St. Luke's Health - Memorial Hospital - Livingston, TX — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 771
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 771 procedures

Procedures with negotiated rates only

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

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $149,405 – $727,912 · median $247,490 16 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $58,448 – $292,551 · median $99,467 16 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $113,673 – $556,884 · median $189,340 16 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $74,946 – $371,514 · median $126,315 16 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $56,484 – $283,150 · median $96,271 16 plans
006 LIVER TRANSPLANT WITHOUT MCC $25,720 – $135,896 · median $46,205 16 plans
007 LUNG TRANSPLANT $69,317 – $344,572 · median $117,155 16 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $28,860 – $150,923 · median $51,314 16 plans
010 PANCREAS TRANSPLANT $42,289 – $215,202 · median $73,169 16 plans
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $28,620 – $149,776 · median $50,924 16 plans
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $21,766 – $116,970 · median $39,770 16 plans
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $14,056 – $80,064 · median $27,222 16 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $69,492 – $345,410 · median $117,439 16 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $32,014 – $166,024 · median $56,448 16 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $32,014 – $166,024 · median $56,448 16 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $200,029 – $970,224 · median $329,876 16 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $42,046 – $214,042 · median $72,774 16 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $42,756 – $217,439 · median $73,929 16 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $29,317 – $153,112 · median $52,058 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $18,725 – $102,415 · median $34,821 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $30,260 – $157,626 · median $53,593 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $20,164 – $109,303 · median $37,163 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $23,721 – $126,328 · median $42,952 16 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $16,223 – $90,437 · median $30,749 16 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $13,089 – $75,439 · median $25,649 16 plans
028 SPINAL PROCEDURES WITH MCC $32,246 – $167,131 · median $56,824 16 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $17,804 – $98,006 · median $33,322 16 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,804 – $69,285 · median $23,557 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $22,227 – $119,176 · median $40,520 16 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,327 – $67,005 · median $22,782 16 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $8,463 – $53,293 · median $17,937 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $20,626 – $111,512 · median $37,914 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $12,066 – $70,539 · median $23,983 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $9,723 – $59,325 · median $20,171 16 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $17,614 – $97,097 · median $33,013 16 plans
038 EXTRACRANIAL PROCEDURES WITH CC $8,546 – $53,694 · median $18,094 16 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,037 – $41,683 · median $13,964 16 plans
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $20,007 – $108,552 · median $36,908 16 plans
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $11,977 – $70,117 · median $23,840 16 plans
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $9,322 – $57,408 · median $19,519 16 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,674 – $63,880 · median $21,719 16 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,887 – $36,179 · median $12,120 16 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,951 – $50,846 · median $17,033 16 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,787 – $40,485 · median $13,562 16 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $13,282 – $76,360 · median $25,962 16 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,078 – $46,664 · median $15,633 16 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $9,791 – $59,650 · median $20,281 16 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $6,490 – $43,851 · median $14,690 16 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,733 – $35,443 · median $11,873 16 plans
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $14,339 – $81,420 · median $27,683 16 plans
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $9,446 – $58,000 · median $19,720 16 plans
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $7,451 – $48,452 · median $16,231 16 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,551 – $63,288 · median $21,518 16 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,394 – $38,604 · median $12,932 16 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,651 – $30,261 · median $10,138 16 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $7,717 – $49,723 · median $16,657 16 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,675 – $35,166 · median $11,781 16 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,244 – $33,100 · median $11,088 16 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $9,223 – $56,931 · median $19,355 16 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,590 – $39,543 · median $13,247 16 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,979 – $31,833 · median $10,664 16 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $8,198 – $52,026 · median $17,444 16 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,529 – $39,251 · median $13,149 16 plans
075 VIRAL MENINGITIS WITH CC/MCC $9,136 – $56,515 · median $19,193 16 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,863 – $36,065 · median $12,082 16 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $8,202 – $52,044 · median $17,451 16 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,293 – $38,121 · median $12,771 16 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,536 – $29,713 · median $9,954 16 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,543 – $63,252 · median $21,506 16 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,799 – $35,758 · median $11,979 16 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $12,306 – $71,691 · median $24,375 16 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,375 – $48,086 · median $16,109 16 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,071 – $37,060 · median $12,415 16 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,019 – $70,315 · median $23,907 16 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,957 – $46,085 · median $15,439 16 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,689 – $35,230 · median $11,802 16 plans
088 CONCUSSION WITH MCC $7,482 – $48,601 · median $16,281 16 plans
089 CONCUSSION WITH CC $5,686 – $40,005 · median $13,402 16 plans
090 CONCUSSION WITHOUT CC/MCC $4,547 – $34,552 · median $11,575 16 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $9,669 – $59,066 · median $20,082 16 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,615 – $39,665 · median $13,288 16 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,186 – $32,825 · median $10,997 16 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $19,353 – $105,419 · median $35,842 16 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $12,715 – $73,646 · median $25,040 16 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,715 – $73,646 · median $25,040 16 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $19,013 – $103,791 · median $35,289 16 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $11,506 – $67,860 · median $23,073 16 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,390 – $48,160 · median $16,133 16 plans
100 SEIZURES WITH MCC $10,530 – $63,189 · median $21,484 16 plans
101 SEIZURES WITHOUT MCC $4,889 – $36,187 · median $12,123 16 plans
102 HEADACHES WITH MCC $6,150 – $42,224 · median $14,145 16 plans
103 HEADACHES WITHOUT MCC $4,509 – $34,372 · median $11,514 16 plans
113 ORBITAL PROCEDURES WITH CC/MCC $11,969 – $70,077 · median $23,826 16 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $6,270 – $42,798 · median $14,337 16 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,120 – $51,655 · median $17,305 16 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,850 – $55,149 · median $18,661 16 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,721 – $40,170 · median $13,457 16 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $6,170 – $42,318 · median $14,176 16 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,598 – $30,007 · median $10,052 16 plans
123 NEUROLOGICAL EYE DISORDERS $4,260 – $33,178 · median $11,115 16 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $6,916 – $45,890 · median $15,373 16 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,380 – $33,750 · median $11,306 16 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $12,788 – $73,999 · median $25,160 16 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,188 – $37,621 · median $12,603 16 plans
137 MOUTH PROCEDURES WITH CC/MCC $7,418 – $48,294 · median $16,179 16 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,315 – $33,440 · median $11,202 16 plans
139 SALIVARY GLAND PROCEDURES $7,282 – $47,644 · median $15,961 16 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $22,432 – $120,156 · median $40,853 16 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $11,396 – $67,332 · median $22,893 16 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,340 – $52,706 · median $17,709 16 plans
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $17,513 – $96,614 · median $32,849 16 plans
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $9,318 – $57,385 · median $19,511 16 plans
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $6,284 – $42,866 · median $14,360 16 plans
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $12,168 – $71,029 · median $24,150 16 plans
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $6,602 – $44,389 · median $14,870 16 plans
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,247 – $33,115 · median $11,093 16 plans
149 DYSEQUILIBRIUM $3,965 – $31,764 · median $10,641 16 plans
150 EPISTAXIS WITH MCC $7,331 – $47,878 · median $16,039 16 plans
151 EPISTAXIS WITHOUT MCC $4,020 – $32,031 · median $10,730 16 plans
152 OTITIS MEDIA AND URI WITH MCC $6,019 – $41,597 · median $13,935 16 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,775 – $30,855 · median $10,337 16 plans
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $8,626 – $54,075 · median $18,243 16 plans
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $4,952 – $36,489 · median $12,224 16 plans
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,566 – $29,858 · median $10,002 16 plans
157 DENTAL AND ORAL DISEASES WITH MCC $8,685 – $54,359 · median $18,353 16 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,989 – $36,667 · median $12,283 16 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,499 – $29,533 · median $9,893 16 plans
163 MAJOR CHEST PROCEDURES WITH MCC $24,447 – $129,803 · median $44,133 16 plans
164 MAJOR CHEST PROCEDURES WITH CC $13,350 – $76,688 · median $26,074 16 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $9,887 – $60,109 · median $20,437 16 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $20,422 – $110,537 · median $37,583 16 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,691 – $59,175 · median $20,120 16 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,181 – $47,159 · median $15,798 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,276 – $90,691 · median $30,835 16 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,474 – $48,561 · median $16,268 16 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,320 – $33,465 · median $11,211 16 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $8,574 – $53,826 · median $18,145 16 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,262 – $37,974 · median $12,721 16 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,082 – $32,328 · median $10,830 16 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,270 – $57,159 · median $19,434 16 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,889 – $40,975 · median $13,727 16 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,442 – $34,049 · median $11,406 16 plans
183 MAJOR CHEST TRAUMA WITH MCC $8,419 – $53,085 · median $17,856 16 plans
184 MAJOR CHEST TRAUMA WITH CC $5,665 – $39,903 · median $13,368 16 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,125 – $32,531 · median $10,898 16 plans
186 PLEURAL EFFUSION WITH MCC $8,380 – $52,899 · median $17,784 16 plans
187 PLEURAL EFFUSION WITH CC $5,325 – $38,276 · median $12,823 16 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,894 – $31,427 · median $10,528 16 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,563 – $44,202 · median $14,808 16 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,956 – $41,297 · median $13,835 16 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,557 – $34,597 · median $11,590 16 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,433 – $29,218 · median $9,788 16 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,989 – $46,240 · median $15,490 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,349 – $33,605 · median $11,258 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,303 – $28,596 · median $9,580 16 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $9,993 – $60,620 · median $20,611 16 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,251 – $37,921 · median $12,703 16 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,715 – $30,568 · median $10,240 16 plans
199 PNEUMOTHORAX WITH MCC $9,363 – $57,604 · median $19,585 16 plans
200 PNEUMOTHORAX WITH CC $5,874 – $40,904 · median $13,703 16 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,591 – $29,977 · median $10,042 16 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,127 – $37,329 · median $12,505 16 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,695 – $30,472 · median $10,208 16 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,302 – $33,376 · median $11,181 16 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,013 – $60,714 · median $20,643 16 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,804 – $35,783 · median $11,987 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $34,302 – $176,974 · median $60,171 16 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $14,235 – $80,922 · median $27,514 16 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $57,781 – $289,357 · median $98,381 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $56,195 – $281,763 · median $95,800 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $51,189 – $257,805 · median $87,654 16 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $34,253 – $176,738 · median $60,091 16 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $31,555 – $163,825 · median $55,701 16 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,040 – $209,223 · median $71,136 16 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $28,094 – $147,257 · median $50,068 16 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $24,359 – $129,382 · median $43,990 16 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $26,431 – $139,301 · median $47,362 16 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $16,476 – $91,648 · median $31,160 16 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $44,946 – $227,919 · median $77,492 16 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $32,401 – $167,872 · median $57,077 16 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $41,458 – $211,227 · median $71,817 16 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $28,218 – $147,854 · median $50,270 16 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $31,210 – $162,173 · median $55,139 16 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $21,811 – $117,183 · median $39,842 16 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $26,716 – $140,662 · median $47,825 16 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $15,446 – $86,721 · median $29,485 16 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $8,009 – $51,120 · median $17,125 16 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $17,991 – $98,902 · median $33,627 16 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $11,949 – $69,980 · median $23,793 16 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $9,572 – $58,604 · median $19,925 16 plans
245 AICD GENERATOR PROCEDURES $25,920 – $136,851 · median $46,529 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,266 – $71,498 · median $24,309 16 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $8,288 – $52,458 · median $17,612 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $18,195 – $99,877 · median $33,958 16 plans
253 OTHER VASCULAR PROCEDURES WITH CC $13,541 – $77,602 · median $26,385 16 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $9,279 – $57,200 · median $19,448 16 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $13,878 – $79,214 · median $26,933 16 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,983 – $55,786 · median $18,909 16 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,731 – $35,430 · median $11,869 16 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $14,880 – $84,012 · median $28,564 16 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $9,323 – $57,411 · median $19,520 16 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $18,066 – $99,262 · median $33,749 16 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $10,065 – $60,962 · median $20,727 16 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $8,050 – $51,320 · median $17,192 16 plans
263 VEIN LIGATION AND STRIPPING $14,226 – $80,879 · median $27,499 16 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,538 – $101,519 · median $34,517 16 plans
265 AICD LEAD PROCEDURES $18,920 – $103,350 · median $35,139 16 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $31,775 – $164,879 · median $56,059 16 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $24,954 – $132,228 · median $44,958 16 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $35,365 – $182,061 · median $61,901 16 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $22,068 – $118,417 · median $40,262 16 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $27,225 – $143,102 · median $48,655 16 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $18,269 – $100,232 · median $34,079 16 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $13,272 – $76,312 · median $25,946 16 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $20,740 – $112,060 · median $38,100 16 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,554 – $92,022 · median $31,287 16 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $37,483 – $192,201 · median $65,348 16 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $32,855 – $170,048 · median $57,816 16 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $24,674 – $130,888 · median $44,502 16 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $26,538 – $139,809 · median $47,535 16 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $16,996 – $94,139 · median $32,007 16 plans
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $8,706 – $54,458 · median $18,392 16 plans
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $4,889 – $36,189 · median $12,123 16 plans
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $3,846 – $31,196 · median $10,451 16 plans
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $10,371 – $62,430 · median $21,226 16 plans
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $3,930 – $31,599 · median $10,586 16 plans
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $2,978 – $27,040 · median $9,058 16 plans
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $11,739 – $68,977 · median $23,452 16 plans
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,780 – $40,452 · median $13,551 16 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $14,488 – $82,133 · median $27,925 16 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $8,363 – $52,816 · median $17,752 16 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,193 – $37,641 · median $12,610 16 plans
291 HEART FAILURE AND SHOCK WITH MCC $6,921 – $45,913 · median $15,381 16 plans
292 HEART FAILURE AND SHOCK WITH CC $4,568 – $34,651 · median $11,608 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,910 – $26,717 · median $8,950 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $6,513 – $43,963 · median $14,728 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,189 – $32,838 · median $11,001 16 plans
296 CARDIAC ARREST UNEXPLAINED WITH MCC $8,690 – $54,382 · median $18,362 16 plans
297 CARDIAC ARREST UNEXPLAINED WITH CC $3,736 – $30,670 · median $10,274 16 plans
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $2,343 – $24,001 · median $8,040 16 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,580 – $53,854 · median $18,156 16 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,678 – $39,967 · median $13,389 16 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,784 – $30,899 · median $10,351 16 plans
302 ATHEROSCLEROSIS WITH MCC $6,170 – $42,320 · median $14,177 16 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,566 – $29,858 · median $10,002 16 plans
304 HYPERTENSION WITH MCC $6,231 – $42,612 · median $14,275 16 plans
305 HYPERTENSION WITHOUT MCC $3,982 – $31,845 · median $10,668 16 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,942 – $50,802 · median $17,019 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,914 – $36,306 · median $12,163 16 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $6,396 – $43,402 · median $14,540 16 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,921 – $31,556 · median $10,571 16 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,968 – $26,991 · median $9,042 16 plans
311 ANGINA PECTORIS $3,704 – $30,515 · median $10,223 16 plans
312 SYNCOPE AND COLLAPSE $4,621 – $34,907 · median $11,694 16 plans
313 CHEST PAIN $3,784 – $30,899 · median $10,351 16 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $11,422 – $67,459 · median $22,936 16 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,104 – $37,217 · median $12,468 16 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,621 – $30,119 · median $10,090 16 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $32,813 – $169,845 · median $57,747 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $23,299 – $124,310 · median $42,265 16 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $12,278 – $71,554 · median $24,328 16 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $15,099 – $85,060 · median $28,921 16 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $9,596 – $58,718 · median $19,964 16 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $22,592 – $120,923 · median $41,114 16 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $16,947 – $93,903 · median $31,927 16 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $15,181 – $85,449 · median $29,053 16 plans
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $26,939 – $141,731 · median $48,188 16 plans
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $12,879 – $74,431 · median $25,306 16 plans
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,452 – $53,242 · median $17,918 16 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,355 – $129,364 · median $43,984 16 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,537 – $72,796 · median $24,751 16 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,757 – $54,702 · median $18,487 16 plans
332 RECTAL RESECTION WITH MCC $18,398 – $100,849 · median $34,289 16 plans
333 RECTAL RESECTION WITH CC $11,273 – $66,743 · median $22,693 16 plans
334 RECTAL RESECTION WITHOUT CC/MCC $8,797 – $54,895 · median $18,562 16 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $19,219 – $104,776 · median $35,624 16 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $11,204 – $66,413 · median $22,581 16 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $8,142 – $51,759 · median $17,340 16 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $14,292 – $81,194 · median $27,606 16 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $7,896 – $50,582 · median $16,945 16 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,605 – $44,402 · median $14,875 16 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,554 – $72,874 · median $24,777 16 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $6,677 – $44,747 · median $14,990 16 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,672 – $35,151 · median $11,776 16 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,829 – $74,192 · median $25,225 16 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $7,980 – $50,983 · median $17,079 16 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,848 – $40,779 · median $13,661 16 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $15,557 – $87,249 · median $29,665 16 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $9,023 – $55,974 · median $18,982 16 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,071 – $46,634 · median $15,622 16 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $22,625 – $121,083 · median $41,168 16 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $11,945 – $69,960 · median $23,786 16 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,187 – $47,190 · median $15,809 16 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,858 – $55,184 · median $18,675 16 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,397 – $38,621 · median $12,938 16 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,702 – $30,508 · median $10,220 16 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $9,271 – $57,165 · median $19,436 16 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,459 – $38,918 · median $13,038 16 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,848 – $31,203 · median $10,453 16 plans
374 DIGESTIVE MALIGNANCY WITH MCC $11,199 – $66,390 · median $22,573 16 plans
375 DIGESTIVE MALIGNANCY WITH CC $6,517 – $43,981 · median $14,734 16 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,683 – $35,204 · median $11,793 16 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $9,644 – $58,947 · median $20,042 16 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,229 – $37,817 · median $12,669 16 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,377 – $28,951 · median $9,699 16 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,206 – $61,640 · median $20,958 16 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,777 – $40,437 · median $13,546 16 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,974 – $31,810 · median $10,656 16 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,705 – $44,882 · median $15,035 16 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,612 – $34,864 · median $11,679 16 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $8,618 – $54,037 · median $18,228 16 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,264 – $37,984 · median $12,725 16 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,555 – $29,804 · median $9,984 16 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,796 – $50,104 · median $16,785 16 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,252 – $33,138 · median $11,101 16 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,902 – $26,679 · median $8,938 16 plans
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,813 – $45,397 · median $15,208 16 plans
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,139 – $32,597 · median $10,920 16 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $8,783 – $54,829 · median $18,536 16 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,993 – $36,684 · median $12,289 16 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,375 – $28,944 · median $9,696 16 plans
397 APPENDIX PROCEDURES WITH MCC $13,142 – $75,692 · median $25,735 16 plans
398 APPENDIX PROCEDURES WITH CC $8,026 – $51,203 · median $17,153 16 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $5,961 – $41,318 · median $13,841 16 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $20,750 – $112,108 · median $38,117 16 plans
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $28,794 – $150,609 · median $51,207 16 plans
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $14,896 – $84,086 · median $28,589 16 plans
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $11,328 – $67,010 · median $22,783 16 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $18,571 – $101,677 · median $34,570 16 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $11,120 – $66,012 · median $22,444 16 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,227 – $52,166 · median $17,498 16 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $14,514 – $82,258 · median $27,968 16 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $11,306 – $66,903 · median $22,747 16 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,818 – $54,994 · median $18,600 16 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $18,584 – $101,740 · median $34,592 16 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $10,492 – $63,006 · median $21,422 16 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $7,268 – $47,573 · median $15,937 16 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $12,605 – $73,121 · median $24,861 16 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $8,796 – $54,890 · median $18,560 16 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $6,989 – $46,238 · median $15,490 16 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $18,720 – $102,392 · median $34,813 16 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,686 – $54,362 · median $18,354 16 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,794 – $50,092 · median $16,781 16 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $21,573 – $116,048 · median $39,456 16 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $12,111 – $70,754 · median $24,057 16 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,199 – $52,031 · median $17,446 16 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $55,562 – $278,732 · median $94,769 16 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $37,673 – $193,107 · median $65,657 16 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $29,194 – $152,523 · median $51,858 16 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $44,239 – $224,535 · median $76,342 16 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $29,016 – $151,670 · median $51,568 16 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $10,391 – $62,524 · median $21,258 16 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,674 – $39,947 · median $13,382 16 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,694 – $30,469 · median $10,207 16 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $9,678 – $59,109 · median $20,097 16 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,981 – $41,417 · median $13,875 16 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,165 – $32,721 · median $10,962 16 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $8,824 – $55,024 · median $18,612 16 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,563 – $34,625 · median $11,600 16 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,262 – $28,403 · median $9,515 16 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,027 – $60,780 · median $20,665 16 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,125 – $37,316 · median $12,501 16 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,727 – $30,627 · median $10,260 16 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $8,934 – $55,550 · median $18,817 16 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,752 – $40,320 · median $13,507 16 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,229 – $33,029 · median $11,065 16 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $35,562 – $183,003 · median $62,221 16 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $21,659 – $116,457 · median $39,595 16 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $27,316 – $143,536 · median $48,802 16 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $16,368 – $91,133 · median $30,985 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $44,921 – $227,800 · median $77,452 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $30,442 – $158,497 · median $53,889 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $22,903 – $122,411 · median $41,620 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $32,549 – $168,583 · median $57,318 16 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $15,190 – $85,492 · median $29,067 16 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $28,647 – $149,905 · median $50,968 16 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $15,639 – $87,645 · median $29,799 16 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,208 – $56,862 · median $19,329 16 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $27,022 – $142,127 · median $48,323 16 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $18,167 – $99,745 · median $33,913 16 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $13,914 – $79,386 · median $26,991 16 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $17,337 – $95,771 · median $32,562 16 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $10,001 – $60,655 · median $20,623 16 plans
471 CERVICAL SPINAL FUSION WITH MCC $25,763 – $136,102 · median $46,275 16 plans
472 CERVICAL SPINAL FUSION WITH CC $15,367 – $86,340 · median $29,356 16 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $12,557 – $72,890 · median $24,782 16 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $23,787 – $126,643 · median $43,059 16 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $11,442 – $67,556 · median $22,969 16 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,169 – $42,315 · median $14,176 16 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,240 – $100,095 · median $34,032 16 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,404 – $72,158 · median $24,534 16 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,419 – $57,870 · median $19,676 16 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $15,599 – $87,452 · median $29,734 16 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,005 – $65,464 · median $22,258 16 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $8,414 – $53,062 · median $17,848 16 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $13,516 – $77,480 · median $26,343 16 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $17,075 – $94,517 · median $32,136 16 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $11,249 – $66,632 · median $22,655 16 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,381 – $52,904 · median $17,786 16 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $10,424 – $62,684 · median $21,312 16 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,568 – $44,227 · median $14,816 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $18,836 – $102,943 · median $35,001 16 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $12,735 – $73,743 · median $25,072 16 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $10,000 – $60,653 · median $20,622 16 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $18,673 – $102,167 · median $34,737 16 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $10,465 – $62,877 · median $21,378 16 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $7,121 – $46,872 · median $15,702 16 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $13,392 – $76,888 · median $26,142 16 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $6,157 – $42,257 · median $14,156 16 plans
500 SOFT TISSUE PROCEDURES WITH MCC $16,807 – $93,233 · median $31,699 16 plans
501 SOFT TISSUE PROCEDURES WITH CC $9,466 – $58,096 · median $19,753 16 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $7,411 – $48,259 · median $16,167 16 plans
503 FOOT PROCEDURES WITH MCC $14,038 – $79,978 · median $27,192 16 plans
504 FOOT PROCEDURES WITH CC $9,309 – $57,342 · median $19,496 16 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $9,309 – $57,342 · median $19,496 16 plans
506 MAJOR THUMB OR JOINT PROCEDURES $7,951 – $50,846 · median $17,033 16 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $10,280 – $61,993 · median $21,078 16 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $6,845 – $45,552 · median $15,260 16 plans
509 ARTHROSCOPY $9,318 – $57,385 · median $19,511 16 plans
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $15,159 – $85,347 · median $29,018 16 plans
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $10,402 – $62,577 · median $21,276 16 plans
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $8,528 – $53,605 · median $18,060 16 plans
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,986 – $51,011 · median $17,089 16 plans
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,408 – $38,672 · median $12,955 16 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $16,402 – $91,296 · median $31,041 16 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $10,670 – $63,859 · median $21,712 16 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $7,917 – $50,683 · median $16,979 16 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $19,010 – $103,776 · median $35,284 16 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $10,459 – $62,849 · median $21,369 16 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $7,602 – $49,172 · median $16,473 16 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $15,460 – $86,784 · median $29,507 16 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $11,181 – $66,307 · median $22,544 16 plans
533 FRACTURES OF FEMUR WITH MCC $8,088 – $51,501 · median $17,253 16 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,317 – $33,452 · median $11,207 16 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $7,054 – $46,550 · median $15,594 16 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,301 – $33,374 · median $11,180 16 plans
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $4,874 – $36,118 · median $12,100 16 plans
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $3,562 – $29,835 · median $9,995 16 plans
539 OSTEOMYELITIS WITH MCC $10,727 – $64,131 · median $21,804 16 plans
540 OSTEOMYELITIS WITH CC $6,864 – $45,641 · median $15,290 16 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,640 – $34,999 · median $11,725 16 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $9,892 – $60,137 · median $20,447 16 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,627 – $39,721 · median $13,306 16 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,008 – $31,972 · median $10,711 16 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $13,403 – $76,939 · median $26,159 16 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $6,140 – $42,178 · median $14,130 16 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,958 – $31,731 · median $10,630 16 plans
548 SEPTIC ARTHRITIS WITH MCC $10,685 – $63,933 · median $21,737 16 plans
549 SEPTIC ARTHRITIS WITH CC $6,392 – $43,382 · median $14,533 16 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,573 – $34,674 · median $11,616 16 plans
551 MEDICAL BACK PROBLEMS WITH MCC $9,051 – $56,108 · median $19,035 16 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,112 – $37,256 · median $12,481 16 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $6,927 – $45,943 · median $15,391 16 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,427 – $33,975 · median $11,382 16 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,142 – $46,974 · median $15,736 16 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,331 – $33,516 · median $11,228 16 plans
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $8,220 – $52,130 · median $17,485 16 plans
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $4,582 – $34,717 · median $11,630 16 plans
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,846 – $59,914 · median $20,371 16 plans
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,040 – $41,696 · median $13,968 16 plans
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,337 – $33,544 · median $11,237 16 plans
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $7,762 – $49,942 · median $16,730 16 plans
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $4,741 – $35,478 · median $11,885 16 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $8,323 – $52,625 · median $17,678 16 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,408 – $38,675 · median $12,956 16 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,968 – $31,779 · median $10,646 16 plans
570 SKIN DEBRIDEMENT WITH MCC $15,966 – $89,209 · median $30,331 16 plans
571 SKIN DEBRIDEMENT WITH CC $8,880 – $55,293 · median $18,717 16 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $6,059 – $41,790 · median $14,000 16 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $32,663 – $169,129 · median $57,504 16 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $18,378 – $100,752 · median $34,256 16 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,590 – $63,478 · median $21,583 16 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $28,617 – $149,761 · median $50,919 16 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $14,123 – $80,389 · median $27,332 16 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,966 – $55,702 · median $18,877 16 plans
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $17,288 – $95,535 · median $32,482 16 plans
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,404 – $57,799 · median $19,652 16 plans
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,634 – $49,325 · median $16,524 16 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $9,288 – $57,246 · median $19,464 16 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $8,713 – $54,491 · median $18,405 16 plans
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $10,859 – $64,766 · median $22,020 16 plans
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $10,529 – $63,184 · median $21,483 16 plans
592 SKIN ULCERS WITH MCC $10,907 – $64,991 · median $22,097 16 plans
593 SKIN ULCERS WITH CC $6,485 – $43,828 · median $14,683 16 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,502 – $34,333 · median $11,502 16 plans
595 MAJOR SKIN DISORDERS WITH MCC $11,218 – $66,484 · median $22,605 16 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,734 – $40,234 · median $13,478 16 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,318 – $57,385 · median $19,511 16 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,722 – $40,178 · median $13,460 16 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,534 – $34,491 · median $11,554 16 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,074 – $37,073 · median $12,419 16 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,180 – $28,007 · median $9,382 16 plans
602 CELLULITIS WITH MCC $7,793 – $50,086 · median $16,779 16 plans
603 CELLULITIS WITHOUT MCC $4,672 – $35,148 · median $11,775 16 plans
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,880 – $50,505 · median $16,919 16 plans
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,899 – $36,238 · median $12,140 16 plans
606 MINOR SKIN DISORDERS WITH MCC $8,541 – $53,669 · median $18,084 16 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,584 – $34,727 · median $11,634 16 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $12,088 – $70,645 · median $24,019 16 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $7,601 – $49,167 · median $16,471 16 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $20,500 – $110,910 · median $37,709 16 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $10,245 – $61,826 · median $21,021 16 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,604 – $44,397 · median $14,873 16 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $14,461 – $82,006 · median $27,882 16 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $8,470 – $53,331 · median $17,952 16 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $7,753 – $49,899 · median $16,716 16 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,848 – $107,787 · median $36,648 16 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $10,145 – $61,348 · median $20,858 16 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,320 – $38,253 · median $12,815 16 plans
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $15,207 – $85,576 · median $29,096 16 plans
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,005 – $51,104 · median $17,120 16 plans
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $6,720 – $44,951 · median $15,058 16 plans
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $20,928 – $112,959 · median $38,406 16 plans
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $11,929 – $69,886 · median $23,761 16 plans
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $7,432 – $48,363 · median $16,201 16 plans
637 DIABETES WITH MCC $7,724 – $49,759 · median $16,669 16 plans
638 DIABETES WITH CC $4,865 – $36,073 · median $12,084 16 plans
639 DIABETES WITHOUT CC/MCC $3,323 – $28,695 · median $9,613 16 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $7,044 – $46,502 · median $15,578 16 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $4,145 – $32,625 · median $10,929 16 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $6,583 – $44,296 · median $14,839 16 plans
643 ENDOCRINE DISORDERS WITH MCC $8,790 – $54,862 · median $18,549 16 plans
644 ENDOCRINE DISORDERS WITH CC $5,481 – $39,023 · median $13,073 16 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,130 – $32,556 · median $10,906 16 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $24,437 – $129,755 · median $44,117 16 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $18,418 – $100,945 · median $34,321 16 plans
652 KIDNEY TRANSPLANT $16,291 – $90,762 · median $30,859 16 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $29,568 – $154,313 · median $52,466 16 plans
654 MAJOR BLADDER PROCEDURES WITH CC $14,968 – $84,433 · median $28,707 16 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $11,018 – $65,525 · median $22,278 16 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $17,280 – $95,500 · median $32,470 16 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $9,696 – $59,198 · median $20,127 16 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $7,977 – $50,970 · median $17,075 16 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $13,707 – $78,396 · median $26,655 16 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $7,107 – $46,806 · median $15,680 16 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,445 – $38,850 · median $13,015 16 plans
662 MINOR BLADDER PROCEDURES WITH MCC $16,546 – $91,986 · median $31,275 16 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,101 – $51,564 · median $17,274 16 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,727 – $40,201 · median $13,467 16 plans
665 PROSTATECTOMY WITH MCC $18,212 – $99,958 · median $33,986 16 plans
666 PROSTATECTOMY WITH CC $8,737 – $54,608 · median $18,450 16 plans
667 PROSTATECTOMY WITHOUT CC/MCC $5,451 – $38,880 · median $13,025 16 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $15,468 – $86,825 · median $29,520 16 plans
669 TRANSURETHRAL PROCEDURES WITH CC $8,208 – $52,074 · median $17,463 16 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,069 – $37,050 · median $12,412 16 plans
671 URETHRAL PROCEDURES WITH CC/MCC $9,143 – $56,548 · median $19,206 16 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,805 – $40,571 · median $13,591 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $22,222 – $119,151 · median $40,511 16 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,244 – $71,392 · median $24,273 16 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,302 – $52,526 · median $17,639 16 plans
682 RENAL FAILURE WITH MCC $7,966 – $50,917 · median $17,057 16 plans
683 RENAL FAILURE WITH CC $4,715 – $35,354 · median $11,844 16 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,222 – $28,207 · median $9,449 16 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $10,002 – $60,660 · median $20,625 16 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,584 – $39,513 · median $13,237 16 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,841 – $31,173 · median $10,443 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $6,207 – $42,498 · median $14,237 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,257 – $33,163 · median $11,110 16 plans
693 URINARY STONES WITH MCC $7,799 – $50,117 · median $16,789 16 plans
694 URINARY STONES WITHOUT MCC $4,145 – $32,625 · median $10,929 16 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,982 – $41,419 · median $13,875 16 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,669 – $30,350 · median $10,167 16 plans
697 URETHRAL STRICTURE $5,314 – $38,220 · median $12,804 16 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,915 – $55,461 · median $18,782 16 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,410 – $38,680 · median $12,958 16 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,682 – $30,411 · median $10,188 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,293 – $62,054 · median $21,098 16 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $7,863 – $50,424 · median $16,892 16 plans
709 PENIS PROCEDURES WITH CC/MCC $11,919 – $69,835 · median $23,744 16 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $7,963 – $50,904 · median $17,053 16 plans
711 TESTES PROCEDURES WITH CC/MCC $10,134 – $61,293 · median $20,839 16 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,673 – $39,942 · median $13,380 16 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $7,670 – $49,497 · median $16,582 16 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,984 – $36,644 · median $12,276 16 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $11,978 – $70,120 · median $23,841 16 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $7,528 – $48,820 · median $16,355 16 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $9,842 – $59,894 · median $20,364 16 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,534 – $44,062 · median $14,761 16 plans
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $9,170 – $56,680 · median $19,258 16 plans
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $5,956 – $41,295 · median $13,834 16 plans
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,864 – $31,284 · median $10,480 16 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $6,697 – $44,841 · median $15,022 16 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,948 – $31,686 · median $10,615 16 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,794 – $50,092 · median $16,781 16 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,334 – $33,531 · median $11,233 16 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,839 – $40,736 · median $13,647 16 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,219 – $28,195 · median $9,445 16 plans
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $11,153 – $66,172 · median $22,498 16 plans
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $6,439 – $43,605 · median $14,608 16 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $20,885 – $112,753 · median $38,336 16 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $10,600 – $63,522 · median $21,597 16 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,046 – $51,297 · median $17,185 16 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $21,115 – $113,852 · median $38,710 16 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $9,644 – $58,949 · median $20,043 16 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $7,286 – $47,659 · median $15,966 16 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $9,689 – $59,163 · median $20,115 16 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $6,358 – $43,219 · median $14,478 16 plans
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $10,364 – $62,394 · median $21,214 16 plans
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,436 – $38,804 · median $12,999 16 plans
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,882 – $55,301 · median $18,721 16 plans
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,066 – $37,037 · median $12,407 16 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $7,226 – $47,373 · median $15,870 16 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $13,730 – $78,505 · median $26,692 16 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $6,840 – $45,524 · median $15,251 16 plans
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,597 – $58,721 · median $19,965 16 plans
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $5,888 – $40,970 · median $13,725 16 plans
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,065 – $37,032 · median $12,406 16 plans
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,507 – $48,718 · median $16,321 16 plans
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $5,406 – $38,665 · median $12,953 16 plans
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,395 – $29,035 · median $9,727 16 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,228 – $37,809 · median $12,666 16 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,362 – $28,880 · median $9,675 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,337 – $40,619 · median $13,608 16 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,370 – $48,063 · median $16,101 16 plans
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $5,707 – $40,104 · median $13,435 16 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,784 – $30,901 · median $10,352 16 plans
779 ABORTION WITHOUT D&C $4,958 – $36,519 · median $12,234 16 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,921 – $59,553 · median $20,248 16 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,921 – $40,282 · median $13,494 16 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,921 – $34,963 · median $11,713 16 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,921 – $53,811 · median $18,140 16 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,921 – $39,744 · median $13,314 16 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,921 – $35,755 · median $11,978 16 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,337 – $45,197 · median $15,141 16 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,337 – $37,367 · median $12,518 16 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,337 – $37,367 · median $12,518 16 plans
799 SPLENIC PROCEDURES WITH MCC $25,219 – $133,500 · median $45,390 16 plans
800 SPLENIC PROCEDURES WITH CC $15,455 – $86,761 · median $29,499 16 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $8,708 – $54,466 · median $18,395 16 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $19,014 – $103,796 · median $35,291 16 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,441 – $57,977 · median $19,712 16 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,864 – $40,856 · median $13,687 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,337 – $38,124 · median $12,771 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,337 – $31,157 · median $10,438 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,337 – $28,967 · median $9,704 16 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $12,148 – $70,932 · median $24,117 16 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $6,569 – $44,230 · median $14,817 16 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,048 – $36,951 · median $12,379 16 plans
811 RED BLOOD CELL DISORDERS WITH MCC $7,462 – $48,505 · median $16,249 16 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,895 – $36,217 · median $12,133 16 plans
813 COAGULATION DISORDERS $8,211 – $52,087 · median $17,468 16 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $11,088 – $65,860 · median $22,392 16 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,389 – $38,583 · median $12,925 16 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,497 – $29,528 · median $9,892 16 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $13,446 – $77,147 · median $26,230 16 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $6,832 – $45,486 · median $15,238 16 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,331 – $33,516 · median $11,228 16 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $30,881 – $160,601 · median $54,604 16 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $11,841 – $69,462 · median $23,617 16 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $6,066 – $41,823 · median $14,011 16 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $24,820 – $131,588 · median $44,740 16 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $11,666 – $68,624 · median $23,332 16 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $6,528 – $44,034 · median $14,751 16 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $25,329 – $134,025 · median $45,569 16 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $12,517 – $72,699 · median $24,718 16 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,502 – $53,481 · median $18,011 16 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $16,356 – $91,077 · median $30,966 16 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $7,757 – $49,916 · median $16,722 16 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,105 – $42,008 · median $14,073 16 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,964 – $31,762 · median $10,640 16 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,757 – $25,983 · median $8,704 16 plans
834 ACUTE LEUKEMIA WITH MCC $29,317 – $153,112 · median $52,058 16 plans
835 ACUTE LEUKEMIA WITH CC $11,329 – $67,012 · median $22,784 16 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $6,740 – $45,047 · median $15,091 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $26,558 – $139,908 · median $47,569 16 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,758 – $64,278 · median $21,855 16 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,269 – $47,578 · median $15,939 16 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $16,914 – $93,748 · median $31,874 16 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $8,317 – $52,595 · median $17,665 16 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,579 – $39,492 · median $13,230 16 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $10,042 – $60,853 · median $20,690 16 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $6,339 – $43,130 · median $14,449 16 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,438 – $34,031 · median $11,401 16 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $13,545 – $77,622 · median $26,391 16 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $6,740 – $45,047 · median $15,091 16 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,343 – $33,577 · median $11,248 16 plans
849 RADIOTHERAPY $14,168 – $80,600 · median $27,404 16 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $48,860 – $246,655 · median $83,863 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $26,527 – $139,758 · median $47,518 16 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $10,598 – $63,514 · median $21,595 16 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,622 – $54,057 · median $18,236 16 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $23,930 – $127,326 · median $43,291 16 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $11,557 – $68,104 · median $23,155 16 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $6,834 – $45,496 · median $15,241 16 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $9,752 – $59,467 · median $20,219 16 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,303 – $38,172 · median $12,788 16 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,763 – $35,585 · median $11,921 16 plans
865 VIRAL ILLNESS WITH MCC $7,828 – $50,257 · median $16,836 16 plans
866 VIRAL ILLNESS WITHOUT MCC $4,693 – $35,250 · median $11,809 16 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $11,373 – $67,226 · median $22,857 16 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,570 – $39,447 · median $13,215 16 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,817 – $31,056 · median $10,404 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $36,897 – $189,396 · median $64,395 16 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $10,407 – $62,600 · median $21,284 16 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,468 – $38,962 · median $13,052 16 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $20,843 – $112,550 · median $38,267 16 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,084 – $37,124 · median $12,436 16 plans
881 DEPRESSIVE NEUROSES $4,848 – $35,994 · median $12,058 16 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,102 – $37,210 · median $12,465 16 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,833 – $59,853 · median $20,350 16 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,859 – $55,189 · median $18,677 16 plans
885 PSYCHOSES $7,477 – $48,573 · median $16,272 16 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,529 – $58,396 · median $19,855 16 plans
887 OTHER MENTAL DISORDER DIAGNOSES $6,309 – $42,983 · median $14,399 16 plans
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $3,310 – $28,631 · median $9,592 16 plans
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,680 – $49,546 · median $16,598 16 plans
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,445 – $57,997 · median $19,719 16 plans
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,679 – $35,184 · median $11,787 16 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $23,499 – $125,267 · median $42,591 16 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,065 – $60,962 · median $20,727 16 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $6,466 – $43,737 · median $14,652 16 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $20,479 – $110,811 · median $37,676 16 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,742 – $54,631 · median $18,459 16 plans
906 HAND PROCEDURES FOR INJURIES $11,576 – $68,195 · median $23,186 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $21,130 – $113,924 · median $38,734 16 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $10,699 – $63,996 · median $21,759 16 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $6,727 – $44,986 · median $15,070 16 plans
913 TRAUMATIC INJURY WITH MCC $8,583 – $53,872 · median $18,163 16 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,861 – $36,052 · median $12,077 16 plans
915 ALLERGIC REACTIONS WITH MCC $9,218 – $56,908 · median $19,347 16 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,522 – $29,647 · median $9,932 16 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,697 – $54,415 · median $18,375 16 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,692 – $35,245 · median $11,807 16 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $9,672 – $59,084 · median $20,088 16 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,388 – $38,578 · median $12,924 16 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,648 – $30,246 · median $10,132 16 plans
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $8,961 – $55,677 · median $18,867 16 plans
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,410 – $38,680 · median $12,958 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $125,826 – $615,052 · median $209,118 16 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $35,425 – $182,348 · median $61,998 16 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $16,869 – $93,530 · median $31,800 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $22,950 – $122,637 · median $41,696 16 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,381 – $67,264 · median $22,870 16 plans
935 NON-EXTENSIVE BURNS $11,650 – $68,548 · median $23,306 16 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $16,835 – $93,367 · median $31,745 16 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $11,199 – $66,390 · median $22,573 16 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $10,366 – $62,402 · median $21,217 16 plans
947 SIGNS AND SYMPTOMS WITH MCC $6,822 – $45,441 · median $15,223 16 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,214 – $32,957 · median $11,041 16 plans
949 AFTERCARE WITH CC/MCC $5,723 – $40,180 · median $13,460 16 plans
950 AFTERCARE WITHOUT CC/MCC $3,109 – $27,667 · median $9,268 16 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,007 – $27,182 · median $9,106 16 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $36,217 – $186,141 · median $63,288 16 plans
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $20,274 – $109,829 · median $37,342 16 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $39,590 – $202,285 · median $68,777 16 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $21,798 – $117,125 · median $39,822 16 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $14,023 – $79,909 · median $27,169 16 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $14,409 – $81,757 · median $27,798 16 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $7,957 – $50,871 · median $17,042 16 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,840 – $35,956 · median $12,045 16 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $33,544 – $173,346 · median $58,938 16 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $14,073 – $80,148 · median $27,250 16 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $15,839 – $88,599 · median $30,124 16 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $7,539 – $48,873 · median $16,372 16 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,320 – $38,251 · median $12,814 16 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $7,648 – $49,393 · median $16,547 16 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,215 – $133,477 · median $45,382 16 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,986 – $74,943 · median $25,481 16 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,848 – $55,139 · median $18,657 16 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $18,578 – $101,712 · median $34,582 16 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $9,102 – $56,352 · median $19,130 16 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,129 – $42,122 · median $14,111 16 plans
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $19,517 – $58,551 · median $20,182 14 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $54,570 – $163,711 · median $57,299 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $38,619 – $115,858 · median $40,550 14 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $24,993 – $74,979 · median $26,243 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $39,555 – $118,666 · median $41,533 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $16,592 – $50,264 · median $17,090 14 plans
795 NORMAL NEWBORN $2,246 – $17,859 · median $6,072 14 plans
945 REHABILITATION WITH CC/MCC $17,180 – $51,541 · median $17,696 13 plans
946 REHABILITATION WITHOUT CC/MCC $13,711 – $41,132 · median $14,122 13 plans
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