South Texas Spine and Surgical Hospital — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770
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 770 procedures

Procedures with negotiated rates only

These 770 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
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $32,695 – $81,434 · median $53,225 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY $19,019 – $42,063 · median $22,913 15 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $34,625 – $71,579 · median $40,487 15 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $24,377 – $47,903 · median $27,214 15 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $15,585 – $37,524 · median $20,839 15 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $17,837 – $41,320 · median $25,992 15 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $13,791 – $26,787 · median $15,148 15 plans
471 CERVICAL SPINAL FUSION WITH MCC $22,474 – $68,206 · median $38,398 15 plans
472 CERVICAL SPINAL FUSION WITH COMPLICATION $21,064 – $41,536 · median $23,070 15 plans
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $17,455 – $34,311 · median $19,207 15 plans
518 BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM $14,421 – $48,029 · median $28,506 15 plans
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $12,985 – $26,244 · median $15,367 15 plans
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $10,681 – $19,185 · median $11,174 15 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,073 – $50,997 · median $26,115 14 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $14,951 – $33,080 · median $15,922 14 plans
487 KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $11,198 – $26,796 · median $12,248 14 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $12,647 – $26,455 · median $16,701 14 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $7,985 – $17,383 · median $9,812 14 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $9,900 – $46,463 · median $26,901 14 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $6,189 – $31,142 · median $18,622 14 plans
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $4,593 – $24,794 · median $14,612 14 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $17,837 – $41,056 · median $22,152 14 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,141 – $29,316 · median $16,746 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $151,758 – $255,823 · median $166,426 13 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $99,036 – $159,642 · median $114,748 13 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $38,996 – $67,237 · median $40,250 13 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $30,144 – $51,321 · median $31,262 13 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,605 – $36,472 · median $21,017 13 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $287,594 – $501,457 · median $308,752 13 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $56,261 – $138,412 · median $65,979 13 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $37,850 – $101,007 · median $47,940 13 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $22,718 – $64,845 · median $27,139 13 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $40,971 – $75,947 · median $44,251 13 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,970 – $52,743 · median $29,575 13 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $32,508 – $60,220 · median $34,471 13 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,230 – $41,000 · median $23,052 13 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,038 – $33,666 · median $18,991 13 plans
028 SPINAL PROCEDURES WITH MCC $42,959 – $77,971 · median $47,040 13 plans
029 SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS $24,393 – $44,144 · median $26,761 13 plans
030 SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,695 – $31,558 · median $18,102 13 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,035 – $58,537 · median $32,676 13 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,236 – $29,679 · median $16,813 13 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,890 – $23,060 · median $12,668 13 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $27,675 – $53,267 · median $30,454 13 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,092 – $31,329 · median $17,950 13 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,891 – $24,802 · median $14,169 13 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $23,538 – $43,887 · median $26,350 13 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,601 – $22,211 · median $12,489 13 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,405 – $15,253 · median $8,907 13 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $27,607 – $51,750 · median $30,057 13 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,720 – $31,462 · median $17,413 13 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,353 – $25,457 · median $13,581 13 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,951 – $24,818 · median $15,179 13 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,001 – $15,216 · median $7,680 13 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,917 – $18,322 · median $11,502 13 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,290 – $13,987 · median $8,377 13 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,610 – $29,395 · median $18,688 13 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,263 – $16,972 · median $10,641 13 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,223 – $23,269 · median $13,488 13 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,872 – $15,095 · median $9,267 13 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,576 – $12,288 · median $7,005 13 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $19,713 – $38,713 · median $21,879 13 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,564 – $26,623 · median $14,610 13 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,037 – $22,893 · median $11,606 13 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,378 – $25,694 · median $15,635 13 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,224 – $13,658 · median $7,934 13 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,893 – $9,528 · median $5,367 13 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,501 – $19,091 · median $11,060 13 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,180 – $11,902 · median $6,799 13 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,711 – $10,539 · median $6,235 13 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,903 – $22,490 · median $13,969 13 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $7,336 – $13,548 · median $8,288 13 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,407 – $10,333 · median $6,112 13 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,471 – $19,454 · median $11,810 13 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,370 – $13,644 · median $8,011 13 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,710 – $21,786 · median $14,939 13 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,900 – $13,188 · median $7,201 13 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,941 – $28,057 · median $17,241 13 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,403 – $10,353 · median $7,100 13 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,342 – $30,314 · median $17,784 13 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,980 – $17,996 · median $10,588 13 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,834 – $12,126 · median $7,179 13 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,244 – $30,954 · median $17,741 13 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,314 – $17,066 · median $10,281 13 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,540 – $11,564 · median $6,918 13 plans
088 CONCUSSION WITH MCC $9,665 – $19,485 · median $11,973 13 plans
089 CONCUSSION WITH CC $7,855 – $14,240 · median $8,976 13 plans
090 CONCUSSION WITHOUT CC/MCC $5,886 – $11,443 · median $7,297 13 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,557 – $22,104 · median $13,967 13 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,314 – $13,241 · median $8,010 13 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,693 – $10,474 · median $6,045 13 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $25,163 – $48,711 · median $28,279 13 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,441 – $33,573 · median $18,810 13 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,015 – $31,235 · median $18,441 13 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $25,824 – $50,352 · median $28,390 13 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,408 – $28,286 · median $16,818 13 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,741 – $18,771 · median $10,305 13 plans
100 SEIZURES WITH MCC $13,848 – $25,125 · median $15,475 13 plans
101 SEIZURES WITHOUT MCC $6,454 – $11,896 · median $7,100 13 plans
102 HEADACHES WITH MCC $8,014 – $15,440 · median $9,419 13 plans
103 HEADACHES WITHOUT MCC $5,979 – $11,107 · median $6,576 13 plans
113 ORBITAL PROCEDURES WITH CC/MCC $16,810 – $29,383 · median $19,572 13 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,615 – $19,383 · median $9,867 13 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,974 – $19,504 · median $12,212 13 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,928 – $25,209 · median $14,291 13 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,757 – $13,942 · median $9,355 13 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,317 – $15,942 · median $10,001 13 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,618 – $8,643 · median $5,812 13 plans
123 NEUROLOGICAL EYE DISORDERS $5,710 – $10,267 · median $6,276 13 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,460 – $18,773 · median $10,319 13 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,490 – $11,207 · median $6,225 13 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,515 – $28,701 · median $20,702 13 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,259 – $16,811 · median $7,404 13 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,676 – $20,215 · median $11,746 13 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,336 – $11,469 · median $6,758 13 plans
139 SALIVARY GLAND PROCEDURES $8,835 – $16,525 · median $9,271 13 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,492 – $53,264 · median $30,496 13 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,595 – $29,540 · median $16,172 13 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,414 – $21,492 · median $12,060 13 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $25,960 – $39,900 · median $26,788 13 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,390 – $23,586 · median $13,508 13 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,596 – $16,397 · median $9,532 13 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,139 – $27,330 · median $16,478 13 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,091 – $17,422 · median $9,647 13 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,699 – $10,538 · median $6,945 13 plans
149 DYSEQUILIBRIUM $5,374 – $9,868 · median $5,813 13 plans
150 EPISTAXIS WITH MCC $9,520 – $17,775 · median $10,261 13 plans
151 EPISTAXIS WITHOUT MCC $5,248 – $9,887 · median $6,016 13 plans
152 OTITIS MEDIA AND URI WITH MCC $8,453 – $14,468 · median $9,275 13 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,278 – $9,550 · median $5,736 13 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,179 – $20,712 · median $12,007 13 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,553 – $12,178 · median $7,389 13 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,941 – $8,816 · median $5,117 13 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,275 – $21,105 · median $13,325 13 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,505 – $12,054 · median $7,326 13 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,066 – $8,879 · median $5,271 13 plans
163 MAJOR CHEST PROCEDURES WITH MCC $32,044 – $67,041 · median $36,794 13 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,046 – $35,558 · median $19,908 13 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,686 – $25,663 · median $14,647 13 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $26,724 – $49,858 · median $31,675 13 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,894 – $24,352 · median $14,205 13 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,770 – $18,135 · median $10,583 13 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,821 – $20,701 · median $10,952 13 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,756 – $11,888 · median $6,367 13 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,173 – $24,759 · median $13,242 13 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,978 – $16,172 · median $7,702 13 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,398 – $11,685 · median $5,958 13 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,627 – $23,297 · median $13,568 13 plans
181 RESPIRATORY NEOPLASMS WITH CC $7,658 – $14,998 · median $8,595 13 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,390 – $10,605 · median $5,925 13 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,939 – $20,874 · median $12,291 13 plans
184 MAJOR CHEST TRAUMA WITH CC $7,608 – $13,938 · median $8,211 13 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,623 – $10,376 · median $5,899 13 plans
186 PLEURAL EFFUSION WITH MCC $11,143 – $20,671 · median $12,116 13 plans
187 PLEURAL EFFUSION WITH CC $7,072 – $13,831 · median $7,777 13 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,128 – $9,768 · median $5,827 13 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,833 – $16,417 · median $9,617 13 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,920 – $15,065 · median $8,602 13 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,027 – $11,841 · median $6,627 13 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,590 – $9,314 · median $5,010 13 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,398 – $17,568 · median $10,355 13 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,762 – $11,568 · median $6,418 13 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,494 – $8,915 · median $4,883 13 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,493 – $23,280 · median $14,795 13 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,786 – $13,484 · median $7,786 13 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,121 – $9,954 · median $6,075 13 plans
199 PNEUMOTHORAX WITH MCC $12,613 – $23,968 · median $13,849 13 plans
200 PNEUMOTHORAX WITH CC $7,860 – $14,414 · median $8,407 13 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,113 – $9,502 · median $5,512 13 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,944 – $12,948 · median $7,474 13 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,790 – $9,467 · median $5,424 13 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,773 – $10,626 · median $6,424 13 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,091 – $22,559 · median $14,131 13 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,729 – $11,864 · median $7,131 13 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $46,007 – $76,806 · median $53,924 13 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,653 – $34,075 · median $21,106 13 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $71,191 – $141,377 · median $79,737 13 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $69,946 – $134,426 · median $75,760 13 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $47,013 – $86,814 · median $49,688 13 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $44,468 – $81,804 · median $47,013 13 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $54,899 – $107,891 · median $60,194 13 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $38,129 – $72,377 · median $40,939 13 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $36,037 – $61,325 · median $36,758 13 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $35,373 – $71,373 · median $39,332 13 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,519 – $46,078 · median $24,820 13 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $60,273 – $116,706 · median $63,347 13 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $43,347 – $79,721 · median $46,435 13 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $54,662 – $106,080 · median $60,884 13 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $39,058 – $71,449 · median $40,575 13 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,960 – $81,734 · median $45,904 13 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $29,949 – $54,859 · median $31,546 13 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $35,190 – $64,486 · median $37,522 13 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $20,381 – $37,342 · median $21,929 13 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,898 – $21,322 · median $10,849 13 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $22,828 – $49,913 · median $26,971 13 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,236 – $33,723 · median $17,779 13 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,923 – $27,628 · median $14,281 13 plans
245 AICD GENERATOR PROCEDURES $32,621 – $72,544 · median $35,372 13 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $15,605 – $33,767 · median $18,350 13 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $10,686 – $22,206 · median $12,387 13 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $24,941 – $44,531 · median $26,180 13 plans
253 OTHER VASCULAR PROCEDURES WITH CC $18,558 – $35,532 · median $19,914 13 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,739 – $24,315 · median $13,544 13 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,286 – $33,948 · median $21,446 13 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,140 – $22,016 · median $12,800 13 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,736 – $15,602 · median $7,965 13 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $21,143 – $42,421 · median $22,466 13 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $14,458 – $27,974 · median $14,747 13 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,257 – $47,766 · median $25,878 13 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,517 – $26,698 · median $14,689 13 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,654 – $22,846 · median $12,843 13 plans
263 VEIN LIGATION AND STRIPPING $21,860 – $30,974 · median $22,297 13 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $23,885 – $43,566 · median $25,494 13 plans
265 AICD LEAD PROCEDURES $25,870 – $45,064 · median $27,587 13 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $43,817 – $94,371 · median $48,757 13 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,039 – $74,957 · median $38,095 13 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $49,176 – $93,239 · median $53,508 13 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,195 – $57,779 · median $32,462 13 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $37,725 – $69,454 · median $39,474 13 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,427 – $47,741 · median $26,979 13 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,254 – $35,996 · median $19,043 13 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $29,497 – $51,240 · median $30,420 13 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,535 – $44,008 · median $25,298 13 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,469 – $21,516 · median $12,384 13 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,571 – $12,461 · median $7,127 13 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,170 – $9,722 · median $5,605 13 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,163 – $24,968 · median $15,389 13 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,949 – $9,686 · median $5,774 13 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,815 – $6,624 · median $4,282 13 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $15,821 – $28,605 · median $16,827 13 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,651 – $14,931 · median $8,443 13 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,349 – $35,958 · median $20,241 13 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,535 – $22,008 · median $12,204 13 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,647 – $13,750 · median $8,003 13 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,179 – $16,983 · median $10,022 13 plans
292 HEART FAILURE AND SHOCK WITH CC $6,070 – $11,562 · median $6,686 13 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,047 – $7,899 · median $4,383 13 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,167 – $21,360 · median $12,515 13 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,533 – $9,467 · median $5,687 13 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,254 – $6,545 · median $3,426 13 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,674 – $20,522 · median $12,304 13 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,633 – $13,976 · median $8,329 13 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,146 – $9,950 · median $5,541 13 plans
302 ATHEROSCLEROSIS WITH MCC $8,556 – $14,659 · median $8,751 13 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,813 – $9,073 · median $5,137 13 plans
304 HYPERTENSION WITH MCC $8,508 – $14,689 · median $8,969 13 plans
305 HYPERTENSION WITHOUT MCC $5,399 – $9,907 · median $5,882 13 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,267 – $20,184 · median $11,996 13 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,529 – $11,655 · median $7,358 13 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,608 – $16,080 · median $9,384 13 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,260 – $10,049 · median $5,813 13 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,048 – $7,488 · median $4,317 13 plans
311 ANGINA PECTORIS $5,019 – $9,353 · median $5,449 13 plans
312 SYNCOPE AND COLLAPSE $6,232 – $11,230 · median $6,740 13 plans
313 CHEST PAIN $5,148 – $9,660 · median $5,648 13 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,909 – $27,914 · median $16,342 13 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,887 – $13,034 · median $7,551 13 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,877 – $9,686 · median $5,407 13 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $31,909 – $57,817 · median $34,049 13 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,198 – $32,211 · median $17,542 13 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $35,659 – $71,185 · median $39,647 13 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,476 – $34,341 · median $19,495 13 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,456 – $22,320 · median $12,469 13 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,864 – $65,426 · median $35,258 13 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,140 – $34,135 · median $18,517 13 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,033 – $22,904 · median $13,052 13 plans
332 RECTAL RESECTION WITH MCC $25,888 – $55,722 · median $28,317 13 plans
333 RECTAL RESECTION WITH CC $16,233 – $28,672 · median $16,746 13 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,711 – $21,539 · median $12,529 13 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,532 – $52,402 · median $27,906 13 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,077 – $30,681 · median $16,434 13 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,975 – $21,923 · median $11,681 13 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,467 – $37,738 · median $21,392 13 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,758 – $21,140 · median $12,026 13 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,481 – $17,078 · median $10,053 13 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $16,413 – $33,002 · median $19,898 13 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,358 – $18,051 · median $10,159 13 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,225 – $13,113 · median $7,617 13 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,817 – $32,870 · median $18,734 13 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,900 – $19,987 · median $11,362 13 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,350 – $14,788 · median $8,657 13 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $20,749 – $40,503 · median $22,827 13 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,029 – $23,898 · median $13,409 13 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,617 – $18,213 · median $10,636 13 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $31,408 – $57,681 · median $33,400 13 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,627 – $30,375 · median $17,148 13 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,995 – $18,064 · median $10,195 13 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,382 – $26,098 · median $12,896 13 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,151 – $14,424 · median $7,715 13 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,011 – $10,017 · median $5,805 13 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,677 – $23,181 · median $13,643 13 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,300 – $13,782 · median $8,136 13 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,201 – $9,970 · median $5,593 13 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,291 – $27,767 · median $16,385 13 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,649 – $16,170 · median $9,354 13 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,609 – $12,036 · median $6,958 13 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,070 – $24,118 · median $13,975 13 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,012 – $13,303 · median $7,680 13 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,507 – $8,532 · median $4,943 13 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,030 – $25,262 · median $15,210 13 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,747 – $14,184 · median $8,376 13 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,724 – $10,292 · median $5,910 13 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,872 – $17,576 · median $10,914 13 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,112 – $11,955 · median $6,836 13 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,313 – $21,723 · median $12,231 13 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,980 – $13,324 · median $7,584 13 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,871 – $9,570 · median $5,340 13 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,559 – $20,280 · median $11,346 13 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,647 – $11,023 · median $6,217 13 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,890 – $7,808 · median $4,364 13 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,068 – $16,727 · median $9,958 13 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,574 – $10,254 · median $6,132 13 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,435 – $22,243 · median $12,643 13 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,690 – $12,599 · median $7,313 13 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,640 – $8,724 · median $5,054 13 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $39,113 – $76,826 · median $42,974 13 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,736 – $38,575 · median $22,539 13 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,870 – $28,360 · median $16,791 13 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,494 – $50,251 · median $29,055 13 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,279 – $28,339 · median $15,756 13 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,352 – $21,000 · median $12,218 13 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $22,485 – $50,259 · median $23,618 13 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,033 – $30,496 · median $15,967 13 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,784 – $23,177 · median $12,110 13 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $25,472 – $48,583 · median $27,518 13 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,777 – $27,204 · median $15,423 13 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,747 – $19,045 · median $10,454 13 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,063 – $32,461 · median $18,093 13 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,095 – $22,616 · median $12,760 13 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,765 – $17,612 · median $10,251 13 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $24,360 – $47,086 · median $24,985 13 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,423 – $25,541 · median $13,345 13 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,006 – $19,464 · median $11,014 13 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $29,694 – $56,049 · median $30,528 13 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,643 – $30,584 · median $16,293 13 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,727 – $20,657 · median $12,504 13 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,072 – $25,184 · median $14,956 13 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,552 – $13,790 · median $8,048 13 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,094 – $8,311 · median $5,226 13 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,132 – $23,478 · median $13,738 13 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,087 – $15,017 · median $8,592 13 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,101 – $11,996 · median $6,488 13 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,656 – $21,395 · median $13,027 13 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,014 – $11,317 · median $6,676 13 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,443 – $8,118 · median $4,805 13 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,832 – $25,167 · median $14,271 13 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,902 – $12,453 · median $7,427 13 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,003 – $8,880 · median $5,579 13 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,947 – $22,383 · median $12,749 13 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,825 – $14,428 · median $8,484 13 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,915 – $10,934 · median $6,257 13 plans
456 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY $60,083 – $115,154 · median $65,800 13 plans
457 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION $42,636 – $86,980 · median $47,424 13 plans
458 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY $29,834 – $67,052 · median $35,369 13 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $40,751 – $71,908 · median $44,211 13 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $22,270 – $39,847 · median $23,429 13 plans
465 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY $13,039 – $24,693 · median $14,603 13 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,694 – $54,579 · median $33,588 13 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,271 – $29,408 · median $16,742 13 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,438 – $15,536 · median $9,187 13 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,700 – $44,976 · median $26,298 13 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,583 – $31,579 · median $18,607 13 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,291 – $24,229 · median $14,550 13 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,823 – $40,515 · median $23,019 13 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $14,975 – $28,067 · median $16,197 13 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $11,661 – $22,037 · median $12,399 13 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $19,392 – $31,945 · median $19,998 13 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $25,923 – $48,765 · median $27,955 13 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $12,898 – $26,598 · median $15,514 13 plans
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $8,639 – $19,436 · median $11,142 13 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $20,381 – $34,596 · median $21,570 13 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,068 – $20,168 · median $14,406 13 plans
500 SOFT TISSUE PROCEDURES WITH COMORBITY $22,628 – $42,707 · median $25,313 13 plans
501 SOFT TISSUE PROCEDURES WITH COMPLICATION $12,499 – $23,487 · median $13,549 13 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $9,623 – $17,846 · median $10,793 13 plans
503 FOOT PROCEDURES WITH MCC $19,956 – $35,358 · median $20,935 13 plans
504 FOOT PROCEDURES WITH CC $13,365 – $23,767 · median $13,632 13 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,818 – $23,767 · median $13,315 13 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,647 – $19,865 · median $11,417 13 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,916 – $27,595 · median $16,640 13 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,828 – $18,876 · median $11,194 13 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $21,237 – $36,738 · median $21,901 13 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,867 – $26,343 · median $15,564 13 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,836 – $20,815 · median $12,597 13 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,256 – $21,049 · median $12,654 13 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,309 – $13,378 · median $8,130 13 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $22,786 – $42,053 · median $24,679 13 plans
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $14,858 – $26,282 · median $15,930 13 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $10,987 – $18,722 · median $11,665 13 plans
533 FRACTURES OF FEMUR WITH MCC $11,209 – $18,963 · median $12,735 13 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,764 – $10,581 · median $6,323 13 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,166 – $16,507 · median $10,122 13 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,774 – $10,333 · median $6,144 13 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,823 – $12,525 · median $7,548 13 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,150 – $9,684 · median $5,535 13 plans
539 OSTEOMYELITIS WITH MCC $14,083 – $26,080 · median $15,490 13 plans
540 OSTEOMYELITIS WITH COMPLICATION $9,268 – $17,428 · median $10,134 13 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $5,630 – $11,290 · median $6,697 13 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,630 – $24,225 · median $14,236 13 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,350 – $13,995 · median $8,514 13 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,395 – $10,413 · median $5,991 13 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $17,744 – $33,517 · median $19,462 13 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,247 – $16,175 · median $9,362 13 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,979 – $11,162 · median $6,349 13 plans
548 SEPTIC ARTHRITIS WITH MCC $13,806 – $27,460 · median $15,220 13 plans
549 SEPTIC ARTHRITIS WITH CC $8,631 – $16,736 · median $9,416 13 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,250 – $11,768 · median $7,188 13 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,984 – $21,791 · median $13,285 13 plans
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $6,873 – $12,632 · median $7,543 13 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,268 – $17,025 · median $10,550 13 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,935 – $10,612 · median $6,415 13 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,451 – $18,324 · median $10,921 13 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,939 – $10,828 · median $6,435 13 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,631 – $18,734 · median $12,152 13 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,386 – $11,534 · median $6,857 13 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,334 – $24,976 · median $14,445 13 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,052 – $14,408 · median $8,837 13 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,748 – $10,610 · median $6,090 13 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,187 – $18,904 · median $11,871 13 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,403 – $11,679 · median $6,991 13 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,037 – $20,401 · median $12,192 13 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,967 – $13,515 · median $7,801 13 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,357 – $10,068 · median $5,858 13 plans
570 SKIN DEBRIDEMENT WITH MCC $21,029 – $38,050 · median $22,811 13 plans
571 SKIN DEBRIDEMENT WITH CC $12,080 – $21,898 · median $13,207 13 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,196 – $14,788 · median $8,896 13 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $46,842 – $74,169 · median $48,538 13 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $24,820 – $43,471 · median $26,586 13 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,848 – $23,609 · median $15,971 13 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,043 – $67,803 · median $44,362 13 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,952 – $34,139 · median $20,679 13 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,486 – $21,360 · median $12,572 13 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,155 – $42,110 · median $26,089 13 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,355 – $23,149 · median $13,634 13 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,318 – $18,435 · median $10,524 13 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,013 – $22,001 · median $13,775 13 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,880 – $20,641 · median $12,329 13 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,289 – $24,593 · median $15,612 13 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,145 – $23,293 · median $13,793 13 plans
592 SKIN ULCERS WITH MCC $13,837 – $22,687 · median $16,315 13 plans
593 SKIN ULCERS WITH CC $8,482 – $15,273 · median $9,444 13 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,146 – $10,926 · median $6,321 13 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,163 – $27,001 · median $16,978 13 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,740 – $13,319 · median $7,895 13 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $11,920 – $22,013 · median $12,494 13 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,089 – $14,902 · median $9,358 13 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,851 – $8,990 · median $5,501 13 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,447 – $13,348 · median $8,005 13 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,326 – $9,196 · median $4,860 13 plans
602 CELLULITIS WITH MCC $10,162 – $19,416 · median $11,611 13 plans
603 CELLULITIS WITHOUT MCC $6,227 – $11,430 · median $6,906 13 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,525 – $19,789 · median $11,757 13 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,549 – $12,103 · median $7,094 13 plans
606 MINOR SKIN DISORDERS WITH MCC $10,819 – $20,247 · median $12,379 13 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,481 – $11,090 · median $6,975 13 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,671 – $31,998 · median $17,582 13 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,005 – $21,089 · median $11,483 13 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,935 – $53,107 · median $30,894 13 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,372 – $27,179 · median $15,491 13 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,067 – $17,450 · median $10,141 13 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $20,206 – $40,996 · median $20,837 13 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,442 – $23,603 · median $12,663 13 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,785 – $21,385 · median $11,844 13 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,448 – $48,404 · median $29,863 13 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,826 – $25,059 · median $14,530 13 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,700 – $14,714 · median $8,972 13 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $21,593 – $38,030 · median $22,803 13 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,721 – $22,132 · median $11,646 13 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,497 – $15,838 · median $9,687 13 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $26,646 – $49,267 · median $31,337 13 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,578 – $31,404 · median $17,663 13 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,435 – $18,871 · median $10,900 13 plans
637 DIABETES WITH MCC $10,272 – $18,433 · median $11,313 13 plans
638 DIABETES WITH CC $6,408 – $11,775 · median $7,021 13 plans
639 DIABETES WITHOUT CC/MCC $4,442 – $8,163 · median $4,859 13 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,549 – $16,480 · median $10,266 13 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,564 – $10,099 · median $6,100 13 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,168 – $17,270 · median $10,371 13 plans
643 ENDOCRINE DISORDERS WITH MCC $11,769 – $22,331 · median $12,842 13 plans
644 ENDOCRINE DISORDERS WITH CC $7,329 – $13,655 · median $8,288 13 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,493 – $10,292 · median $5,940 13 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $37,154 – $73,099 · median $42,259 13 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,015 – $38,868 · median $21,369 13 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,133 – $27,855 · median $16,453 13 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $22,764 – $43,986 · median $24,492 13 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,084 – $25,906 · median $14,396 13 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,095 – $21,128 · median $11,556 13 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,167 – $35,703 · median $20,209 13 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,450 – $19,323 · median $10,506 13 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,403 – $14,243 · median $8,184 13 plans
662 MINOR BLADDER PROCEDURES WITH MCC $21,889 – $39,330 · median $23,392 13 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,869 – $21,417 · median $11,389 13 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,485 – $15,851 · median $8,287 13 plans
665 PROSTATECTOMY WITH MCC $22,316 – $40,728 · median $24,114 13 plans
666 PROSTATECTOMY WITH CC $12,507 – $23,295 · median $13,406 13 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,909 – $13,357 · median $8,193 13 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $20,878 – $37,576 · median $21,997 13 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,097 – $20,935 · median $11,979 13 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,988 – $13,102 · median $7,514 13 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,834 – $23,852 · median $13,363 13 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,203 – $15,404 · median $7,718 13 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $28,867 – $46,441 · median $30,041 13 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,721 – $31,911 · median $18,595 13 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,736 – $23,495 · median $12,384 13 plans
682 RENAL FAILURE WITH MCC $10,589 – $19,719 · median $11,715 13 plans
683 RENAL FAILURE WITH CC $6,262 – $11,774 · median $7,032 13 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,292 – $8,140 · median $4,750 13 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,896 – $25,110 · median $14,358 13 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,492 – $14,061 · median $8,160 13 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,651 – $9,183 · median $6,096 13 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,296 – $14,919 · median $9,167 13 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,788 – $10,632 · median $6,299 13 plans
693 URINARY STONES WITH MCC $9,613 – $17,882 · median $11,056 13 plans
694 URINARY STONES WITHOUT MCC $5,589 – $10,326 · median $6,110 13 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,178 – $15,234 · median $9,336 13 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,926 – $9,265 · median $5,403 13 plans
697 URETHRAL STRICTURE $7,706 – $13,381 · median $8,689 13 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,829 – $21,566 · median $12,914 13 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,257 – $13,752 · median $7,968 13 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,933 – $9,996 · median $5,529 13 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,302 – $25,738 · median $15,315 13 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,969 – $19,967 · median $11,385 13 plans
709 PENIS PROCEDURES WITH CC/MCC $16,549 – $31,010 · median $16,971 13 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,635 – $21,445 · median $10,018 13 plans
711 TESTES PROCEDURES WITH CC/MCC $14,899 – $28,542 · median $16,571 13 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,863 – $14,193 · median $9,277 13 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,749 – $19,997 · median $11,324 13 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,482 – $12,437 · median $7,712 13 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,996 – $27,069 · median $17,232 13 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,518 – $17,083 · median $11,102 13 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,517 – $24,110 · median $14,158 13 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,178 – $16,531 · median $9,603 13 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,939 – $22,932 · median $14,635 13 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,170 – $14,621 · median $8,698 13 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,688 – $8,678 · median $6,319 13 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,367 – $17,213 · median $9,686 13 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,162 – $9,972 · median $5,705 13 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,603 – $19,027 · median $12,654 13 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,800 – $10,788 · median $6,246 13 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,570 – $13,490 · median $7,836 13 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,805 – $7,618 · median $4,901 13 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,229 – $29,783 · median $16,967 13 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,620 – $18,928 · median $9,837 13 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $25,557 – $57,051 · median $30,343 13 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,733 – $27,558 · median $15,407 13 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,500 – $19,762 · median $10,710 13 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $25,617 – $51,203 · median $28,229 13 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,938 – $24,123 · median $13,949 13 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,142 – $17,138 · median $10,400 13 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,119 – $23,005 · median $13,910 13 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,871 – $15,168 · median $9,071 13 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,651 – $24,040 · median $14,944 13 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,086 – $15,666 · median $8,296 13 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,420 – $21,578 · median $13,084 13 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,147 – $12,575 · median $6,925 13 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,919 – $18,044 · median $10,967 13 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,358 – $36,338 · median $19,649 13 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,552 – $19,600 · median $10,763 13 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,168 – $24,453 · median $14,461 13 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,778 – $15,121 · median $8,467 13 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,867 – $12,297 · median $7,726 13 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,238 – $20,416 · median $11,643 13 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,000 – $12,984 · median $7,748 13 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,745 – $9,151 · median $5,044 13 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,204 – $12,320 · median $7,770 13 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,079 – $7,911 · median $4,727 13 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,662 – $15,661 · median $9,508 13 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,052 – $21,660 · median $12,324 13 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,235 – $11,914 · median $7,169 13 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,681 – $10,371 · median $5,595 13 plans
779 ABORTION WITHOUT D&C $6,015 – $14,180 · median $7,722 13 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,831 – $25,105 · median $17,554 13 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,580 – $14,674 · median $7,994 13 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,762 – $12,276 · median $6,974 13 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,794 – $21,349 · median $13,657 13 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,985 – $14,252 · median $8,205 13 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,674 – $11,882 · median $6,883 13 plans
795 NORMAL NEWBORN $1,429 – $2,553 · median $1,574 13 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,344 – $14,338 · median $10,748 13 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,153 – $12,311 · median $7,774 13 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,332 – $11,080 · median $6,843 13 plans
799 SPLENIC PROCEDURES WITH MCC $32,381 – $68,924 · median $38,676 13 plans
800 SPLENIC PROCEDURES WITH CC $20,087 – $39,553 · median $21,995 13 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $13,648 – $22,549 · median $13,970 13 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $26,465 – $49,700 · median $28,486 13 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,291 – $25,260 · median $14,505 13 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,448 – $18,289 · median $9,744 13 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,716 – $13,790 · median $7,870 13 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,391 – $9,836 · median $5,829 13 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,820 – $8,600 · median $5,107 13 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,786 – $29,268 · median $17,096 13 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,051 – $16,381 · median $9,402 13 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,483 – $12,877 · median $7,841 13 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,041 – $18,469 · median $10,957 13 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,565 – $11,787 · median $7,031 13 plans
813 COAGULATION DISORDERS $10,906 – $20,689 · median $12,177 13 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,206 – $25,330 · median $16,612 13 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,250 – $13,302 · median $7,761 13 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,519 – $8,852 · median $5,544 13 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $16,313 – $30,888 · median $17,603 13 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,288 – $18,208 · median $9,157 13 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,148 – $13,219 · median $7,082 13 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $41,933 – $76,212 · median $47,201 13 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,006 – $28,858 · median $17,424 13 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,608 – $16,758 · median $9,670 13 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,781 – $60,279 · median $35,142 13 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,199 – $31,659 · median $17,430 13 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,648 – $18,766 · median $10,081 13 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $33,446 – $67,546 · median $34,259 13 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $16,525 – $33,483 · median $18,088 13 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,182 – $22,415 · median $12,805 13 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $22,594 – $42,960 · median $24,619 13 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,761 – $19,844 · median $12,343 13 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,883 – $15,021 · median $8,598 13 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,159 – $10,421 · median $5,758 13 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,739 – $7,190 · median $3,995 13 plans
834 ACUTE LEUKEMIA WITH MCC $39,252 – $81,039 · median $43,706 13 plans
835 ACUTE LEUKEMIA WITH CC $14,913 – $28,302 · median $17,450 13 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $8,719 – $15,713 · median $9,346 13 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $34,350 – $76,314 · median $37,130 13 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,925 – $30,264 · median $15,240 13 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,172 – $19,914 · median $10,490 13 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,129 – $43,122 · median $24,395 13 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,664 – $21,713 · median $12,283 13 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,224 – $14,689 · median $8,324 13 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,263 – $25,543 · median $14,548 13 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,704 – $15,856 · median $9,033 13 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,089 – $11,367 · median $6,751 13 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,536 – $35,790 · median $19,078 13 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,353 – $17,890 · median $9,541 13 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,929 – $13,823 · median $6,114 13 plans
849 RADIOTHERAPY $19,373 – $33,389 · median $21,009 13 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $35,310 – $66,519 · median $39,025 13 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,286 – $28,416 · median $15,910 13 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,705 – $20,350 · median $13,284 13 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY $32,523 – $62,450 · median $34,568 13 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $15,311 – $28,151 · median $16,671 13 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,959 – $18,205 · median $10,158 13 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,039 – $25,397 · median $14,379 13 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,135 – $13,543 · median $7,849 13 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,347 – $11,736 · median $6,891 13 plans
865 VIRAL ILLNESS WITH MCC $10,713 – $19,788 · median $12,801 13 plans
866 VIRAL ILLNESS WITHOUT MCC $6,218 – $11,234 · median $7,164 13 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,966 – $29,955 · median $16,332 13 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,372 – $14,274 · median $8,473 13 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,217 – $9,755 · median $5,392 13 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $49,419 – $86,218 · median $54,368 13 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,889 – $25,069 · median $15,476 13 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,316 – $13,742 · median $8,039 13 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,005 – $57,158 · median $33,783 13 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION $13,688 – $26,302 · median $14,712 13 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,363 – $15,202 · median $9,691 13 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $25,418 – $49,905 · median $26,262 13 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,606 – $22,094 · median $12,362 13 plans
906 HAND PROCEDURES FOR INJURIES $14,045 – $24,153 · median $14,688 13 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $27,451 – $52,866 · median $29,034 13 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $14,265 – $27,455 · median $15,644 13 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $9,386 – $18,358 · median $10,587 13 plans
913 TRAUMATIC INJURY WITH MCC $11,666 – $21,941 · median $11,921 13 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,331 – $11,876 · median $7,086 13 plans
915 ALLERGIC REACTIONS WITH MCC $12,023 – $22,756 · median $13,848 13 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,764 – $8,816 · median $5,143 13 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,214 – $19,797 · median $12,458 13 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,128 – $10,600 · median $6,720 13 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,090 – $24,693 · median $14,244 13 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $7,166 – $13,719 · median $8,070 13 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,922 – $9,345 · median $5,447 13 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,508 – $21,266 · median $13,621 13 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,276 – $12,584 · median $7,895 13 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $25,099 – $45,186 · median $25,943 13 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,709 – $29,738 · median $17,043 13 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,488 – $25,750 · median $14,788 13 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,076 – $15,988 · median $9,770 13 plans
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $5,723 – $10,539 · median $6,253 13 plans
949 AFTERCARE WITH CC/MCC $8,088 – $14,862 · median $8,506 13 plans
950 AFTERCARE WITHOUT CC/MCC $4,488 – $9,911 · median $4,904 13 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,975 – $7,493 · median $4,606 13 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $47,540 – $84,214 · median $49,026 13 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $26,905 – $51,552 · median $30,273 13 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $54,481 – $99,366 · median $56,457 13 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $30,129 – $56,314 · median $31,574 13 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $19,768 – $36,636 · median $21,050 13 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $19,546 – $36,553 · median $21,344 13 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,958 – $19,975 · median $11,717 13 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,724 – $12,218 · median $7,462 13 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $43,767 – $78,357 · median $53,648 13 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,769 – $40,019 · median $19,234 13 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $20,635 – $36,026 · median $22,766 13 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,259 – $17,167 · median $10,642 13 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,454 – $12,715 · median $6,598 13 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,278 – $17,732 · median $11,054 13 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,546 – $61,788 · median $37,004 13 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,578 – $33,965 · median $19,406 13 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,255 – $22,124 · median $12,764 13 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $24,513 – $43,864 · median $26,359 13 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,752 – $22,849 · median $13,247 13 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,433 – $15,045 · median $8,696 13 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $200,368 – $280,515 · median $202,372 10 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $81,021 – $113,430 · median $81,831 10 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $73,719 – $103,207 · median $74,456 10 plans
006 LIVER TRANSPLANT WITHOUT MCC $33,154 – $46,416 · median $33,486 10 plans
007 LUNG TRANSPLANT $92,593 – $129,630 · median $93,518 10 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $40,072 – $56,101 · median $40,473 10 plans
010 PANCREAS TRANSPLANT $37,575 – $71,828 · median $51,305 10 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $85,927 – $120,297 · median $86,786 10 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $42,397 – $59,355 · median $42,821 10 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $38,840 – $54,377 · median $39,229 10 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $51,012 – $71,416 · median $51,522 10 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,281 – $29,793 · median $21,494 10 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $77,749 – $108,848 · median $78,526 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $50,982 – $71,374 · median $51,491 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $42,947 – $60,125 · median $43,376 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $33,022 – $46,230 · median $33,352 10 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $34,818 – $55,717 · median $39,798 10 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $24,984 – $36,100 · median $25,785 10 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $19,453 – $27,235 · median $19,648 10 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,605 – $17,647 · median $12,731 10 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $30,940 – $43,317 · median $31,250 10 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $22,529 – $31,541 · median $22,755 10 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,641 – $32,136 · median $22,954 10 plans
397 APPENDIX PROCEDURES WITH MCC $17,123 – $23,973 · median $17,295 10 plans
398 APPENDIX PROCEDURES WITH CC $10,822 – $15,151 · median $10,930 10 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,184 – $11,458 · median $8,266 10 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $33,615 – $47,060 · median $33,951 10 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $26,496 – $37,095 · median $26,746 10 plans
652 KIDNEY TRANSPLANT $23,091 – $32,327 · median $23,271 10 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,886 – $18,040 · median $13,014 10 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $42,495 – $59,494 · median $42,920 10 plans
791 PREMATURITY WITH MAJOR PROBLEMS $29,021 – $40,630 · median $29,312 10 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $17,512 – $24,516 · median $17,687 10 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $29,812 – $41,737 · median $30,110 10 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,553 – $14,774 · median $10,658 10 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $27,634 – $38,687 · median $27,910 10 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,865 – $9,611 · median $6,934 10 plans
881 DEPRESSIVE NEUROSES $6,727 – $9,418 · median $6,795 10 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,332 – $10,749 · median $7,678 10 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,059 – $19,682 · median $14,199 10 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,503 – $16,105 · median $11,618 10 plans
885 PSYCHOSES $9,987 – $13,982 · median $10,087 10 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,127 – $20,773 · median $14,838 10 plans
887 OTHER MENTAL DISORDER DIAGNOSES $7,657 – $10,768 · median $7,733 10 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,411 – $6,175 · median $4,448 10 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,121 – $14,170 · median $10,223 10 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,477 – $17,468 · median $12,602 10 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,312 – $8,837 · median $6,375 10 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $152,654 – $219,067 · median $154,180 10 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $51,284 – $71,798 · median $51,797 10 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,028 – $32,240 · median $23,259 10 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $23,668 – $38,980 · median $27,843 10 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,806 – $22,128 · median $15,964 10 plans
935 NON-EXTENSIVE BURNS $14,729 – $20,620 · median $14,876 10 plans
945 REHABILITATION WITH CC/MCC $11,072 – $15,501 · median $11,183 10 plans
946 REHABILITATION WITHOUT CC/MCC $7,905 – $11,479 · median $8,200 10 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $28,515 – $40,245 · median $28,746 8 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS $76,068 – $110,321 · median $78,800 8 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $51,518 – $72,257 · median $51,612 8 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $39,953 – $56,275 · median $40,197 8 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $60,526 – $90,185 · median $64,418 8 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $39,698 – $57,728 · median $41,234 8 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $47,773 – $66,882 · median $47,773 8 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,633 – $42,450 · median $30,321 8 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $37,373 – $53,349 · median $38,106 8 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,395 – $32,336 · median $23,097 8 plans
209 COMPLEX AORTIC ARCH PROCEDURES $80,928 – $113,299 · median $80,928 7 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $40,804 – $57,125 · median $40,804 7 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $47,808 – $66,931 · median $47,808 7 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $17,318 – $24,246 · median $17,318 7 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $24,586 – $34,420 · median $24,586 7 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,262 – $24,167 · median $17,262 7 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $61,915 – $86,680 · median $61,915 7 plans
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