 – $11,860 · median $7,875 15 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $21,946 – $37,308 · median $24,773 15 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,749 – $23,374 · median $15,520 15 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $26,645 – $45,296 · median $30,077 15 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,844 – $25,234 · median $16,756 15 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,873 – $20,184 · median $13,402 15 plans
263 VEIN LIGATION AND STRIPPING $20,980 – $35,667 · median $23,683 15 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $27,340 – $46,478 · median $30,862 15 plans
265 AICD LEAD PROCEDURES $27,904 – $47,437 · median $31,498 15 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $46,862 – $79,666 · median $52,899 15 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,802 – $62,563 · median $41,543 15 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $52,156 – $88,666 · median $58,875 15 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $32,546 – $55,329 · median $36,739 15 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $40,152 – $68,259 · median $45,324 15 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $26,943 – $45,804 · median $30,414 15 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,573 – $33,274 · median $22,094 15 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,588 – $51,999 · median $34,528 15 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,414 – $41,503 · median $27,558 15 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $55,281 – $93,977 · median $62,402 15 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $48,455 – $82,373 · median $54,697 15 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $36,389 – $61,861 · median $41,076 15 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $39,138 – $66,534 · median $44,179 15 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $25,066 – $42,612 · median $28,295 15 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,840 – $21,827 · median $14,494 15 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,211 – $12,258 · median $8,139 15 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,672 – $9,642 · median $6,403 15 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $15,296 – $26,003 · median $17,266 15 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,796 – $9,854 · median $6,543 15 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,391 – $7,466 · median $4,957 15 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $17,313 – $29,432 · median $19,543 15 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,524 – $14,491 · median $9,622 15 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $21,367 – $36,324 · median $24,119 15 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,334 – $20,967 · median $13,922 15 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,658 – $13,019 · median $8,645 15 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,207 – $17,351 · median $11,521 15 plans
292 HEART FAILURE AND SHOCK WITH CC $6,737 – $11,452 · median $7,604 15 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,292 – $7,297 · median $4,845 15 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,606 – $16,330 · median $10,843 15 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,178 – $10,503 · median $6,974 15 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,816 – $21,787 · median $14,467 15 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,510 – $9,367 · median $6,220 15 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,455 – $5,874 · median $3,900 15 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,653 – $21,511 · median $14,283 15 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,375 – $14,237 · median $9,453 15 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,580 – $9,487 · median $6,299 15 plans
302 ATHEROSCLEROSIS WITH MCC $9,100 – $15,470 · median $10,272 15 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,260 – $8,942 · median $5,937 15 plans
304 HYPERTENSION WITH MCC $9,190 – $15,623 · median $10,373 15 plans
305 HYPERTENSION WITHOUT MCC $5,872 – $9,983 · median $6,629 15 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,713 – $19,912 · median $13,222 15 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,247 – $12,319 · median $8,180 15 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,433 – $16,036 · median $10,648 15 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,783 – $9,831 · median $6,528 15 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,377 – $7,440 · median $4,940 15 plans
311 ANGINA PECTORIS $5,462 – $9,286 · median $6,166 15 plans
312 SYNCOPE AND COLLAPSE $6,816 – $11,587 · median $7,694 15 plans
313 CHEST PAIN $5,580 – $9,487 · median $6,299 15 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $16,845 – $28,637 · median $19,015 15 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,527 – $12,797 · median $8,497 15 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,340 – $9,079 · median $6,028 15 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $48,392 – $82,267 · median $54,626 15 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $34,362 – $58,415 · median $38,788 15 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $18,107 – $30,782 · median $20,440 15 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $22,269 – $37,857 · median $25,137 15 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $14,152 – $24,059 · median $15,975 15 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $33,319 – $56,642 · median $37,611 15 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $24,993 – $42,488 · median $28,213 15 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $22,388 – $38,060 · median $25,272 15 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $39,730 – $67,541 · median $44,848 15 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $18,993 – $32,289 · median $21,440 15 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,465 – $21,190 · median $14,071 15 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $35,919 – $61,063 · median $40,546 15 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,490 – $31,432 · median $20,871 15 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,915 – $21,955 · median $14,578 15 plans
332 RECTAL RESECTION WITH MCC $27,133 – $46,127 · median $30,629 15 plans
333 RECTAL RESECTION WITH CC $16,625 – $28,262 · median $18,766 15 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,974 – $22,056 · median $14,645 15 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $28,344 – $48,184 · median $31,995 15 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,523 – $28,089 · median $18,652 15 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,008 – $20,414 · median $13,555 15 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $21,077 – $35,831 · median $23,792 15 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,645 – $19,797 · median $13,145 15 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,741 – $16,560 · median $10,996 15 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $18,514 – $31,474 · median $20,899 15 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,848 – $16,741 · median $11,116 15 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,891 – $11,714 · median $7,778 15 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,920 – $32,164 · median $21,357 15 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,769 – $20,007 · median $13,285 15 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,625 – $14,662 · median $9,736 15 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $22,943 – $39,003 · median $25,898 15 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,307 – $22,621 · median $15,021 15 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,429 – $17,729 · median $11,772 15 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,368 – $56,725 · median $37,666 15 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,616 – $29,947 · median $19,885 15 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,600 – $18,020 · median $11,966 15 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $13,063 – $22,208 · median $14,746 15 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,960 – $13,532 · median $8,985 15 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,460 – $9,282 · median $6,163 15 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,673 – $23,245 · median $15,435 15 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,052 – $13,688 · median $9,089 15 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,674 – $9,646 · median $6,405 15 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,516 – $28,077 · median $18,644 15 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,611 – $16,339 · median $10,849 15 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,907 – $11,742 · median $7,797 15 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,223 – $24,178 · median $16,055 15 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,712 – $13,111 · median $8,706 15 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,980 – $8,467 · median $5,622 15 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $15,053 – $25,589 · median $16,992 15 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,519 – $14,483 · median $9,617 15 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,861 – $9,964 · median $6,616 15 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,889 – $16,811 · median $11,163 15 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,802 – $11,564 · median $7,679 15 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,710 – $21,607 · median $14,347 15 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,764 – $13,198 · median $8,764 15 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,243 – $8,914 · median $5,919 15 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,498 – $19,547 · median $12,979 15 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,270 – $10,660 · median $7,078 15 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,280 – $7,277 · median $4,832 15 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,048 – $17,081 · median $11,342 15 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,104 – $10,376 · median $6,890 15 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,954 – $22,022 · median $14,622 15 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,363 – $12,517 · median $8,312 15 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,978 – $8,463 · median $5,619 15 plans
397 APPENDIX PROCEDURES WITH MCC $19,382 – $32,950 · median $21,879 15 plans
398 APPENDIX PROCEDURES WITH CC $11,837 – $20,123 · median $13,362 15 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,791 – $14,944 · median $9,923 15 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $30,603 – $52,024 · median $34,545 15 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $42,465 – $72,191 · median $47,935 15 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,968 – $37,346 · median $24,798 15 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,707 – $28,402 · median $18,859 15 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $27,388 – $46,560 · median $30,916 15 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,400 – $27,879 · median $18,512 15 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,133 – $20,627 · median $13,696 15 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $21,405 – $36,389 · median $24,162 15 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,674 – $28,346 · median $18,822 15 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,005 – $22,108 · median $14,680 15 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $27,408 – $46,594 · median $30,939 15 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,473 – $26,305 · median $17,467 15 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,718 – $18,221 · median $12,099 15 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,590 – $31,603 · median $20,984 15 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,973 – $22,053 · median $14,644 15 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,307 – $17,521 · median $11,634 15 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $27,609 – $46,935 · median $31,165 15 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,810 – $21,777 · median $14,460 15 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,494 – $19,540 · median $12,975 15 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $31,817 – $54,088 · median $35,915 15 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,861 – $30,363 · median $20,162 15 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,092 – $20,556 · median $13,649 15 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $81,942 – $139,302 · median $92,498 15 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $55,560 – $94,452 · median $62,717 15 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $43,055 – $73,194 · median $48,601 15 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $65,243 – $110,913 · median $73,648 15 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $42,792 – $72,747 · median $48,305 15 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,325 – $26,052 · median $17,299 15 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,368 – $14,226 · median $9,446 15 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,448 – $9,262 · median $6,150 15 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $14,273 – $24,264 · median $16,111 15 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,821 – $14,996 · median $9,958 15 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,142 – $10,442 · median $6,933 15 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,014 – $22,124 · median $14,690 15 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,729 – $11,439 · median $7,596 15 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,812 – $8,180 · median $5,431 15 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,787 – $25,139 · median $16,692 15 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,558 – $12,849 · median $8,532 15 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,497 – $9,345 · median $6,205 15 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,176 – $22,399 · median $14,873 15 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,483 – $14,422 · median $9,576 15 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,237 – $10,603 · median $7,040 15 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $52,447 – $89,159 · median $59,203 15 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,943 – $54,302 · median $36,057 15 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $40,286 – $68,486 · median $45,475 15 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,140 – $41,038 · median $27,249 15 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $66,249 – $112,623 · median $74,783 15 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $44,896 – $76,323 · median $50,679 15 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $33,777 – $57,421 · median $38,128 15 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $48,003 – $81,606 · median $54,187 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $22,402 – $38,083 · median $25,287 15 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $42,249 – $71,823 · median $47,691 15 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $23,065 – $39,211 · median $26,036 15 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,580 – $23,087 · median $15,330 15 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $39,852 – $67,748 · median $44,985 15 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,793 – $45,548 · median $30,245 15 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $20,520 – $34,885 · median $23,164 15 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $25,569 – $43,467 · median $28,863 15 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $14,749 – $25,073 · median $16,649 15 plans
471 CERVICAL SPINAL FUSION WITH MCC $37,996 – $64,592 · median $42,890 15 plans
472 CERVICAL SPINAL FUSION WITH CC $22,663 – $38,527 · median $25,582 15 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,519 – $31,482 · median $20,904 15 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $35,081 – $59,638 · median $39,600 15 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,875 – $28,688 · median $19,049 15 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,098 – $15,467 · median $10,270 15 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,901 – $45,732 · median $30,366 15 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,293 – $31,099 · median $20,650 15 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,891 – $23,615 · median $15,680 15 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $23,006 – $39,109 · median $25,969 15 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,231 – $27,592 · median $18,321 15 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,409 – $21,096 · median $14,008 15 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $19,933 – $33,886 · median $22,501 15 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $25,183 – $42,810 · median $28,426 15 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,590 – $28,204 · median $18,728 15 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,361 – $21,014 · median $13,953 15 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $15,374 – $26,136 · median $17,354 15 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,687 – $16,468 · median $10,935 15 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,779 – $47,224 · median $31,357 15 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,781 – $31,929 · median $21,201 15 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,748 – $25,072 · median $16,648 15 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $27,539 – $46,817 · median $31,087 15 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $15,434 – $26,237 · median $17,422 15 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,502 – $17,854 · median $11,855 15 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $19,751 – $33,576 · median $22,295 15 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $9,080 – $15,436 · median $10,250 15 plans
500 SOFT TISSUE PROCEDURES WITH MCC $24,787 – $42,137 · median $27,980 15 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,961 – $23,733 · median $15,759 15 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,929 – $18,580 · median $12,337 15 plans
503 FOOT PROCEDURES WITH MCC $20,703 – $35,195 · median $23,369 15 plans
504 FOOT PROCEDURES WITH CC $13,728 – $23,338 · median $15,497 15 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,728 – $23,338 · median $15,497 15 plans
506 MAJOR THUMB OR JOINT PROCEDURES $11,726 – $19,935 · median $13,237 15 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,161 – $25,774 · median $17,114 15 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,096 – $17,162 · median $11,396 15 plans
509 ARTHROSCOPY $13,742 – $23,361 · median $15,512 15 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,357 – $38,007 · median $25,237 15 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,341 – $26,080 · median $17,317 15 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,577 – $21,381 · median $14,197 15 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,777 – $20,021 · median $13,294 15 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,976 – $13,559 · median $9,003 15 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $24,190 – $41,123 · median $27,306 15 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,736 – $26,752 · median $17,763 15 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,676 – $19,850 · median $13,181 15 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,035 – $47,660 · median $31,647 15 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,425 – $26,222 · median $17,412 15 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,211 – $19,059 · median $12,655 15 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,800 – $38,760 · median $25,737 15 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,490 – $28,034 · median $18,615 15 plans
533 FRACTURES OF FEMUR WITH MCC $11,928 – $20,278 · median $13,465 15 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,367 – $10,825 · median $7,188 15 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,403 – $17,685 · median $11,743 15 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,343 – $10,783 · median $7,160 15 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,189 – $12,221 · median $8,115 15 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,253 – $8,930 · median $5,929 15 plans
539 OSTEOMYELITIS WITH MCC $15,820 – $26,894 · median $17,858 15 plans
540 OSTEOMYELITIS WITH CC $10,123 – $17,209 · median $11,427 15 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,844 – $11,634 · median $7,725 15 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $14,589 – $24,802 · median $16,469 15 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,299 – $14,108 · median $9,368 15 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,911 – $10,049 · median $6,673 15 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $19,766 – $33,603 · median $22,313 15 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,056 – $15,395 · median $10,222 15 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,837 – $9,923 · median $6,589 15 plans
548 SEPTIC ARTHRITIS WITH MCC $15,759 – $26,790 · median $17,789 15 plans
549 SEPTIC ARTHRITIS WITH CC $9,427 – $16,025 · median $10,641 15 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,744 – $11,464 · median $7,612 15 plans
551 MEDICAL BACK PROBLEMS WITH MCC $13,348 – $22,692 · median $15,068 15 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,539 – $12,817 · median $8,510 15 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,216 – $17,367 · median $11,532 15 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,529 – $11,099 · median $7,370 15 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,534 – $17,907 · median $11,890 15 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,387 – $10,858 · median $7,210 15 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,122 – $20,608 · median $13,684 15 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,757 – $11,487 · median $7,627 15 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,521 – $24,685 · median $16,391 15 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,907 – $15,142 · median $10,055 15 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,396 – $10,872 · median $7,219 15 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,448 – $19,462 · median $12,923 15 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,992 – $11,886 · median $7,892 15 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,275 – $20,867 · median $13,856 15 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,976 – $13,560 · median $9,004 15 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,852 – $9,948 · median $6,606 15 plans
570 SKIN DEBRIDEMENT WITH MCC $23,547 – $40,030 · median $26,580 15 plans
571 SKIN DEBRIDEMENT WITH CC $13,097 – $22,265 · median $14,784 15 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,936 – $15,192 · median $10,087 15 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $48,172 – $81,892 · median $54,377 15 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,104 – $46,076 · median $30,595 15 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,619 – $26,552 · median $17,631 15 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $42,204 – $71,747 · median $47,641 15 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,829 – $35,410 · median $23,513 15 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,223 – $22,479 · median $14,926 15 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $25,496 – $43,344 · median $28,781 15 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,869 – $23,577 · median $15,656 15 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,258 – $19,138 · median $12,708 15 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,699 – $23,287 · median $15,463 15 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,850 – $21,845 · median $14,505 15 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $16,015 – $27,226 · median $18,079 15 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,528 – $26,398 · median $17,528 15 plans
592 SKIN ULCERS WITH MCC $16,085 – $27,345 · median $18,157 15 plans
593 SKIN ULCERS WITH CC $9,564 – $16,259 · median $10,796 15 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,639 – $11,286 · median $7,494 15 plans
595 MAJOR SKIN DISORDERS WITH MCC $16,545 – $28,127 · median $18,676 15 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,457 – $14,376 · median $9,546 15 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,742 – $23,361 · median $15,512 15 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,440 – $14,347 · median $9,527 15 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,687 – $11,368 · median $7,549 15 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,483 – $12,721 · median $8,447 15 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,690 – $7,972 · median $5,294 15 plans
602 CELLULITIS WITH MCC $11,493 – $19,537 · median $12,973 15 plans
603 CELLULITIS WITHOUT MCC $6,890 – $11,713 · median $7,777 15 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,622 – $19,757 · median $13,119 15 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,226 – $12,283 · median $8,156 15 plans
606 MINOR SKIN DISORDERS WITH MCC $12,596 – $21,414 · median $14,219 15 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,760 – $11,492 · median $7,631 15 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $17,827 – $30,306 · median $20,124 15 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,209 – $19,056 · median $12,653 15 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,233 – $51,397 · median $34,128 15 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,110 – $25,686 · median $17,056 15 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,740 – $16,557 · median $10,994 15 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,328 – $36,257 · median $24,075 15 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,492 – $21,237 · median $14,102 15 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,435 – $19,439 · median $12,908 15 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,271 – $49,761 · median $33,042 15 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,963 – $25,436 · median $16,890 15 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,847 – $13,339 · median $8,857 15 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,427 – $38,127 · median $25,316 15 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,806 – $20,071 · median $13,327 15 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,910 – $16,847 · median $11,187 15 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $30,865 – $52,470 · median $34,841 15 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,593 – $29,909 · median $19,860 15 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,961 – $18,634 · median $12,373 15 plans
637 DIABETES WITH MCC $11,392 – $19,366 · median $12,859 15 plans
638 DIABETES WITH CC $7,175 – $12,197 · median $8,099 15 plans
639 DIABETES WITHOUT CC/MCC $4,901 – $8,333 · median $5,533 15 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $10,388 – $17,660 · median $11,726 15 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,112 – $10,391 · median $6,900 15 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,708 – $16,504 · median $10,959 15 plans
643 ENDOCRINE DISORDERS WITH MCC $12,964 – $22,039 · median $14,634 15 plans
644 ENDOCRINE DISORDERS WITH CC $8,084 – $13,742 · median $9,125 15 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,091 – $10,355 · median $6,876 15 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $36,040 – $61,268 · median $40,682 15 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $27,163 – $46,177 · median $30,662 15 plans
652 KIDNEY TRANSPLANT $24,026 – $40,843 · median $27,120 15 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $43,607 – $74,131 · median $49,224 15 plans
654 MAJOR BLADDER PROCEDURES WITH CC $22,075 – $37,528 · median $24,919 15 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $16,249 – $27,624 · median $18,343 15 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $25,485 – $43,325 · median $28,768 15 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,300 – $24,310 · median $16,142 15 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,765 – $20,000 · median $13,280 15 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $20,215 – $34,366 · median $22,819 15 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,482 – $17,819 · median $11,832 15 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,030 – $13,652 · median $9,065 15 plans
662 MINOR BLADDER PROCEDURES WITH MCC $24,403 – $41,484 · median $27,546 15 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,948 – $20,311 · median $13,487 15 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,447 – $14,359 · median $9,535 15 plans
665 PROSTATECTOMY WITH MCC $26,859 – $45,660 · median $30,319 15 plans
666 PROSTATECTOMY WITH CC $12,886 – $21,906 · median $14,546 15 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,040 – $13,668 · median $9,075 15 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $22,812 – $38,781 · median $25,751 15 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,105 – $20,579 · median $13,664 15 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,476 – $12,709 · median $8,439 15 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,483 – $22,922 · median $15,220 15 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,561 – $14,553 · median $9,664 15 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $32,773 – $55,713 · median $36,994 15 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,057 – $30,697 · median $20,383 15 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,244 – $20,815 · median $13,822 15 plans
682 RENAL FAILURE WITH MCC $11,748 – $19,972 · median $13,262 15 plans
683 RENAL FAILURE WITH CC $6,953 – $11,821 · median $7,849 15 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,751 – $8,077 · median $5,363 15 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,751 – $25,076 · median $16,651 15 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,235 – $13,999 · median $9,295 15 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,665 – $9,630 · median $6,395 15 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,155 – $15,563 · median $10,334 15 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,278 – $10,673 · median $7,087 15 plans
693 URINARY STONES WITH MCC $11,502 – $19,553 · median $12,984 15 plans
694 URINARY STONES WITHOUT MCC $6,112 – $10,391 · median $6,900 15 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,822 – $14,997 · median $9,958 15 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,412 – $9,200 · median $6,109 15 plans
697 URETHRAL STRICTURE $7,836 – $13,322 · median $8,846 15 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,149 – $22,353 · median $14,842 15 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,978 – $13,563 · median $9,006 15 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,430 – $9,231 · median $6,130 15 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,180 – $25,806 · median $17,136 15 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,597 – $19,714 · median $13,090 15 plans
709 PENIS PROCEDURES WITH CC/MCC $17,578 – $29,882 · median $19,842 15 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,744 – $19,966 · median $13,257 15 plans
711 TESTES PROCEDURES WITH CC/MCC $14,945 – $25,407 · median $16,871 15 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,367 – $14,224 · median $9,445 15 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,311 – $19,229 · median $12,768 15 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,351 – $12,496 · median $8,298 15 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,665 – $30,031 · median $19,941 15 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,102 – $18,874 · median $12,532 15 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,514 – $24,674 · median $16,384 15 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,636 – $16,382 · median $10,878 15 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,524 – $22,991 · median $15,266 15 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,784 – $14,932 · median $9,915 15 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,699 – $9,689 · median $6,434 15 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,877 – $16,790 · median $11,149 15 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,823 – $9,899 · median $6,573 15 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,494 – $19,540 · median $12,975 15 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,392 – $10,866 · median $7,215 15 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,612 – $14,640 · median $9,721 15 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,747 – $8,071 · median $5,359 15 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,449 – $27,963 · median $18,568 15 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,496 – $16,142 · median $10,719 15 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $30,801 – $52,362 · median $34,769 15 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,632 – $26,575 · median $17,646 15 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,866 – $20,172 · median $13,394 15 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $31,140 – $52,938 · median $35,151 15 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,223 – $24,180 · median $16,056 15 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,745 – $18,266 · median $12,129 15 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,289 – $24,291 · median $16,130 15 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,377 – $15,940 · median $10,585 15 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,285 – $25,984 · median $17,254 15 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,016 – $13,628 · median $9,049 15 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,099 – $22,269 · median $14,787 15 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,472 – $12,702 · median $8,434 15 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,656 – $18,116 · median $12,029 15 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $20,249 – $34,423 · median $22,857 15 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,087 – $17,148 · median $11,386 15 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,153 – $24,060 · median $15,976 15 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,684 – $14,762 · median $9,802 15 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,470 – $12,700 · median $8,433 15 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,071 – $18,821 · median $12,497 15 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,973 – $13,555 · median $9,000 15 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,006 – $8,511 · median $5,651 15 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,710 – $13,107 · median $8,703 15 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,959 – $8,430 · median $5,597 15 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,794 – $14,579 · median $9,004 15 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,869 – $18,478 · median $12,269 15 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,417 – $14,309 · median $9,501 15 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,581 – $9,488 · median $6,300 15 plans
779 ABORTION WITHOUT D&C $7,312 – $12,431 · median $8,254 15 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $6,035 – $24,496 · median $15,130 15 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,035 – $14,402 · median $8,895 15 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,833 – $11,616 · median $7,583 15 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,035 – $21,488 · median $13,272 15 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,035 – $14,120 · median $8,721 15 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,035 – $12,031 · median $7,431 15 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $14,101 – $23,971 · median $15,917 15 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $46,502 – $79,054 · median $52,493 15 plans
791 PREMATURITY WITH MAJOR PROBLEMS $31,758 – $53,989 · median $35,849 15 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $19,162 – $32,576 · median $21,631 15 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $32,623 – $55,459 · median $36,826 15 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,547 – $19,631 · median $13,035 15 plans
795 NORMAL NEWBORN $1,563 – $2,657 · median $1,764 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,794 – $16,976 · median $10,485 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,794 – $12,875 · median $7,952 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,794 – $12,875 · median $7,952 15 plans
799 SPLENIC PROCEDURES WITH MCC $37,194 – $63,229 · median $41,985 15 plans
800 SPLENIC PROCEDURES WITH CC $22,793 – $38,748 · median $25,729 15 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,842 – $21,831 · median $14,496 15 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $28,042 – $47,671 · median $31,654 15 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,924 – $23,670 · median $15,717 15 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,648 – $14,702 · median $9,762 15 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,794 – $13,271 · median $8,197 15 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,794 – $9,622 · median $5,943 15 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,794 – $8,475 · median $5,234 15 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,916 – $30,456 · median $20,223 15 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,688 – $16,470 · median $10,936 15 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,445 – $12,657 · median $8,404 15 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,005 – $18,709 · median $12,423 15 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,219 – $12,273 · median $8,149 15 plans
813 COAGULATION DISORDERS $12,109 – $20,585 · median $13,669 15 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,353 – $27,799 · median $18,459 15 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,948 – $13,512 · median $8,972 15 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,158 – $8,769 · median $5,823 15 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $19,830 – $33,712 · median $22,385 15 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,075 – $17,128 · median $11,373 15 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,387 – $10,858 · median $7,210 15 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $45,544 – $77,425 · median $51,411 15 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,463 – $29,686 · median $19,712 15 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,946 – $15,209 · median $10,099 15 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,605 – $62,228 · median $41,320 15 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,204 – $29,248 · median $19,421 15 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,628 – $16,367 · median $10,868 15 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $37,356 – $63,505 · median $42,168 15 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,460 – $31,382 · median $20,838 15 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,538 – $21,315 · median $14,154 15 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $24,123 – $41,008 · median $27,230 15 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,440 – $19,448 · median $12,914 15 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,004 – $15,306 · median $10,163 15 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,846 – $9,939 · median $6,600 15 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,066 – $6,912 · median $4,590 15 plans
834 ACUTE LEUKEMIA WITH MCC $43,237 – $73,502 · median $48,806 15 plans
835 ACUTE LEUKEMIA WITH CC $16,708 – $28,403 · median $18,860 15 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,940 – $16,898 · median $11,220 15 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $39,168 – $66,586 · median $44,214 15 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,865 – $26,971 · median $17,909 15 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,720 – $18,224 · median $12,101 15 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $24,945 – $42,407 · median $28,159 15 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,265 – $20,851 · median $13,845 15 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,228 – $13,988 · median $9,288 15 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,810 – $25,177 · median $16,718 15 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,349 – $15,894 · median $10,554 15 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,546 – $11,128 · median $7,389 15 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,977 – $33,960 · median $22,550 15 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,940 – $16,898 · median $11,220 15 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,406 – $10,890 · median $7,231 15 plans
849 RADIOTHERAPY $20,894 – $35,520 · median $23,586 15 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $72,059 – $122,500 · median $81,341 15 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $39,122 – $66,507 · median $44,161 15 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,630 – $26,571 · median $17,643 15 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,716 – $21,617 · median $14,354 15 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $35,291 – $59,995 · median $39,837 15 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $17,044 – $28,975 · median $19,240 15 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,078 – $17,133 · median $11,377 15 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,383 – $24,451 · median $16,236 15 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,822 – $13,297 · median $8,829 15 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,024 – $11,942 · median $7,929 15 plans
865 VIRAL ILLNESS WITH MCC $11,545 – $19,627 · median $13,032 15 plans
866 VIRAL ILLNESS WITHOUT MCC $6,921 – $11,766 · median $7,813 15 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,773 – $28,515 · median $18,934 15 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,214 – $13,964 · median $9,272 15 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,629 – $9,569 · median $6,354 15 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $54,416 – $92,508 · median $61,426 15 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $15,348 – $26,092 · median $17,325 15 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,065 – $13,710 · median $9,104 15 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $34,657 – $58,917 · median $39,121 15 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,844 – $25,234 · median $16,756 15 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,536 – $16,212 · median $10,765 15 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $30,203 – $51,345 · median $34,094 15 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,893 – $21,918 · median $14,554 15 plans
906 HAND PROCEDURES FOR INJURIES $17,072 – $29,023 · median $19,271 15 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $31,162 – $52,975 · median $35,176 15 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,778 – $26,823 · median $17,811 15 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,921 – $16,866 · median $11,199 15 plans
913 TRAUMATIC INJURY WITH MCC $12,659 – $21,520 · median $14,290 15 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,168 – $12,186 · median $8,092 15 plans
915 ALLERGIC REACTIONS WITH MCC $13,594 – $23,111 · median $15,346 15 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,195 – $8,831 · median $5,864 15 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,826 – $21,805 · median $14,479 15 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,920 – $11,763 · median $7,811 15 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $14,265 – $24,250 · median $16,102 15 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,947 – $13,509 · median $8,970 15 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,379 – $9,145 · median $6,072 15 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,215 – $22,466 · median $14,917 15 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,978 – $13,563 · median $9,006 15 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $185,568 – $315,466 · median $209,472 15 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $52,245 – $88,816 · median $58,975 15 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $24,878 – $42,293 · median $28,083 15 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $33,847 – $57,539 · median $38,207 15 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,785 – $28,535 · median $18,947 15 plans
935 NON-EXTENSIVE BURNS $17,181 – $29,208 · median $19,394 15 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $24,828 – $42,208 · median $28,026 15 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,516 – $28,077 · median $18,644 15 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,287 – $25,988 · median $17,256 15 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,061 – $17,104 · median $11,357 15 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,215 – $10,565 · median $7,015 15 plans
949 AFTERCARE WITH CC/MCC $8,440 – $14,349 · median $9,528 15 plans
950 AFTERCARE WITHOUT CC/MCC $4,585 – $7,794 · median $5,175 15 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,435 – $7,540 · median $5,007 15 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $53,413 – $90,803 · median $60,294 15 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $29,900 – $50,830 · median $33,752 15 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $58,388 – $99,259 · median $65,909 15 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,148 – $54,652 · median $36,290 15 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,682 – $35,159 · median $23,346 15 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $21,251 – $36,127 · median $23,988 15 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,734 – $19,948 · median $13,246 15 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,139 – $12,136 · median $8,058 15 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $49,471 – $84,101 · median $55,844 15 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,755 – $35,284 · median $23,429 15 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $23,359 – $39,711 · median $26,368 15 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,119 – $18,902 · median $12,551 15 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,846 – $13,338 · median $8,856 15 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,279 – $19,174 · median $12,732 15 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $37,187 – $63,217 · median $41,977 15 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,151 – $32,558 · median $21,618 15 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,049 – $22,184 · median $14,730 15 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $27,399 – $46,579 · median $30,929 15 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,423 – $22,819 · median $15,152 15 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,039 – $15,366 · median $10,203 15 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $30,739 – $52,256 · median $32,276 12 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,499 – $12,747 · median $7,873 12 plans
881 DEPRESSIVE NEUROSES $7,150 – $12,156 · median $7,508 12 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,525 – $12,793 · median $7,901 12 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,502 – $24,653 · median $15,227 12 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $13,065 – $22,210 · median $13,718 12 plans
885 PSYCHOSES $11,026 – $18,745 · median $11,578 12 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $14,053 – $23,890 · median $14,756 12 plans
887 OTHER MENTAL DISORDER DIAGNOSES $9,304 – $15,817 · median $9,769 12 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,882 – $8,299 · median $5,126 12 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,326 – $19,254 · median $11,892 12 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $13,930 – $23,681 · median $14,627 12 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,901 – $11,732 · median $7,246 12 plans
945 REHABILITATION WITH CC/MCC $11,941 – $20,299 · median $12,538 11 plans
946 REHABILITATION WITHOUT CC/MCC $8,734 – $14,847 · median $9,170 11 plans
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