St David's Medical Center — Pricing

758 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 758 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 758
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 758 procedures

Procedures with negotiated rates only

These 758 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,573 – $10,765 · median $7,113 26 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,907 – $14,466 · median $9,977 26 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,907 – $14,466 · median $9,977 26 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,907 – $14,466 · median $9,977 26 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,907 – $14,466 · median $9,977 26 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,907 – $14,466 · median $9,977 26 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,907 – $14,466 · median $9,977 26 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,573 – $14,466 · median $7,113 26 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,573 – $14,466 · median $7,113 26 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,573 – $14,466 · median $7,113 26 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,573 – $10,765 · median $7,113 26 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,573 – $10,765 · median $7,113 26 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,573 – $10,765 · median $7,113 26 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $16,138 – $58,577 · median $23,525 20 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $16,138 – $58,577 · median $23,525 20 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $16,138 – $58,577 · median $23,525 20 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $13,723 – $182,100 · median $85,287 17 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $13,723 – $173,330 · median $85,287 17 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $13,723 – $170,768 · median $85,287 17 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $13,723 – $112,055 · median $85,287 17 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $13,723 – $112,055 · median $85,287 17 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $13,723 – $112,055 · median $85,287 17 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $13,723 – $112,055 · median $70,860 17 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $13,723 – $112,055 · median $79,023 17 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $13,723 – $112,055 · median $79,023 17 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $53,832 – $294,776 · median $93,706 16 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $29,471 – $112,055 · median $75,412 16 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $26,443 – $112,055 · median $75,412 16 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $53,832 – $133,690 · median $75,309 16 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $51,181 – $119,788 · median $71,162 16 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $52,713 – $123,380 · median $72,234 16 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $40,363 – $112,055 · median $73,399 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $41,122 – $112,055 · median $79,023 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $36,451 – $112,055 · median $79,023 15 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $9,696 – $25,372 · median $15,494 15 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,876 – $20,181 · median $15,494 15 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $10,822 – $39,936 · median $25,694 15 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $9,452 – $39,936 · median $23,825 15 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $13,594 – $37,208 · median $28,031 15 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $7,934 – $37,208 · median $20,955 15 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,899 – $37,805 · median $20,673 15 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,899 – $22,060 · median $11,332 15 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,899 – $37,805 · median $20,673 14 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,899 – $37,805 · median $20,673 14 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,899 – $37,805 · median $20,673 14 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,899 – $22,060 · median $11,332 14 plans
603 CELLULITIS WITHOUT MCC $3,899 – $22,060 · median $11,332 14 plans
683 RENAL FAILURE WITH CC $3,899 – $22,060 · median $11,332 14 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,899 – $37,805 · median $20,673 14 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,899 – $22,060 · median $11,332 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $8,950 – $112,055 · median $54,824 11 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $13,723 – $74,632 · median $36,776 11 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $13,723 – $54,824 · median $43,992 11 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $13,723 – $62,338 · median $36,565 11 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $13,723 – $54,824 · median $36,565 11 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $13,723 – $54,824 · median $33,224 11 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $14,845 – $37,530 · median $26,266 10 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,704 – $38,199 · median $24,250 10 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $10,052 – $31,903 · median $22,543 10 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $10,052 – $31,903 · median $22,543 10 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $13,723 – $38,351 · median $23,994 10 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $9,089 – $38,351 · median $23,994 10 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $8,955 – $38,351 · median $23,854 10 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $33,022 – $64,582 · median $37,548 10 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $30,781 – $54,824 · median $36,565 10 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,960 – $72,926 · median $24,778 10 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,960 – $55,112 · median $24,778 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $14,845 – $70,637 · median $30,756 10 plans
472 CERVICAL SPINAL FUSION WITH CC $14,842 – $30,892 · median $20,614 10 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $8,165 – $20,512 · median $16,917 10 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $27,328 – $65,241 · median $54,539 9 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $23,608 – $65,241 · median $54,539 9 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $25,108 – $65,241 · median $54,172 9 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $19,129 – $53,934 · median $23,043 9 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $19,129 – $54,743 · median $23,389 9 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $19,129 – $54,743 · median $23,389 9 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $18,660 – $43,675 · median $33,270 9 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $18,939 – $44,330 · median $33,270 9 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,809 – $36,896 · median $24,003 9 plans
253 OTHER VASCULAR PROCEDURES WITH CC $21,809 – $36,896 · median $24,003 9 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $17,784 – $36,896 · median $24,003 9 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $8,950 – $31,903 · median $24,231 9 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,950 – $31,903 · median $24,231 9 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,950 – $31,903 · median $24,231 9 plans
263 VEIN LIGATION AND STRIPPING $8,033 – $26,114 · median $19,837 9 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $14,675 – $37,060 · median $28,150 9 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,201 – $17,015 · median $11,150 9 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,269 – $17,015 · median $11,150 9 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,269 – $17,015 · median $11,150 9 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,562 – $13,338 · median $11,150 9 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,562 – $13,338 · median $11,150 9 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,562 – $13,338 · median $11,150 9 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $20,200 – $47,281 · median $39,265 9 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $19,200 – $47,281 · median $39,265 9 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $8,950 – $26,696 · median $20,277 9 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $8,950 – $26,696 · median $20,277 9 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,950 – $26,696 · median $20,277 9 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $7,212 – $14,133 · median $8,950 9 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $7,212 – $14,133 · median $8,950 9 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,212 – $14,133 · median $8,950 9 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $7,212 – $14,133 · median $8,950 9 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $7,212 – $14,133 · median $8,950 9 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $7,212 – $14,133 · median $8,950 9 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $7,678 – $14,133 · median $8,950 9 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $7,678 – $14,133 · median $8,950 9 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $7,678 – $14,133 · median $8,950 9 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $26,421 – $39,249 · median $31,106 9 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $8,950 – $35,970 · median $27,321 9 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $5,051 – $18,650 · median $6,650 9 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,051 – $12,173 · median $6,650 9 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $8,950 – $37,114 · median $28,191 9 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $8,950 – $166,771 · median $126,673 9 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $8,950 – $190,974 · median $145,058 9 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,950 – $189,031 · median $143,582 9 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,950 – $185,780 · median $141,113 9 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,899 – $37,114 · median $28,191 9 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,899 – $37,114 · median $28,191 9 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,899 – $37,114 · median $28,191 9 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Major Cardiovasc Procedur $26,499 – $55,159 · median $46,886 6 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Major Cardiovasc Procedur $26,499 – $55,159 · median $46,886 6 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Perc Cardiovasc Proc W/o Cor $20,866 – $43,434 · median $36,917 6 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Perc Cardiovasc Proc W/o Cor $20,866 – $43,434 · median $36,917 6 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Perc Cardiovasc Proc W/o Cor $20,866 – $43,434 · median $36,917 6 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,899 – $29,220 · median $7,786 5 plans
245 AICD GENERATOR PROCEDURES $25,996 – $54,824 · median $52,100 5 plans
265 AICD LEAD PROCEDURES $22,200 – $54,824 · median $44,491 5 plans
693 URINARY STONES WITH MCC $4,775 – $6,287 · median $5,255 5 plans
694 URINARY STONES WITHOUT MCC $4,775 – $6,287 · median $5,255 5 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,899 – $17,200 · median $7,786 5 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $8,950 – $29,220 · median $13,604 5 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $130,275 – $270,273 · median $211,163 4 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $130,275 – $270,273 · median $211,163 4 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH — 4 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC — 4 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $8,950 – $14,133 · median $11,307 4 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $8,950 – $14,133 · median $11,307 4 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $72,049 – $143,939 · median $110,828 4 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $71,463 – $148,257 · median $114,152 4 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $61,500 – $141,117 · median $110,828 4 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $60,991 – $94,798 · median $76,620 4 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $39,805 – $93,168 · median $72,792 4 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $26,266 – $38,101 · median $32,195 4 plans
028 SPINAL PROCEDURES WITH MCC $10,957 – $23,400 · median $17,896 4 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $16,592 – $23,130 · median $21,178 4 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,147 – $23,130 · median $17,808 4 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $16,840 – $23,475 · median $21,495 4 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,174 – $23,475 · median $20,160 4 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,098 – $23,475 · median $19,179 4 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $13,508 – $28,026 · median $21,579 4 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $13,508 – $28,026 · median $21,579 4 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,737 – $27,469 · median $21,151 4 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $7,924 – $14,202 · median $11,603 4 plans
038 EXTRACRANIAL PROCEDURES WITH CC $10,864 – $14,202 · median $12,131 4 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,789 – $14,202 · median $10,935 4 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,899 – $8,517 · median $6,700 4 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,899 – $8,517 · median $6,700 4 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $3,899 – $8,517 · median $6,700 4 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $3,899 – $8,517 · median $6,700 4 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $3,899 – $8,517 · median $6,700 4 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,899 – $8,517 · median $6,700 4 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,899 – $8,517 · median $6,700 4 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,899 – $8,517 · median $6,700 4 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,899 – $8,517 · median $6,700 4 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
075 VIRAL MENINGITIS WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,899 – $8,517 · median $6,700 4 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,899 – $8,517 · median $6,700 4 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,899 – $8,517 · median $6,700 4 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,899 – $8,517 · median $6,700 4 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,899 – $8,517 · median $6,700 4 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,899 – $8,517 · median $6,700 4 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,899 – $8,517 · median $6,700 4 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
088 CONCUSSION WITH MCC $3,899 – $8,517 · median $6,700 4 plans
089 CONCUSSION WITH CC $3,899 – $8,517 · median $6,700 4 plans
090 CONCUSSION WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,899 – $8,517 · median $6,700 4 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,899 – $8,517 · median $6,700 4 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,899 – $8,517 · median $6,700 4 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,899 – $8,517 · median $6,700 4 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,899 – $8,517 · median $6,700 4 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
100 SEIZURES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
101 SEIZURES WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
102 HEADACHES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
103 HEADACHES WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
113 ORBITAL PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,950 – $14,133 · median $11,307 4 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
123 NEUROLOGICAL EYE DISORDERS $3,899 – $8,517 · median $6,700 4 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,899 – $8,517 · median $6,700 4 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
137 MOUTH PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
139 SALIVARY GLAND PROCEDURES $8,950 – $14,133 · median $11,307 4 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,899 – $8,517 · median $6,700 4 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,899 – $8,517 · median $6,700 4 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
149 DYSEQUILIBRIUM $3,899 – $8,517 · median $6,700 4 plans
150 EPISTAXIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
151 EPISTAXIS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
152 OTITIS MEDIA AND URI WITH MCC $3,899 – $8,517 · median $6,700 4 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,899 – $8,517 · median $6,700 4 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
157 DENTAL AND ORAL DISEASES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
158 DENTAL AND ORAL DISEASES WITH CC $3,899 – $8,517 · median $6,700 4 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
163 MAJOR CHEST PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
164 MAJOR CHEST PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $8,950 – $14,133 · median $11,307 4 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,899 – $8,517 · median $6,700 4 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,899 – $8,517 · median $6,700 4 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
180 RESPIRATORY NEOPLASMS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
181 RESPIRATORY NEOPLASMS WITH CC $3,899 – $8,517 · median $6,700 4 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
183 MAJOR CHEST TRAUMA WITH MCC $3,899 – $8,517 · median $6,700 4 plans
184 MAJOR CHEST TRAUMA WITH CC $3,899 – $8,517 · median $6,700 4 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
186 PLEURAL EFFUSION WITH MCC $3,899 – $8,517 · median $6,700 4 plans
187 PLEURAL EFFUSION WITH CC $3,899 – $8,517 · median $6,700 4 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,899 – $8,517 · median $6,700 4 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,899 – $8,517 · median $6,700 4 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,899 – $8,517 · median $6,700 4 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,899 – $8,517 · median $6,700 4 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $3,899 – $8,517 · median $6,700 4 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
199 PNEUMOTHORAX WITH MCC $3,899 – $8,517 · median $6,700 4 plans
200 PNEUMOTHORAX WITH CC $3,899 – $8,517 · median $6,700 4 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $3,899 – $8,517 · median $6,700 4 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS — 4 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,899 – $8,517 · median $6,700 4 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $8,950 – $14,133 · median $11,307 4 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $8,950 – $14,133 · median $11,307 4 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $8,950 – $14,133 · median $11,307 4 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $83,377 – $172,977 · median $135,146 4 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $62,603 – $129,881 · median $101,475 4 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $6,711 – $13,923 · median $10,879 4 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $6,711 – $13,923 · median $10,879 4 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,711 – $13,923 · median $10,879 4 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,435 – $14,094 · median $10,882 4 plans
292 HEART FAILURE AND SHOCK WITH CC $6,021 – $14,094 · median $10,868 4 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,021 – $14,094 · median $10,868 4 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,899 – $8,517 · median $6,700 4 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,899 – $8,517 · median $6,700 4 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,829 – $11,304 · median $8,703 4 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,055 – $11,304 · median $8,859 4 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,592 – $11,304 · median $8,703 4 plans
302 ATHEROSCLEROSIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
304 HYPERTENSION WITH MCC $3,899 – $8,517 · median $6,700 4 plans
305 HYPERTENSION WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
311 ANGINA PECTORIS $3,899 – $8,517 · median $6,700 4 plans
312 SYNCOPE AND COLLAPSE $3,899 – $8,517 · median $6,700 4 plans
313 CHEST PAIN $4,214 – $8,319 · median $6,416 4 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,899 – $8,517 · median $6,700 4 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $55,590 – $94,947 · median $74,875 4 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $35,276 – $73,185 · median $56,474 4 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,195 – $41,899 · median $32,332 4 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
332 RECTAL RESECTION WITH MCC $8,950 – $14,133 · median $11,307 4 plans
333 RECTAL RESECTION WITH CC $8,950 – $14,133 · median $11,307 4 plans
334 RECTAL RESECTION WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $8,950 – $14,133 · median $11,307 4 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $8,950 – $14,133 · median $11,307 4 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,899 – $8,517 · median $6,700 4 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
374 DIGESTIVE MALIGNANCY WITH MCC $3,899 – $8,517 · median $6,700 4 plans
375 DIGESTIVE MALIGNANCY WITH CC $3,899 – $8,517 · median $6,700 4 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,899 – $8,517 · median $6,700 4 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,899 – $8,517 · median $6,700 4 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $3,899 – $8,517 · median $6,700 4 plans
381 COMPLICATED PEPTIC ULCER WITH CC $3,899 – $8,517 · median $6,700 4 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,899 – $8,517 · median $6,700 4 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,899 – $8,517 · median $6,700 4 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,899 – $8,517 · median $6,700 4 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,899 – $8,517 · median $6,700 4 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,899 – $8,517 · median $6,700 4 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,899 – $8,517 · median $6,700 4 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
397 APPENDIX PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
398 APPENDIX PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $34,879 – $69,867 · median $55,797 4 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,950 – $14,133 · median $11,307 4 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,950 – $14,133 · median $11,307 4 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $8,950 – $14,133 · median $11,307 4 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $8,950 – $14,133 · median $11,307 4 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $8,950 – $14,133 · median $11,307 4 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $8,950 – $14,133 · median $11,307 4 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $8,950 – $14,133 · median $11,307 4 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $93,392 – $187,076 · median $149,403 4 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $63,323 – $126,845 · median $101,301 4 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $49,071 – $98,296 · median $78,501 4 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $74,360 – $148,952 · median $118,956 4 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $48,772 – $97,696 · median $78,022 4 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,899 – $8,517 · median $6,700 4 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,899 – $8,517 · median $6,700 4 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,899 – $8,517 · median $6,700 4 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,899 – $8,517 · median $6,700 4 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,899 – $8,517 · median $6,700 4 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $3,899 – $8,517 · median $6,700 4 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,899 – $8,517 · median $6,700 4 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,899 – $8,517 · median $6,700 4 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $59,775 – $119,737 · median $95,625 4 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $45,915 – $91,974 · median $73,453 4 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $37,797 – $67,739 · median $55,341 4 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $32,089 – $66,574 · median $52,015 4 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $20,285 – $42,083 · median $32,880 4 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $36,517 – $43,546 · median $39,726 4 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $20,473 – $42,475 · median $32,704 4 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $32,030 – $44,648 · median $41,030 4 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $20,121 – $41,744 · median $32,616 4 plans
471 CERVICAL SPINAL FUSION WITH MCC $17,078 – $21,940 · median $18,961 4 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $8,950 – $14,133 · median $11,307 4 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $8,950 – $14,133 · median $11,307 4 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $8,950 – $14,133 · median $11,307 4 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,950 – $14,133 · median $11,307 4 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,950 – $14,133 · median $11,307 4 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $14,079 – $23,549 · median $19,819 4 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,564 – $23,549 · median $19,239 4 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,443 – $23,549 · median $18,328 4 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $16,300 – $17,810 · median $16,610 4 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $10,323 – $17,301 · median $13,777 4 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,340 – $17,301 · median $13,519 4 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $9,596 – $19,910 · median $15,330 4 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,433 – $19,567 · median $15,289 4 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $15,841 – $26,552 · median $20,841 4 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $12,799 – $26,552 · median $20,445 4 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $11,344 – $26,552 · median $20,445 4 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $5,067 – $10,509 · median $8,211 4 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $8,834 – $10,694 · median $9,461 4 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $5,067 – $10,509 · median $8,211 4 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $8,950 – $14,133 · median $11,307 4 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $8,950 – $14,133 · median $11,307 4 plans
500 SOFT TISSUE PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
501 SOFT TISSUE PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
503 FOOT PROCEDURES WITH MCC $9,678 – $20,075 · median $15,686 4 plans
504 FOOT PROCEDURES WITH CC $12,212 – $20,428 · median $17,193 4 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,579 – $20,075 · median $15,686 4 plans
506 MAJOR THUMB OR JOINT PROCEDURES $8,950 – $14,133 · median $11,307 4 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $10,608 – $22,008 · median $16,945 4 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,427 – $21,629 · median $16,900 4 plans
509 ARTHROSCOPY $8,950 – $14,133 · median $11,307 4 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $10,453 – $21,629 · median $16,900 4 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $9,403 – $22,008 · median $16,945 4 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $9,403 – $22,008 · median $16,945 4 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $21,511 – $29,984 · median $27,555 4 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,205 – $27,810 · median $21,412 4 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $13,405 – $27,810 · median $21,412 4 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $14,754 – $16,349 · median $15,143 4 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,061 – $15,157 · median $13,247 4 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $8,384 – $15,157 · median $11,738 4 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,545 – $28,639 · median $26,318 4 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,931 – $24,988 · median $22,375 4 plans
533 FRACTURES OF FEMUR WITH MCC $3,899 – $8,517 · median $6,700 4 plans
534 FRACTURES OF FEMUR WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
539 OSTEOMYELITIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
540 OSTEOMYELITIS WITH CC $3,899 – $8,517 · median $6,700 4 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $3,899 – $8,517 · median $6,700 4 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $3,899 – $8,517 · median $6,700 4 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $3,899 – $8,517 · median $6,700 4 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
548 SEPTIC ARTHRITIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
549 SEPTIC ARTHRITIS WITH CC $3,899 – $8,517 · median $6,700 4 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
551 MEDICAL BACK PROBLEMS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,899 – $8,517 · median $6,700 4 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,899 – $8,517 · median $6,700 4 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,899 – $8,517 · median $6,700 4 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $3,899 – $8,517 · median $6,700 4 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $3,899 – $8,517 · median $6,700 4 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,899 – $8,517 · median $6,700 4 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
570 SKIN DEBRIDEMENT WITH MCC $8,950 – $14,133 · median $11,307 4 plans
571 SKIN DEBRIDEMENT WITH CC $8,950 – $14,133 · median $11,307 4 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,950 – $14,133 · median $11,307 4 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $8,950 – $14,133 · median $11,307 4 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $8,950 – $14,133 · median $11,307 4 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $8,950 – $14,133 · median $11,307 4 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
592 SKIN ULCERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
593 SKIN ULCERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
594 SKIN ULCERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
595 MAJOR SKIN DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
598 MALIGNANT BREAST DISORDERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
602 CELLULITIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,899 – $8,517 · median $6,700 4 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
606 MINOR SKIN DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,950 – $14,133 · median $11,307 4 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,950 – $14,133 · median $11,307 4 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $8,950 – $14,133 · median $11,307 4 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,950 – $14,133 · median $11,307 4 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,950 – $14,133 · median $11,307 4 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $8,950 – $14,133 · median $11,307 4 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
637 DIABETES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
638 DIABETES WITH CC $3,899 – $8,517 · median $6,700 4 plans
639 DIABETES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $3,899 – $8,517 · median $6,700 4 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $3,899 – $8,517 · median $6,700 4 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,899 – $8,517 · median $6,700 4 plans
643 ENDOCRINE DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
644 ENDOCRINE DISORDERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
654 MAJOR BLADDER PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $8,950 – $14,133 · median $11,307 4 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $8,950 – $14,133 · median $11,307 4 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,998 – $15,568 · median $13,843 4 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,809 – $41,683 · median $32,095 4 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $8,556 – $17,751 · median $13,667 4 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,268 – $9,686 · median $8,202 4 plans
662 MINOR BLADDER PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
665 PROSTATECTOMY WITH MCC $8,950 – $14,133 · median $11,307 4 plans
666 PROSTATECTOMY WITH CC $8,950 – $14,133 · median $11,307 4 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
669 TRANSURETHRAL PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
671 URETHRAL PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
682 RENAL FAILURE WITH MCC $3,899 – $8,517 · median $6,700 4 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,899 – $8,517 · median $6,700 4 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
697 URETHRAL STRICTURE $3,899 – $8,517 · median $6,700 4 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,899 – $8,517 · median $6,700 4 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $16,614 – $21,332 · median $18,368 4 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,495 – $12,368 · median $11,623 4 plans
709 PENIS PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
711 TESTES PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,899 – $8,517 · median $6,700 4 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,899 – $8,517 · median $6,700 4 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,899 – $8,517 · median $6,700 4 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,899 – $8,517 · median $6,700 4 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $8,950 – $14,133 · median $11,307 4 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $8,950 – $14,133 · median $11,307 4 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $18,113 – $37,579 · median $29,360 4 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $10,096 – $20,179 · median $15,538 4 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $8,018 – $13,411 · median $11,288 4 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $7,177 – $11,458 · median $9,952 4 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,899 – $8,517 · median $6,700 4 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,899 – $8,517 · median $6,700 4 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,899 – $8,517 · median $6,700 4 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,899 – $8,517 · median $6,700 4 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $8,950 – $14,133 · median $11,307 4 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,950 – $14,133 · median $11,307 4 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,899 – $8,517 · median $6,700 4 plans
779 ABORTION WITHOUT D&C $3,899 – $8,517 · median $6,700 4 plans
799 SPLENIC PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
800 SPLENIC PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $8,950 – $14,133 · median $11,307 4 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $8,950 – $14,133 · median $11,307 4 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $3,899 – $8,517 · median $6,700 4 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $3,899 – $8,517 · median $6,700 4 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $3,899 – $8,517 · median $6,700 4 plans
811 RED BLOOD CELL DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
813 COAGULATION DISORDERS $3,899 – $8,517 · median $6,700 4 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,899 – $8,517 · median $6,700 4 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,950 – $14,133 · median $11,307 4 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,950 – $14,133 · median $11,307 4 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $8,950 – $14,133 · median $11,307 4 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,950 – $14,133 · median $11,307 4 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $8,950 – $14,133 · median $11,307 4 plans
834 ACUTE LEUKEMIA WITH MCC — 4 plans
835 ACUTE LEUKEMIA WITH CC $3,899 – $8,517 · median $6,700 4 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT — 4 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $3,899 – $8,517 · median $6,700 4 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,899 – $8,517 · median $6,700 4 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,899 – $8,517 · median $6,700 4 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $3,899 – $8,517 · median $6,700 4 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $3,899 – $8,517 · median $6,700 4 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $3,899 – $8,517 · median $6,700 4 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,899 – $8,517 · median $6,700 4 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
849 RADIOTHERAPY $3,899 – $8,517 · median $6,700 4 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES — 4 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $8,950 – $14,133 · median $11,307 4 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,899 – $8,517 · median $6,700 4 plans
865 VIRAL ILLNESS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
866 VIRAL ILLNESS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,899 – $8,517 · median $6,700 4 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS — 4 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $8,950 – $14,133 · median $11,307 4 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,899 – $8,517 · median $6,700 4 plans
881 DEPRESSIVE NEUROSES $3,899 – $8,517 · median $6,700 4 plans
882 NEUROSES EXCEPT DEPRESSIVE $3,899 – $8,517 · median $6,700 4 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $3,899 – $8,517 · median $6,700 4 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,899 – $8,517 · median $6,700 4 plans
885 PSYCHOSES $3,899 – $8,517 · median $6,700 4 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $3,899 – $8,517 · median $6,700 4 plans
887 OTHER MENTAL DISORDER DIAGNOSES $3,899 – $8,517 · median $6,700 4 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,899 – $8,517 · median $6,700 4 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,899 – $8,517 · median $6,700 4 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,899 – $8,517 · median $6,700 4 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $8,950 – $14,133 · median $11,307 4 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
906 HAND PROCEDURES FOR INJURIES $8,950 – $14,133 · median $11,307 4 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $8,950 – $14,133 · median $11,307 4 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
913 TRAUMATIC INJURY WITH MCC $3,899 – $8,517 · median $6,700 4 plans
914 TRAUMATIC INJURY WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
915 ALLERGIC REACTIONS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $3,899 – $8,517 · median $6,700 4 plans
920 COMPLICATIONS OF TREATMENT WITH CC $3,899 – $8,517 · median $6,700 4 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,899 – $8,517 · median $6,700 4 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 4 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $8,950 – $14,133 · median $11,307 4 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,899 – $8,517 · median $6,700 4 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,899 – $8,517 · median $6,700 4 plans
935 NON-EXTENSIVE BURNS $3,899 – $8,517 · median $6,700 4 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $8,950 – $14,133 · median $11,307 4 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $8,950 – $14,133 · median $11,307 4 plans
947 SIGNS AND SYMPTOMS WITH MCC $3,899 – $8,517 · median $6,700 4 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,899 – $8,517 · median $6,700 4 plans
949 AFTERCARE WITH CC/MCC $3,899 – $8,517 · median $6,700 4 plans
950 AFTERCARE WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,899 – $8,517 · median $6,700 4 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $8,950 – $14,133 · median $11,307 4 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $8,950 – $14,133 · median $11,307 4 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,899 – $8,517 · median $6,700 4 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,899 – $8,517 · median $6,700 4 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,899 – $8,517 · median $6,700 4 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,899 – $8,517 · median $6,700 4 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,950 – $14,133 · median $11,307 4 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,950 – $14,133 · median $11,307 4 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,950 – $14,133 · median $11,307 4 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,950 – $14,133 · median $11,307 4 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,950 – $14,133 · median $11,307 4 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,725 – $84,000 · median $44,363 2 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $125,000 – $125,000 · median $125,000 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $125,000 – $125,000 · median $125,000 1 plans
010 PANCREAS TRANSPLANT $90,000 – $90,000 · median $90,000 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $232,568 – $232,568 · median $232,568 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 1 plans
652 KIDNEY TRANSPLANT — 1 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,675 – $3,675 · median $3,675 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS — 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS — 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS — 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,675 – $3,675 · median $3,675 1 plans
795 NORMAL NEWBORN $656 – $656 · median $656 1 plans
945 REHABILITATION WITH CC/MCC — 1 plans
946 REHABILITATION WITHOUT CC/MCC $2,363 – $2,363 · median $2,363 1 plans
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