St. Luke's Health - Memorial Hospital - Lufkin, 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 – $579,445 · median $195,080 17 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $58,448 – $229,666 · median $77,321 17 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $113,673 – $442,037 · median $148,819 17 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $74,946 – $293,106 · median $98,679 17 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $56,484 – $222,113 · median $74,778 17 plans
006 LIVER TRANSPLANT WITHOUT MCC $25,720 – $103,806 · median $34,948 17 plans
007 LUNG TRANSPLANT $69,317 – $271,461 · median $91,392 17 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $28,860 – $115,879 · median $39,013 17 plans
010 PANCREAS TRANSPLANT $42,289 – $167,522 · median $56,399 17 plans
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $28,620 – $114,957 · median $38,702 17 plans
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $21,766 – $88,600 · median $29,829 17 plans
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $14,056 – $58,949 · median $19,846 17 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $69,492 – $272,134 · median $91,618 17 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $32,014 – $128,011 · median $43,097 17 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $32,014 – $128,011 · median $43,097 17 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $200,029 – $774,123 · median $260,621 17 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $42,046 – $166,590 · median $56,085 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $42,756 – $169,319 · median $57,004 17 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $29,317 – $117,638 · median $39,605 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $18,725 – $76,907 · median $25,892 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $30,260 – $121,264 · median $40,826 17 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $20,164 – $82,441 · median $27,755 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $23,721 – $96,119 · median $32,360 17 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $16,223 – $67,284 · median $22,652 17 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $13,089 – $55,233 · median $18,595 17 plans
028 SPINAL PROCEDURES WITH MCC $32,246 – $128,901 · median $43,397 17 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $17,804 – $73,364 · median $24,699 17 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,804 – $50,289 · median $16,931 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $22,227 – $90,373 · median $30,426 17 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,327 – $48,457 · median $16,314 17 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $8,463 – $37,441 · median $12,605 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $20,626 – $84,215 · median $28,352 17 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $12,066 – $51,296 · median $17,270 17 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $9,723 – $42,287 · median $14,237 17 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $17,614 – $72,634 · median $24,453 17 plans
038 EXTRACRANIAL PROCEDURES WITH CC $8,546 – $37,763 · median $12,714 17 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,037 – $28,113 · median $9,465 17 plans
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $20,007 – $81,837 · median $27,552 17 plans
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $11,977 – $50,958 · median $17,156 17 plans
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $9,322 – $40,747 · median $13,718 17 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,674 – $45,946 · median $15,469 17 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,887 – $23,691 · median $7,976 17 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $7,951 – $35,475 · median $11,943 17 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,787 – $27,151 · median $9,141 17 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $13,282 – $55,973 · median $18,844 17 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,078 – $32,115 · median $10,812 17 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $9,791 – $42,548 · median $14,325 17 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $6,490 – $29,855 · median $10,051 17 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,733 – $23,100 · median $7,777 17 plans
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $14,339 – $60,039 · median $20,213 17 plans
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $9,446 – $41,222 · median $13,878 17 plans
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $7,451 – $33,551 · median $11,296 17 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,551 – $45,471 · median $15,309 17 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,394 – $25,639 · median $8,632 17 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,651 – $18,937 · median $6,375 17 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $7,717 – $34,573 · median $11,640 17 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,675 – $22,877 · median $7,702 17 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,244 – $21,217 · median $7,143 17 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $9,223 – $40,364 · median $13,589 17 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,590 – $26,394 · median $8,886 17 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,979 – $20,199 · median $6,800 17 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $8,198 – $36,423 · median $12,262 17 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,529 – $26,159 · median $8,807 17 plans
075 VIRAL MENINGITIS WITH CC/MCC $9,136 – $40,029 · median $13,477 17 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,863 – $23,599 · median $7,945 17 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $8,202 – $36,437 · median $12,267 17 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,293 – $25,252 · median $8,501 17 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,536 – $18,496 · median $6,227 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,543 – $45,443 · median $15,299 17 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,799 – $23,353 · median $7,862 17 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $12,306 – $52,222 · median $17,582 17 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,375 – $33,257 · median $11,197 17 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,071 – $24,399 · median $8,214 17 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,019 – $51,117 · median $17,209 17 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,957 – $31,650 · median $10,656 17 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,689 – $22,928 · median $7,719 17 plans
088 CONCUSSION WITH MCC $7,482 – $33,671 · median $11,336 17 plans
089 CONCUSSION WITH CC $5,686 – $26,765 · median $9,011 17 plans
090 CONCUSSION WITHOUT CC/MCC $4,547 – $22,384 · median $7,536 17 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $9,669 – $42,079 · median $14,167 17 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,615 – $26,492 · median $8,919 17 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,186 – $20,997 · median $7,069 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $19,353 – $79,320 · median $26,704 17 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $12,715 – $53,793 · median $18,110 17 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,715 – $53,793 · median $18,110 17 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $19,013 – $78,012 · median $26,264 17 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $11,506 – $49,145 · median $16,545 17 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,390 – $33,317 · median $11,217 17 plans
100 SEIZURES WITH MCC $10,530 – $45,392 · median $15,282 17 plans
101 SEIZURES WITHOUT MCC $4,889 – $23,697 · median $7,978 17 plans
102 HEADACHES WITH MCC $6,150 – $28,548 · median $9,611 17 plans
103 HEADACHES WITHOUT MCC $4,509 – $22,239 · median $7,487 17 plans
113 ORBITAL PROCEDURES WITH CC/MCC $11,969 – $50,925 · median $17,145 17 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $6,270 – $29,009 · median $9,766 17 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,120 – $36,125 · median $12,162 17 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,850 – $38,932 · median $13,107 17 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,721 – $26,898 · median $9,056 17 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $6,170 – $28,623 · median $9,636 17 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,598 – $18,733 · median $6,307 17 plans
123 NEUROLOGICAL EYE DISORDERS $4,260 – $21,280 · median $7,164 17 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $6,916 – $31,493 · median $10,603 17 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,380 – $21,739 · median $7,319 17 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $12,788 – $54,077 · median $18,206 17 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,188 – $24,850 · median $8,366 17 plans
137 MOUTH PROCEDURES WITH CC/MCC $7,418 – $33,425 · median $11,253 17 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,315 – $21,490 · median $7,235 17 plans
139 SALIVARY GLAND PROCEDURES $7,282 – $32,903 · median $11,077 17 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $22,432 – $91,160 · median $30,691 17 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $11,396 – $48,720 · median $16,403 17 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,340 – $36,970 · median $12,446 17 plans
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $17,513 – $72,246 · median $24,323 17 plans
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $9,318 – $40,729 · median $13,712 17 plans
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $6,284 – $29,064 · median $9,785 17 plans
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $12,168 – $51,690 · median $17,402 17 plans
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $6,602 – $30,288 · median $10,197 17 plans
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,247 – $21,229 · median $7,147 17 plans
149 DYSEQUILIBRIUM $3,965 – $20,144 · median $6,782 17 plans
150 EPISTAXIS WITH MCC $7,331 – $33,090 · median $11,140 17 plans
151 EPISTAXIS WITHOUT MCC $4,020 – $20,358 · median $6,854 17 plans
152 OTITIS MEDIA AND URI WITH MCC $6,019 – $28,044 · median $9,441 17 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,775 – $19,414 · median $6,536 17 plans
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $8,626 – $38,069 · median $12,817 17 plans
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $4,952 – $23,940 · median $8,060 17 plans
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,566 – $18,612 · median $6,266 17 plans
157 DENTAL AND ORAL DISEASES WITH MCC $8,685 – $38,297 · median $12,893 17 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,989 – $24,083 · median $8,108 17 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,499 – $18,351 · median $6,178 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $24,447 – $98,911 · median $33,300 17 plans
164 MAJOR CHEST PROCEDURES WITH CC $13,350 – $56,237 · median $18,933 17 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $9,887 – $42,917 · median $14,449 17 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $20,422 – $83,432 · median $28,089 17 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,691 – $42,167 · median $14,196 17 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,181 – $32,513 · median $10,946 17 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,276 – $67,488 · median $22,721 17 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,474 – $33,639 · median $11,325 17 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,320 – $21,511 · median $7,242 17 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $8,574 – $37,869 · median $12,749 17 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,262 – $25,133 · median $8,462 17 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,082 – $20,597 · median $6,934 17 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,270 – $40,547 · median $13,651 17 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,889 – $27,544 · median $9,273 17 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,442 – $21,980 · median $7,400 17 plans
183 MAJOR CHEST TRAUMA WITH MCC $8,419 – $37,274 · median $12,549 17 plans
184 MAJOR CHEST TRAUMA WITH CC $5,665 – $26,683 · median $8,983 17 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,125 – $20,760 · median $6,989 17 plans
186 PLEURAL EFFUSION WITH MCC $8,380 – $37,125 · median $12,499 17 plans
187 PLEURAL EFFUSION WITH CC $5,325 – $25,376 · median $8,543 17 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,894 – $19,873 · median $6,691 17 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,563 – $30,137 · median $10,146 17 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,956 – $27,803 · median $9,360 17 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,557 – $22,421 · median $7,548 17 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,433 – $18,098 · median $6,093 17 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,989 – $31,775 · median $10,697 17 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,349 – $21,623 · median $7,280 17 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,303 – $17,599 · median $5,925 17 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $9,993 – $43,327 · median $14,587 17 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,251 – $25,090 · median $8,447 17 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,715 – $19,184 · median $6,458 17 plans
199 PNEUMOTHORAX WITH MCC $9,363 – $40,904 · median $13,771 17 plans
200 PNEUMOTHORAX WITH CC $5,874 – $27,487 · median $9,254 17 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,591 – $18,708 · median $6,298 17 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,127 – $24,615 · median $8,287 17 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,695 – $19,106 · median $6,432 17 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,302 – $21,439 · median $7,218 17 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,013 – $43,403 · median $14,612 17 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,804 – $23,373 · median $7,869 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $34,302 – $136,809 · median $46,059 17 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $14,235 – $59,639 · median $20,078 17 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $57,781 – $227,100 · median $76,457 17 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $56,195 – $220,999 · median $74,403 17 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $51,189 – $201,750 · median $67,923 17 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $34,253 – $136,619 · median $45,995 17 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $31,555 – $126,245 · median $42,502 17 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,040 – $162,719 · median $54,782 17 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $28,094 – $112,934 · median $38,021 17 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $24,359 – $98,572 · median $33,186 17 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $26,431 – $106,542 · median $35,869 17 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $16,476 – $68,257 · median $22,980 17 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $44,946 – $177,739 · median $59,839 17 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $32,401 – $129,496 · median $43,597 17 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $41,458 – $164,328 · median $55,324 17 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $28,218 – $113,413 · median $38,182 17 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $31,210 – $124,917 · median $42,055 17 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $21,811 – $88,772 · median $29,886 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $26,716 – $107,635 · median $36,237 17 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $15,446 – $64,297 · median $21,647 17 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $8,009 – $35,695 · median $12,017 17 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $17,991 – $74,084 · median $24,942 17 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $11,949 – $50,848 · median $17,119 17 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $9,572 – $41,708 · median $14,042 17 plans
245 AICD GENERATOR PROCEDURES $25,920 – $104,573 · median $35,206 17 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,266 – $52,067 · median $17,529 17 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $8,288 – $36,770 · median $12,379 17 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $18,195 – $74,867 · median $25,205 17 plans
253 OTHER VASCULAR PROCEDURES WITH CC $13,541 – $56,971 · median $19,180 17 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $9,279 – $40,580 · median $13,662 17 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $13,878 – $58,266 · median $19,616 17 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $8,983 – $39,444 · median $13,279 17 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,731 – $23,090 · median $7,773 17 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $14,880 – $62,121 · median $20,914 17 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $9,323 – $40,749 · median $13,719 17 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $18,066 – $74,374 · median $25,039 17 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $10,065 – $43,603 · median $14,680 17 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $8,050 – $35,856 · median $12,072 17 plans
263 VEIN LIGATION AND STRIPPING $14,226 – $59,604 · median $20,067 17 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,538 – $76,187 · median $25,650 17 plans
265 AICD LEAD PROCEDURES $18,920 – $77,657 · median $26,145 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $31,775 – $127,091 · median $42,787 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $24,954 – $100,859 · median $33,956 17 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $35,365 – $140,896 · median $47,435 17 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $22,068 – $89,763 · median $30,220 17 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $27,225 – $109,595 · median $36,897 17 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $18,269 – $75,153 · median $25,301 17 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $13,272 – $55,935 · median $18,831 17 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $20,740 – $84,656 · median $28,501 17 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,554 – $68,556 · median $23,081 17 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $37,483 – $149,043 · median $50,178 17 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $32,855 – $131,244 · median $44,186 17 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $24,674 – $99,782 · median $33,593 17 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $26,538 – $106,949 · median $36,006 17 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $16,996 – $70,257 · median $23,653 17 plans
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $8,706 – $38,377 · median $12,920 17 plans
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $4,889 – $23,699 · median $7,979 17 plans
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $3,846 – $19,687 · median $6,628 17 plans
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $10,371 – $44,782 · median $15,077 17 plans
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $3,930 – $20,012 · median $6,737 17 plans
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $2,978 – $16,348 · median $5,504 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $11,739 – $50,042 · median $16,847 17 plans
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,780 – $27,124 · median $9,132 17 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $14,488 – $60,612 · median $20,406 17 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $8,363 – $37,057 · median $12,476 17 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,193 – $24,866 · median $8,372 17 plans
291 HEART FAILURE AND SHOCK WITH MCC $6,921 – $31,511 · median $10,609 17 plans
292 HEART FAILURE AND SHOCK WITH CC $4,568 – $22,463 · median $7,563 17 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,910 – $16,089 · median $5,417 17 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $6,513 – $29,945 · median $10,081 17 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,189 – $21,007 · median $7,072 17 plans
296 CARDIAC ARREST UNEXPLAINED WITH MCC $8,690 – $38,316 · median $12,900 17 plans
297 CARDIAC ARREST UNEXPLAINED WITH CC $3,736 – $19,265 · median $6,486 17 plans
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $2,343 – $13,907 · median $4,682 17 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,580 – $37,892 · median $12,757 17 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,678 – $26,734 · median $9,001 17 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,784 – $19,449 · median $6,548 17 plans
302 ATHEROSCLEROSIS WITH MCC $6,170 – $28,625 · median $9,637 17 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,566 – $18,612 · median $6,266 17 plans
304 HYPERTENSION WITH MCC $6,231 – $28,860 · median $9,716 17 plans
305 HYPERTENSION WITHOUT MCC $3,982 – $20,209 · median $6,804 17 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,942 – $35,440 · median $11,931 17 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,914 – $23,793 · median $8,010 17 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $6,396 – $29,494 · median $9,930 17 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,921 – $19,977 · median $6,726 17 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,968 – $16,310 · median $5,491 17 plans
311 ANGINA PECTORIS $3,704 – $19,141 · median $6,444 17 plans
312 SYNCOPE AND COLLAPSE $4,621 – $22,669 · median $7,632 17 plans
313 CHEST PAIN $3,784 – $19,449 · median $6,548 17 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $11,422 – $48,822 · median $16,437 17 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,104 – $24,525 · median $8,257 17 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,621 – $18,822 · median $6,337 17 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $32,813 – $131,081 · median $44,131 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $23,299 – $94,497 · median $31,814 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $12,278 – $52,112 · median $17,544 17 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $15,099 – $62,963 · median $21,198 17 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $9,596 – $41,800 · median $14,073 17 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $22,592 – $91,776 · median $30,898 17 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $16,947 – $70,068 · median $23,589 17 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $15,181 – $63,276 · median $21,303 17 plans
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $26,939 – $108,494 · median $36,526 17 plans
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $12,879 – $54,423 · median $18,323 17 plans
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,452 – $37,400 · median $12,591 17 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,355 – $98,558 · median $33,181 17 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,537 – $53,110 · median $17,880 17 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,757 – $38,573 · median $12,986 17 plans
332 RECTAL RESECTION WITH MCC $18,398 – $75,648 · median $25,468 17 plans
333 RECTAL RESECTION WITH CC $11,273 – $48,247 · median $16,243 17 plans
334 RECTAL RESECTION WITHOUT CC/MCC $8,797 – $38,728 · median $13,038 17 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $19,219 – $78,804 · median $26,531 17 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $11,204 – $47,982 · median $16,154 17 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $8,142 – $36,209 · median $12,190 17 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $14,292 – $59,857 · median $20,152 17 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $7,896 – $35,262 · median $11,872 17 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,605 – $30,298 · median $10,200 17 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,554 – $53,173 · median $17,902 17 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $6,677 – $30,575 · median $10,294 17 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,672 – $22,865 · median $7,698 17 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,829 – $54,232 · median $18,258 17 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $7,980 – $35,585 · median $11,980 17 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,848 – $27,387 · median $9,220 17 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $15,557 – $64,722 · median $21,790 17 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $9,023 – $39,595 · median $13,330 17 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,071 – $32,091 · median $10,804 17 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $22,625 – $91,905 · median $30,941 17 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $11,945 – $50,831 · median $17,113 17 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,187 – $32,537 · median $10,954 17 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,858 – $38,960 · median $13,117 17 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,397 – $25,653 · median $8,637 17 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,702 – $19,135 · median $6,442 17 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $9,271 – $40,551 · median $13,652 17 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,459 – $25,892 · median $8,717 17 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,848 – $19,693 · median $6,630 17 plans
374 DIGESTIVE MALIGNANCY WITH MCC $11,199 – $47,964 · median $16,148 17 plans
375 DIGESTIVE MALIGNANCY WITH CC $6,517 – $29,959 · median $10,086 17 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,683 – $22,908 · median $7,712 17 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $9,644 – $41,983 · median $14,134 17 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,229 – $25,007 · median $8,419 17 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,377 – $17,884 · median $6,021 17 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,206 – $44,147 · median $14,863 17 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,777 – $27,112 · median $9,128 17 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,974 – $20,181 · median $6,794 17 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,705 – $30,683 · median $10,330 17 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,612 – $22,635 · median $7,620 17 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $8,618 – $38,038 · median $12,806 17 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,264 – $25,141 · median $8,464 17 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,555 – $18,570 · median $6,252 17 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,796 – $34,879 · median $11,743 17 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,252 – $21,248 · median $7,153 17 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,902 – $16,059 · median $5,406 17 plans
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,813 – $31,097 · median $10,469 17 plans
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,139 – $20,813 · median $7,007 17 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $8,783 – $38,675 · median $13,021 17 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,993 – $24,097 · median $8,113 17 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,375 – $17,878 · median $6,019 17 plans
397 APPENDIX PROCEDURES WITH MCC $13,142 – $55,437 · median $18,664 17 plans
398 APPENDIX PROCEDURES WITH CC $8,026 – $35,762 · median $12,040 17 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $5,961 – $27,820 · median $9,366 17 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $20,750 – $84,694 · median $28,514 17 plans
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $28,794 – $115,626 · median $38,928 17 plans
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $14,896 – $62,180 · median $20,934 17 plans
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $11,328 – $48,461 · median $16,315 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $18,571 – $76,313 · median $25,692 17 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $11,120 – $47,660 · median $16,045 17 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,227 – $36,535 · median $12,300 17 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $14,514 – $60,712 · median $20,440 17 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $11,306 – $48,376 · median $16,286 17 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,818 – $38,807 · median $13,065 17 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $18,584 – $76,364 · median $25,709 17 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $10,492 – $45,245 · median $15,232 17 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $7,268 – $32,845 · median $11,058 17 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $12,605 – $53,371 · median $17,968 17 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $8,796 – $38,724 · median $13,037 17 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $6,989 – $31,772 · median $10,697 17 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $18,720 – $76,889 · median $25,886 17 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,686 – $38,300 · median $12,894 17 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,794 – $34,869 · median $11,739 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $21,573 – $87,860 · median $29,580 17 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $12,111 – $51,470 · median $17,328 17 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,199 – $36,427 · median $12,264 17 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $55,562 – $218,564 · median $73,583 17 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $37,673 – $149,771 · median $50,423 17 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $29,194 – $117,164 · median $39,445 17 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $44,239 – $175,020 · median $58,923 17 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $29,016 – $116,479 · median $39,215 17 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $10,391 – $44,857 · median $15,102 17 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,674 – $26,718 · median $8,995 17 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,694 – $19,104 · median $6,432 17 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $9,678 – $42,114 · median $14,178 17 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,981 – $27,899 · median $9,393 17 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,165 – $20,913 · median $7,041 17 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $8,824 – $38,832 · median $13,073 17 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,563 – $22,443 · median $7,556 17 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,262 – $17,444 · median $5,873 17 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,027 – $43,456 · median $14,630 17 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,125 – $24,605 · median $8,284 17 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,727 – $19,230 · median $6,474 17 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $8,934 – $39,254 · median $13,216 17 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,752 – $27,018 · median $9,096 17 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,229 – $21,160 · median $7,124 17 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $35,562 – $141,653 · median $47,690 17 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $21,659 – $88,188 · median $29,690 17 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $27,316 – $109,944 · median $37,014 17 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $16,368 – $67,842 · median $22,840 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $44,921 – $177,643 · median $59,807 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $30,442 – $121,964 · median $41,061 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $22,903 – $92,971 · median $31,300 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $32,549 – $130,067 · median $43,789 17 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $15,190 – $63,310 · median $21,314 17 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $28,647 – $115,061 · median $38,737 17 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $15,639 – $65,040 · median $21,897 17 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,208 – $40,309 · median $13,571 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $27,022 – $108,812 · median $36,633 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $18,167 – $74,761 · median $25,170 17 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $13,914 – $58,405 · median $19,663 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $17,337 – $71,569 · median $24,095 17 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $10,001 – $43,356 · median $14,596 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $25,763 – $103,972 · median $35,004 17 plans
472 CERVICAL SPINAL FUSION WITH CC $15,367 – $63,992 · median $21,544 17 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $12,557 – $53,185 · median $17,906 17 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $23,787 – $96,372 · median $32,445 17 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $11,442 – $48,900 · median $16,463 17 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,169 – $28,621 · median $9,636 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,240 – $75,043 · median $25,264 17 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,404 – $52,598 · median $17,708 17 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,419 – $41,118 · median $13,843 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $15,599 – $64,885 · median $21,845 17 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,005 – $47,219 · median $15,897 17 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $8,414 – $37,255 · median $12,543 17 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $13,516 – $56,873 · median $19,147 17 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $17,075 – $70,561 · median $23,756 17 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $11,249 – $48,157 · median $16,213 17 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,381 – $37,129 · median $12,500 17 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $10,424 – $44,986 · median $15,145 17 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,568 – $30,157 · median $10,153 17 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $18,836 – $77,331 · median $26,035 17 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $12,735 – $53,871 · median $18,136 17 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $10,000 – $43,354 · median $14,596 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $18,673 – $76,707 · median $25,825 17 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $10,465 – $45,141 · median $15,197 17 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $7,121 – $32,282 · median $10,868 17 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $13,392 – $56,398 · median $18,987 17 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $6,157 – $28,574 · median $9,620 17 plans
500 SOFT TISSUE PROCEDURES WITH MCC $16,807 – $69,529 · median $23,408 17 plans
501 SOFT TISSUE PROCEDURES WITH CC $9,466 – $41,300 · median $13,904 17 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $7,411 – $33,396 · median $11,243 17 plans
503 FOOT PROCEDURES WITH MCC $14,038 – $58,880 · median $19,823 17 plans
504 FOOT PROCEDURES WITH CC $9,309 – $40,694 · median $13,700 17 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $9,309 – $40,694 · median $13,700 17 plans
506 MAJOR THUMB OR JOINT PROCEDURES $7,951 – $35,475 · median $11,943 17 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $10,280 – $44,431 · median $14,958 17 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $6,845 – $31,222 · median $10,511 17 plans
509 ARTHROSCOPY $9,318 – $40,729 · median $13,712 17 plans
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $15,159 – $63,194 · median $21,275 17 plans
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $10,402 – $44,900 · median $15,116 17 plans
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $8,528 – $37,692 · median $12,690 17 plans
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,986 – $35,607 · median $11,988 17 plans
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,408 – $25,694 · median $8,650 17 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $16,402 – $67,973 · median $22,884 17 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $10,670 – $45,930 · median $15,463 17 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $7,917 – $35,344 · median $11,899 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $19,010 – $78,000 · median $26,260 17 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $10,459 – $45,118 · median $15,190 17 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $7,602 – $34,130 · median $11,491 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $15,460 – $64,348 · median $21,664 17 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $11,181 – $47,896 · median $16,125 17 plans
533 FRACTURES OF FEMUR WITH MCC $8,088 – $36,001 · median $12,120 17 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,317 – $21,501 · median $7,239 17 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $7,054 – $32,023 · median $10,781 17 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,301 – $21,437 · median $7,217 17 plans
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $4,874 – $23,642 · median $7,960 17 plans
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $3,562 – $18,594 · median $6,260 17 plans
539 OSTEOMYELITIS WITH MCC $10,727 – $46,148 · median $15,537 17 plans
540 OSTEOMYELITIS WITH CC $6,864 – $31,293 · median $10,535 17 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,640 – $22,743 · median $7,657 17 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $9,892 – $42,940 · median $14,456 17 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,627 – $26,537 · median $8,934 17 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,008 – $20,311 · median $6,838 17 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $13,403 – $56,439 · median $19,001 17 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $6,140 – $28,511 · median $9,599 17 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,958 – $20,118 · median $6,773 17 plans
548 SEPTIC ARTHRITIS WITH MCC $10,685 – $45,989 · median $15,483 17 plans
549 SEPTIC ARTHRITIS WITH CC $6,392 – $29,478 · median $9,924 17 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,573 – $22,482 · median $7,569 17 plans
551 MEDICAL BACK PROBLEMS WITH MCC $9,051 – $39,703 · median $13,367 17 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,112 – $24,556 · median $8,267 17 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $6,927 – $31,536 · median $10,617 17 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,427 – $21,921 · median $7,380 17 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,142 – $32,364 · median $10,896 17 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,331 – $21,552 · median $7,256 17 plans
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $8,220 – $36,507 · median $12,291 17 plans
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $4,582 – $22,516 · median $7,581 17 plans
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,846 – $42,760 · median $14,396 17 plans
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,040 – $28,124 · median $9,468 17 plans
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,337 – $21,574 · median $7,263 17 plans
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $7,762 – $34,748 · median $11,699 17 plans
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $4,741 – $23,128 · median $7,787 17 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $8,323 – $36,904 · median $12,424 17 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,408 – $25,696 · median $8,651 17 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,968 – $20,156 · median $6,786 17 plans
570 SKIN DEBRIDEMENT WITH MCC $15,966 – $66,296 · median $22,320 17 plans
571 SKIN DEBRIDEMENT WITH CC $8,880 – $39,048 · median $13,146 17 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $6,059 – $28,199 · median $9,494 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $32,663 – $130,506 · median $43,937 17 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $18,378 – $75,571 · median $25,442 17 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $10,590 – $45,624 · median $15,360 17 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $28,617 – $114,945 · median $38,698 17 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $14,123 – $59,210 · median $19,934 17 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,966 – $39,376 · median $13,257 17 plans
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $17,288 – $71,379 · median $24,031 17 plans
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,404 – $41,061 · median $13,824 17 plans
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,634 – $34,253 · median $11,532 17 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $9,288 – $40,617 · median $13,674 17 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $8,713 – $38,404 · median $12,929 17 plans
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $10,859 – $46,658 · median $15,708 17 plans
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $10,529 – $45,387 · median $15,280 17 plans
592 SKIN ULCERS WITH MCC $10,907 – $46,840 · median $15,769 17 plans
593 SKIN ULCERS WITH CC $6,485 – $29,837 · median $10,045 17 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,502 – $22,208 · median $7,477 17 plans
595 MAJOR SKIN DISORDERS WITH MCC $11,218 – $48,039 · median $16,173 17 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,734 – $26,949 · median $9,073 17 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,318 – $40,729 · median $13,712 17 plans
598 MALIGNANT BREAST DISORDERS WITH CC $5,722 – $26,904 · median $9,058 17 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,534 – $22,335 · median $7,519 17 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,074 – $24,409 · median $8,218 17 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,180 – $17,125 · median $5,766 17 plans
602 CELLULITIS WITH MCC $7,793 – $34,865 · median $11,738 17 plans
603 CELLULITIS WITHOUT MCC $4,672 – $22,863 · median $7,697 17 plans
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,880 – $35,201 · median $11,851 17 plans
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,899 – $23,738 · median $7,992 17 plans
606 MINOR SKIN DISORDERS WITH MCC $8,541 – $37,743 · median $12,707 17 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,584 – $22,525 · median $7,583 17 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $12,088 – $51,382 · median $17,299 17 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $7,601 – $34,126 · median $11,489 17 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $20,500 – $83,732 · median $28,190 17 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $10,245 – $44,296 · median $14,913 17 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,604 – $30,294 · median $10,199 17 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $14,461 – $60,510 · median $20,372 17 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $8,470 – $37,471 · median $12,615 17 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $7,753 – $34,714 · median $11,687 17 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,848 – $81,223 · median $27,345 17 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $10,145 – $43,913 · median $14,784 17 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,320 – $25,358 · median $8,537 17 plans
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $15,207 – $63,378 · median $21,337 17 plans
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,005 – $35,683 · median $12,013 17 plans
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $6,720 – $30,738 · median $10,349 17 plans
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $20,928 – $85,378 · median $28,744 17 plans
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $11,929 – $50,772 · median $17,093 17 plans
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $7,432 – $33,480 · median $11,272 17 plans
637 DIABETES WITH MCC $7,724 – $34,602 · median $11,649 17 plans
638 DIABETES WITH CC $4,865 – $23,606 · median $7,947 17 plans
639 DIABETES WITHOUT CC/MCC $3,323 – $17,678 · median $5,952 17 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $7,044 – $31,985 · median $10,768 17 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $4,145 – $20,836 · median $7,015 17 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $6,583 – $30,212 · median $10,171 17 plans
643 ENDOCRINE DISORDERS WITH MCC $8,790 – $38,701 · median $13,029 17 plans
644 ENDOCRINE DISORDERS WITH CC $5,481 – $25,976 · median $8,745 17 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,130 – $20,781 · median $6,996 17 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $24,437 – $98,872 · median $33,287 17 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $18,418 – $75,726 · median $25,494 17 plans
652 KIDNEY TRANSPLANT $16,291 – $67,545 · median $22,740 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $29,568 – $118,602 · median $39,929 17 plans
654 MAJOR BLADDER PROCEDURES WITH CC $14,968 – $62,460 · median $21,028 17 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $11,018 – $47,268 · median $15,914 17 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $17,280 – $71,351 · median $24,021 17 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $9,696 – $42,185 · median $14,202 17 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $7,977 – $35,574 · median $11,977 17 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $13,707 – $57,609 · median $19,395 17 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $7,107 – $32,229 · median $10,851 17 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,445 – $25,837 · median $8,698 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $16,546 – $68,528 · median $23,071 17 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,101 – $36,052 · median $12,137 17 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,727 – $26,922 · median $9,064 17 plans
665 PROSTATECTOMY WITH MCC $18,212 – $74,932 · median $25,227 17 plans
666 PROSTATECTOMY WITH CC $8,737 – $38,497 · median $12,961 17 plans
667 PROSTATECTOMY WITHOUT CC/MCC $5,451 – $25,861 · median $8,707 17 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $15,468 – $64,381 · median $21,675 17 plans
669 TRANSURETHRAL PROCEDURES WITH CC $8,208 – $36,462 · median $12,275 17 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,069 – $24,391 · median $8,212 17 plans
671 URETHRAL PROCEDURES WITH CC/MCC $9,143 – $40,056 · median $13,485 17 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,805 – $27,220 · median $9,164 17 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $22,222 – $90,353 · median $30,419 17 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,244 – $51,982 · median $17,501 17 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,302 – $36,825 · median $12,398 17 plans
682 RENAL FAILURE WITH MCC $7,966 – $35,532 · median $11,962 17 plans
683 RENAL FAILURE WITH CC $4,715 – $23,028 · median $7,753 17 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,222 – $17,287 · median $5,820 17 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $10,002 – $43,360 · median $14,598 17 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,584 – $26,369 · median $8,878 17 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,841 – $19,669 · median $6,622 17 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $6,207 – $28,768 · median $9,685 17 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,257 – $21,268 · median $7,160 17 plans
693 URINARY STONES WITH MCC $7,799 – $34,889 · median $11,746 17 plans
694 URINARY STONES WITHOUT MCC $4,145 – $20,836 · median $7,015 17 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,982 – $27,901 · median $9,393 17 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,669 – $19,008 · median $6,399 17 plans
697 URETHRAL STRICTURE $5,314 – $25,331 · median $8,528 17 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,915 – $39,183 · median $13,192 17 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,410 – $25,700 · median $8,652 17 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,682 – $19,057 · median $6,416 17 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,293 – $44,480 · median $14,975 17 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $7,863 – $35,136 · median $11,829 17 plans
709 PENIS PROCEDURES WITH CC/MCC $11,919 – $50,731 · median $17,080 17 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $7,963 – $35,521 · median $11,959 17 plans
711 TESTES PROCEDURES WITH CC/MCC $10,134 – $43,868 · median $14,769 17 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,673 – $26,714 · median $8,994 17 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $7,670 – $34,391 · median $11,578 17 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,984 – $24,065 · median $8,102 17 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $11,978 – $50,960 · median $17,157 17 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $7,528 – $33,847 · median $11,395 17 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $9,842 – $42,744 · median $14,390 17 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,534 – $30,024 · median $10,108 17 plans
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $9,170 – $40,162 · median $13,521 17 plans
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $5,956 – $27,801 · median $9,360 17 plans
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,864 – $19,759 · median $6,652 17 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $6,697 – $30,651 · median $10,319 17 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,948 – $20,081 · median $6,761 17 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,794 – $34,869 · median $11,739 17 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,334 – $21,564 · median $7,260 17 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,839 – $27,352 · median $9,209 17 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,219 – $17,276 · median $5,816 17 plans
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $11,153 – $47,788 · median $16,089 17 plans
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $6,439 – $29,657 · median $9,985 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $20,885 – $85,212 · median $28,688 17 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $10,600 – $45,659 · median $15,372 17 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,046 – $35,838 · median $12,065 17 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $21,115 – $86,096 · median $28,986 17 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $9,644 – $41,985 · median $14,135 17 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $7,286 – $32,915 · median $11,081 17 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $9,689 – $42,157 · median $14,193 17 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $6,358 – $29,347 · median $9,880 17 plans
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $10,364 – $44,753 · median $15,067 17 plans
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,436 – $25,800 · median $8,686 17 plans
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $8,882 – $39,054 · median $13,148 17 plans
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,066 – $24,381 · median $8,208 17 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $7,226 – $32,684 · median $11,004 17 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $13,730 – $57,697 · median $19,425 17 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $6,840 – $31,199 · median $10,504 17 plans
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,597 – $41,802 · median $14,073 17 plans
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $5,888 – $27,540 · median $9,272 17 plans
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,065 – $24,377 · median $8,207 17 plans
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,507 – $33,765 · median $11,368 17 plans
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $5,406 – $25,688 · median $8,648 17 plans
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,395 – $17,952 · median $6,044 17 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,228 – $25,001 · median $8,417 17 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,362 – $17,827 · median $6,002 17 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,337 – $27,259 · median $9,177 17 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,370 – $33,239 · median $11,190 17 plans
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $5,707 – $26,845 · median $9,038 17 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,784 – $19,451 · median $6,548 17 plans
779 ABORTION WITHOUT D&C $4,958 – $23,965 · median $8,068 17 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $2,921 – $42,471 · median $14,298 17 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,921 – $26,987 · median $9,086 17 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,921 – $22,714 · median $7,647 17 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,921 – $37,857 · median $12,745 17 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,921 – $26,555 · median $8,940 17 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,921 – $23,351 · median $7,861 17 plans
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $9,561 – $41,665 · median $14,027 17 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $31,531 – $126,153 · median $42,472 17 plans
791 PREMATURITY WITH MAJOR PROBLEMS $21,534 – $87,707 · median $29,528 17 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $12,993 – $54,864 · median $18,471 17 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $22,120 – $89,963 · median $30,288 17 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,830 – $35,007 · median $11,786 17 plans
795 NORMAL NEWBORN $1,060 – $8,973 · median $2,991 17 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,337 – $30,936 · median $10,415 17 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,337 – $24,646 · median $8,297 17 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,337 – $24,646 · median $8,297 17 plans
799 SPLENIC PROCEDURES WITH MCC $25,219 – $101,881 · median $34,300 17 plans
800 SPLENIC PROCEDURES WITH CC $15,455 – $64,330 · median $21,658 17 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $8,708 – $38,383 · median $12,922 17 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $19,014 – $78,016 · median $26,266 17 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,441 – $41,204 · median $13,872 17 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,864 – $27,448 · median $9,241 17 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,337 – $25,254 · median $8,502 17 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,337 – $19,657 · median $6,618 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,337 – $17,896 · median $6,025 17 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $12,148 – $51,613 · median $17,376 17 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $6,569 – $30,159 · median $10,154 17 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,048 – $24,311 · median $8,185 17 plans
811 RED BLOOD CELL DISORDERS WITH MCC $7,462 – $33,594 · median $11,310 17 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,895 – $23,722 · median $7,986 17 plans
813 COAGULATION DISORDERS $8,211 – $36,472 · median $12,279 17 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $11,088 – $47,537 · median $16,004 17 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,389 – $25,623 · median $8,626 17 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,497 – $18,347 · median $6,177 17 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $13,446 – $56,606 · median $19,057 17 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $6,832 – $31,169 · median $10,493 17 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,331 – $21,552 · median $7,256 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $30,881 – $123,655 · median $41,630 17 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $11,841 – $50,432 · median $16,979 17 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $6,066 – $28,225 · median $9,503 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $24,820 – $100,345 · median $33,783 17 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $11,666 – $49,759 · median $16,752 17 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $6,528 – $30,002 · median $10,101 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $25,329 – $102,303 · median $34,442 17 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $12,517 – $53,032 · median $17,854 17 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,502 – $37,592 · median $12,656 17 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $16,356 – $67,798 · median $22,825 17 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $7,757 – $34,728 · median $11,692 17 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,105 – $28,374 · median $9,553 17 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,964 – $20,142 · median $6,781 17 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,757 – $15,500 · median $5,218 17 plans
834 ACUTE LEUKEMIA WITH MCC $29,317 – $117,638 · median $39,605 17 plans
835 ACUTE LEUKEMIA WITH CC $11,329 – $48,463 · median $16,316 17 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $6,740 – $30,816 · median $10,375 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $26,558 – $107,029 · median $36,033 17 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,758 – $46,267 · median $15,576 17 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,269 – $32,849 · median $11,059 17 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $16,914 – $69,943 · median $23,548 17 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $8,317 – $36,880 · median $12,416 17 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,579 – $26,353 · median $8,872 17 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $10,042 – $43,515 · median $14,650 17 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $6,339 – $29,276 · median $9,856 17 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,438 – $21,966 · median $7,395 17 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $13,545 – $56,987 · median $19,186 17 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $6,740 – $30,816 · median $10,375 17 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,343 – $21,601 · median $7,272 17 plans
849 RADIOTHERAPY $14,168 – $59,380 · median $19,991 17 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $48,860 – $192,792 · median $64,907 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $26,527 – $106,909 · median $35,993 17 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $10,598 – $45,653 · median $15,370 17 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,622 – $38,055 · median $12,812 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $23,930 – $96,920 · median $32,630 17 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $11,557 – $49,340 · median $16,611 17 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $6,834 – $31,177 · median $10,496 17 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $9,752 – $42,401 · median $14,275 17 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,303 – $25,292 · median $8,515 17 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,763 – $23,214 · median $7,815 17 plans
865 VIRAL ILLNESS WITH MCC $7,828 – $35,001 · median $11,784 17 plans
866 VIRAL ILLNESS WITHOUT MCC $4,693 – $22,945 · median $7,725 17 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $11,373 – $48,635 · median $16,374 17 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,570 – $26,316 · median $8,860 17 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,817 – $19,575 · median $6,590 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $36,897 – $146,789 · median $49,419 17 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $10,407 – $44,918 · median $15,123 17 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,468 – $25,927 · median $8,729 17 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $20,843 – $85,049 · median $28,633 17 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,084 – $24,450 · median $8,232 17 plans
881 DEPRESSIVE NEUROSES $4,848 – $23,542 · median $7,926 17 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,102 – $24,519 · median $8,255 17 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,833 – $42,711 · median $14,380 17 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,859 – $38,964 · median $13,118 17 plans
885 PSYCHOSES $7,477 – $33,649 · median $11,329 17 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,529 – $41,541 · median $13,985 17 plans
887 OTHER MENTAL DISORDER DIAGNOSES $6,309 – $29,158 · median $9,816 17 plans
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $3,310 – $17,627 · median $5,935 17 plans
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,680 – $34,430 · median $11,592 17 plans
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,445 – $41,220 · median $13,878 17 plans
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,679 – $22,892 · median $7,707 17 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $23,499 – $95,266 · median $32,073 17 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,065 – $43,603 · median $14,680 17 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $6,466 – $29,763 · median $10,020 17 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $20,479 – $83,652 · median $28,163 17 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,742 – $38,516 · median $12,967 17 plans
906 HAND PROCEDURES FOR INJURIES $11,576 – $49,414 · median $16,636 17 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $21,130 – $86,153 · median $29,005 17 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $10,699 – $46,040 · median $15,500 17 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $6,727 – $30,767 · median $10,358 17 plans
913 TRAUMATIC INJURY WITH MCC $8,583 – $37,906 · median $12,762 17 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,861 – $23,589 · median $7,942 17 plans
915 ALLERGIC REACTIONS WITH MCC $9,218 – $40,345 · median $13,583 17 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,522 – $18,443 · median $6,209 17 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,697 – $38,342 · median $12,909 17 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,692 – $22,941 · median $7,723 17 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $9,672 – $42,093 · median $14,171 17 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,388 – $25,619 · median $8,625 17 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,648 – $18,924 · median $6,371 17 plans
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $8,961 – $39,356 · median $13,250 17 plans
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,410 – $25,700 · median $8,652 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $125,826 – $488,770 · median $164,553 17 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $35,425 – $141,127 · median $47,513 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $16,869 – $69,768 · median $23,489 17 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $22,950 – $93,153 · median $31,362 17 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,381 – $48,665 · median $16,384 17 plans
935 NON-EXTENSIVE BURNS $11,650 – $49,697 · median $16,731 17 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $16,835 – $69,637 · median $23,445 17 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $11,199 – $47,964 · median $16,148 17 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $10,366 – $44,759 · median $15,069 17 plans
947 SIGNS AND SYMPTOMS WITH MCC $6,822 – $31,132 · median $10,481 17 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,214 – $21,103 · median $7,105 17 plans
949 AFTERCARE WITH CC/MCC $5,723 – $26,906 · median $9,058 17 plans
950 AFTERCARE WITHOUT CC/MCC $3,109 – $16,852 · median $5,674 17 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,007 – $16,463 · median $5,542 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $36,217 – $144,174 · median $48,539 17 plans
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $20,274 – $82,863 · median $27,897 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $39,590 – $157,144 · median $52,905 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $21,798 – $88,725 · median $29,871 17 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $14,023 – $58,825 · median $19,804 17 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $14,409 – $60,310 · median $20,304 17 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $7,957 – $35,495 · median $11,950 17 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,840 – $23,512 · median $7,916 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $33,544 – $133,894 · median $45,078 17 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $14,073 – $59,017 · median $19,869 17 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $15,839 – $65,807 · median $22,155 17 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $7,539 – $33,890 · median $11,410 17 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,320 – $25,356 · median $8,536 17 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $7,648 – $34,308 · median $11,550 17 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,215 – $101,862 · median $34,294 17 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,986 – $54,835 · median $18,461 17 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,848 – $38,924 · median $13,104 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $18,578 – $76,342 · median $25,702 17 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $9,102 – $39,899 · median $13,433 17 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,129 – $28,466 · median $9,584 17 plans
945 REHABILITATION WITH CC/MCC $12,011 – $36,033 · median $12,371 13 plans
946 REHABILITATION WITHOUT CC/MCC $9,224 – $27,671 · median $9,500 13 plans
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