Intermountain Health Alta View Hospital — Pricing

842 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 842 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 842
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 842 procedures

Procedures with negotiated rates only

These 842 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
619 O.R. Procedures For Obesity With Mcc $19,317 – $73,071 · median $33,348 25 plans
620 O.R. Procedures For Obesity With Cc $10,706 – $54,327 · median $23,868 25 plans
621 O.R. Procedures For Obesity Without Cc/Mcc $10,092 – $43,447 · median $21,268 25 plans
784 Cesarean Section With Sterilization With Cc $7,092 – $24,051 · median $12,284 25 plans
785 Cesarean Section With Sterilization Without Cc/Mcc $6,408 – $16,775 · median $9,239 25 plans
787 Cesarean Section Without Sterilization With Cc $7,472 – $21,449 · median $11,771 25 plans
788 Cesarean Section Without Sterilization Without Cc/Mcc $6,415 – $17,870 · median $9,842 25 plans
795 Normal Newborn $1,130 – $4,290 · median $2,623 25 plans
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $5,490 – $16,803 · median $9,406 25 plans
806 Vaginal Delivery Without Sterilization Or D&C With Cc $4,202 – $10,550 · median $6,736 25 plans
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $3,676 – $9,905 · median $6,279 25 plans
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $5,490 – $18,483 · median $9,285 24 plans
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $142,001 – $384,398 · median $216,875 16 plans
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $92,669 – $220,983 · median $124,677 16 plans
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $36,489 – $134,867 · median $63,774 16 plans
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $28,206 – $119,955 · median $56,722 16 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $19,280 – $68,414 · median $34,696 16 plans
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $52,644 – $295,197 · median $139,588 16 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $35,417 – $225,707 · median $106,729 16 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $21,258 – $87,554 · median $43,400 16 plans
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Chemotherapy Implant Or Epilepsy With Neurostimulator $38,337 – $173,957 · median $82,258 16 plans
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $26,172 – $122,358 · median $57,859 16 plans
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $30,418 – $137,938 · median $65,226 16 plans
026 Craniotomy And Endovascular Intracranial Procedures With Cc $20,801 – $94,104 · median $44,498 16 plans
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $16,879 – $74,854 · median $35,396 16 plans
028 Spinal Procedures With Mcc $38,907 – $90,453 · median $48,604 16 plans
029 Spinal Procedures With Cc Or Spinal Neurostimulators $22,824 – $54,974 · median $28,190 16 plans
030 Spinal Procedures Without Cc/Mcc $13,084 – $29,232 · median $16,492 16 plans
031 Ventricular Shunt Procedures With Mcc $21,646 – $119,338 · median $56,430 16 plans
032 Ventricular Shunt Procedures With Cc $13,159 – $59,800 · median $28,277 16 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $9,694 – $46,401 · median $21,941 16 plans
034 Carotid Artery Stent Procedures With Mcc $25,896 – $96,794 · median $49,296 16 plans
035 Carotid Artery Stent Procedures With Cc $15,993 – $56,775 · median $29,270 16 plans
036 Carotid Artery Stent Procedures Without Cc/Mcc $12,998 – $56,452 · median $26,694 16 plans
037 Extracranial Procedures With Mcc $22,025 – $104,564 · median $49,445 16 plans
038 Extracranial Procedures With Cc $10,856 – $45,699 · median $21,609 16 plans
039 Extracranial Procedures Without Cc/Mcc $7,864 – $30,861 · median $14,593 16 plans
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $25,832 – $127,038 · median $60,072 16 plans
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $14,710 – $53,575 · median $25,334 16 plans
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $11,559 – $56,093 · median $26,524 16 plans
052 Spinal Disorders And Injuries With Cc/Mcc $12,118 – $52,516 · median $24,833 16 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $6,551 – $27,585 · median $13,044 16 plans
054 Nervous System Neoplasms With Mcc $10,215 – $39,913 · median $18,873 16 plans
055 Nervous System Neoplasms Without Mcc $6,821 – $31,789 · median $15,032 16 plans
056 Degenerative Nervous System Disorders With Mcc $15,542 – $64,284 · median $34,542 16 plans
057 Degenerative Nervous System Disorders Without Mcc $8,668 – $39,035 · median $20,975 16 plans
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $11,437 – $63,019 · median $29,799 16 plans
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $8,302 – $35,159 · median $16,625 16 plans
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $6,154 – $28,426 · median $13,441 16 plans
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $18,446 – $90,064 · median $42,588 16 plans
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $11,756 – $64,842 · median $30,661 16 plans
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $9,392 – $52,861 · median $24,996 16 plans
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $13,454 – $49,652 · median $23,479 16 plans
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $6,759 – $33,133 · median $15,667 16 plans
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $4,579 – $23,116 · median $10,931 16 plans
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc $9,826 – $35,962 · median $18,274 16 plans
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc $5,783 – $29,125 · median $13,772 16 plans
069 Transient Ischemia Without Thrombolytic $5,344 – $23,042 · median $10,896 16 plans
070 Nonspecific Cerebrovascular Disorders With Mcc $11,138 – $53,935 · median $25,504 16 plans
071 Nonspecific Cerebrovascular Disorders With Cc $6,864 – $31,717 · median $14,998 16 plans
072 Nonspecific Cerebrovascular Disorders Without Cc/Mcc $5,059 – $23,039 · median $10,894 16 plans
073 Cranial And Peripheral Nerve Disorders With Mcc $10,733 – $45,639 · median $21,581 16 plans
074 Cranial And Peripheral Nerve Disorders Without Mcc $6,896 – $26,129 · median $12,356 16 plans
075 Viral Meningitis With Cc/Mcc $9,740 – $33,101 · median $17,786 16 plans
076 Viral Meningitis Without Cc/Mcc $3,756 – $21,112 · median $11,344 16 plans
080 Nontraumatic Stupor And Coma With Mcc $12,109 – $52,276 · median $28,090 16 plans
081 Nontraumatic Stupor And Coma Without Mcc $5,992 – $23,982 · median $12,886 16 plans
082 Traumatic Stupor And Coma >1 Hour With Mcc $15,291 – $72,597 · median $34,328 16 plans
083 Traumatic Stupor And Coma >1 Hour With Cc $9,338 – $42,257 · median $19,982 16 plans
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $6,395 – $28,929 · median $13,680 16 plans
085 Traumatic Stupor And Coma <1 Hour With Mcc $15,200 – $71,630 · median $33,871 16 plans
086 Traumatic Stupor And Coma <1 Hour With Cc $8,715 – $39,906 · median $18,870 16 plans
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $6,120 – $27,057 · median $12,794 16 plans
088 Concussion With Mcc $9,044 – $42,693 · median $20,188 16 plans
089 Concussion With Cc $7,350 – $31,799 · median $15,036 16 plans
090 Concussion Without Cc/Mcc $5,507 – $27,349 · median $12,933 16 plans
091 Other Disorders Of Nervous System With Mcc $11,749 – $50,458 · median $23,860 16 plans
092 Other Disorders Of Nervous System With Cc $6,844 – $31,146 · median $14,728 16 plans
093 Other Disorders Of Nervous System Without Cc/Mcc $5,327 – $24,542 · median $11,605 16 plans
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $23,546 – $97,794 · median $46,243 16 plans
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $17,255 – $65,665 · median $31,051 16 plans
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $17,047 – $61,710 · median $29,180 16 plans
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $23,059 – $78,725 · median $42,302 16 plans
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $12,918 – $60,864 · median $28,780 16 plans
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $9,115 – $32,729 · median $16,439 16 plans
100 Seizures With Mcc $12,958 – $51,482 · median $24,344 16 plans
101 Seizures Without Mcc $5,838 – $28,465 · median $13,460 16 plans
102 Headaches With Mcc $7,499 – $26,447 · median $13,516 16 plans
103 Headaches Without Mcc $5,595 – $23,905 · median $11,304 16 plans
113 Orbital Procedures With Cc/Mcc $13,744 – $45,086 · median $24,227 16 plans
114 Orbital Procedures Without Cc/Mcc $9,052 – $33,644 · median $15,909 16 plans
115 Extraocular Procedures Except Orbit $10,269 – $40,538 · median $20,380 16 plans
116 Intraocular Procedures With Cc/Mcc $12,097 – $42,924 · median $21,724 16 plans
117 Intraocular Procedures Without Cc/Mcc $7,258 – $26,749 · median $13,548 16 plans
121 Acute Major Eye Infections With Cc/Mcc $4,226 – $28,609 · median $14,507 16 plans
122 Acute Major Eye Infections Without Cc/Mcc $2,710 – $18,655 · median $9,082 16 plans
123 Neurological Eye Disorders $5,343 – $25,172 · median $11,903 16 plans
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $8,852 – $32,180 · median $16,878 16 plans
125 Other Disorders Of The Eye Without Mcc $5,137 – $21,534 · median $10,183 16 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $14,518 – $59,195 · median $28,862 16 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $6,793 – $38,366 · median $18,142 16 plans
137 Mouth Procedures With Cc/Mcc $9,686 – $32,428 · median $17,425 16 plans
138 Mouth Procedures Without Cc/Mcc $5,929 – $27,771 · median $13,132 16 plans
139 Salivary Gland Procedures $8,267 – $34,065 · median $15,624 16 plans
140 Major Head And Neck Procedures With Mcc $4,563 – $105,336 · median $53,310 16 plans
141 Major Head And Neck Procedures With Cc $3,483 – $53,375 · median $27,129 16 plans
142 Major Head And Neck Procedures Without Cc/Mcc $10,680 – $39,201 · median $20,260 16 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $22,136 – $88,944 · median $43,938 16 plans
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $8,508 – $43,546 · median $22,180 16 plans
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $4,338 – $29,467 · median $14,967 16 plans
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $12,475 – $52,613 · median $24,879 16 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $8,507 – $30,591 · median $15,674 16 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $5,333 – $19,857 · median $10,117 16 plans
149 Dysequilibrium $5,028 – $20,653 · median $9,766 16 plans
150 Epistaxis With Mcc $8,908 – $34,241 · median $16,978 16 plans
151 Epistaxis Without Mcc $4,359 – $18,759 · median $9,422 16 plans
152 Otitis Media And Uri With Mcc $7,909 – $22,992 · median $12,355 16 plans
153 Otitis Media And Uri Without Mcc $4,174 – $14,029 · median $6,634 16 plans
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $10,460 – $40,107 · median $19,585 16 plans
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $6,132 – $22,985 · median $11,510 16 plans
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $3,932 – $16,556 · median $8,500 16 plans
157 Dental And Oral Diseases With Mcc $11,486 – $42,636 · median $20,161 16 plans
158 Dental And Oral Diseases With Cc $6,087 – $23,642 · median $11,179 16 plans
159 Dental And Oral Diseases Without Cc/Mcc $4,740 – $18,357 · median $8,680 16 plans
163 Major Chest Procedures With Mcc $29,984 – $151,468 · median $71,624 16 plans
164 Major Chest Procedures With Cc $16,886 – $81,619 · median $38,595 16 plans
165 Major Chest Procedures Without Cc/Mcc $12,806 – $59,619 · median $28,192 16 plans
166 Other Respiratory System O.R. Procedures With Mcc $25,006 – $112,190 · median $53,051 16 plans
167 Other Respiratory System O.R. Procedures With Cc $12,065 – $61,720 · median $29,185 16 plans
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $9,142 – $42,641 · median $20,163 16 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $19,913 – $76,585 · median $37,284 16 plans
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $9,190 – $39,360 · median $18,612 16 plans
176 Pulmonary Embolism Without Mcc $5,386 – $23,612 · median $11,165 16 plans
177 Respiratory Infections And Inflammations With Mcc $10,455 – $53,154 · median $25,134 16 plans
178 Respiratory Infections And Inflammations With Cc $6,530 – $30,147 · median $14,255 16 plans
179 Respiratory Infections And Inflammations Without Cc/Mcc $5,051 – $21,303 · median $10,073 16 plans
180 Respiratory Neoplasms With Mcc $11,815 – $30,457 · median $17,184 16 plans
181 Respiratory Neoplasms With Cc $7,165 – $28,716 · median $13,579 16 plans
182 Respiratory Neoplasms Without Cc/Mcc $5,043 – $12,474 · median $7,038 16 plans
183 Major Chest Trauma With Mcc $10,235 – $48,658 · median $23,008 16 plans
184 Major Chest Trauma With Cc $7,119 – $32,828 · median $15,523 16 plans
185 Major Chest Trauma Without Cc/Mcc $5,262 – $23,664 · median $11,190 16 plans
186 Pleural Effusion With Mcc $10,391 – $41,332 · median $19,544 16 plans
187 Pleural Effusion With Cc $6,617 – $31,045 · median $14,680 16 plans
188 Pleural Effusion Without Cc/Mcc $4,798 – $25,886 · median $12,241 16 plans
189 Pulmonary Edema And Respiratory Failure $6,847 – $28,847 · median $13,641 16 plans
190 Chronic Obstructive Pulmonary Disease With Mcc $7,411 – $35,375 · median $16,727 16 plans
191 Chronic Obstructive Pulmonary Disease With Cc $5,640 – $25,452 · median $12,035 16 plans
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $4,295 – $18,940 · median $8,956 16 plans
193 Simple Pneumonia And Pleurisy With Mcc $8,617 – $32,483 · median $15,360 16 plans
194 Simple Pneumonia And Pleurisy With Cc $5,392 – $22,692 · median $10,730 16 plans
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $4,136 – $15,490 · median $7,325 16 plans
196 Interstitial Lung Disease With Mcc $12,626 – $41,141 · median $20,425 16 plans
197 Interstitial Lung Disease With Cc $6,350 – $32,934 · median $15,573 16 plans
198 Interstitial Lung Disease Without Cc/Mcc $4,792 – $24,341 · median $11,510 16 plans
199 Pneumothorax With Mcc $7,319 – $54,930 · median $25,974 16 plans
200 Pneumothorax With Cc $6,918 – $34,693 · median $16,405 16 plans
201 Pneumothorax Without Cc/Mcc $3,896 – $23,148 · median $10,946 16 plans
202 Bronchitis And Asthma With Cc/Mcc $6,402 – $22,915 · median $10,836 16 plans
203 Bronchitis And Asthma Without Cc/Mcc $4,138 – $15,475 · median $7,318 16 plans
204 Respiratory Signs And Symptoms $5,005 – $19,230 · median $9,515 16 plans
205 Other Respiratory System Diagnoses With Mcc $10,386 – $28,260 · median $14,222 16 plans
206 Other Respiratory System Diagnoses Without Mcc $5,748 – $22,980 · median $10,866 16 plans
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $43,050 – $156,468 · median $77,941 16 plans
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $18,389 – $74,517 · median $35,236 16 plans
212 Concomitant Aortic And Mitral Valve?Procedures $72,750 – $273,380 · median $136,214 16 plans
215 Other Heart Assist System Implant $66,615 – $351,533 · median $166,227 16 plans
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $65,449 – $259,386 · median $122,654 16 plans
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $43,990 – $200,210 · median $94,672 16 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $43,990 – $174,141 · median $82,345 16 plans
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $51,370 – $252,764 · median $119,523 16 plans
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $35,678 – $171,063 · median $80,889 16 plans
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/Mcc $33,720 – $148,182 · median $70,070 16 plans
228 Other Cardiothoracic Procedures With Mcc $33,099 – $171,490 · median $81,091 16 plans
229 Other Cardiothoracic Procedures Without Mcc $21,071 – $111,982 · median $52,952 16 plans
231 Coronary Bypass With Ptca With Mcc $51,851 – $235,578 · median $111,396 16 plans
232 Coronary Bypass With Ptca Without Mcc $40,560 – $193,006 · median $91,265 16 plans
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $51,148 – $232,842 · median $110,102 16 plans
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $36,547 – $158,933 · median $75,154 16 plans
235 Coronary Bypass Without Cardiac Catheterization With Mcc $39,262 – $189,720 · median $89,712 16 plans
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $28,024 – $129,426 · median $61,201 16 plans
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $32,927 – $127,390 · median $60,238 16 plans
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $18,240 – $75,293 · median $35,603 16 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $9,262 – $37,785 · median $18,327 16 plans
242 Permanent Cardiac Pacemaker Implant With Mcc $21,361 – $81,227 · median $40,829 16 plans
243 Permanent Cardiac Pacemaker Implant With Cc $14,256 – $78,127 · median $36,944 16 plans
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $12,093 – $62,459 · median $29,534 16 plans
245 Aicd Generator Procedures $30,524 – $142,069 · median $67,179 16 plans
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $14,601 – $57,414 · median $28,763 16 plans
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $9,999 – $45,912 · median $21,710 16 plans
252 Other Vascular Procedures With Mcc $23,338 – $105,760 · median $50,010 16 plans
253 Other Vascular Procedures With Cc $17,365 – $84,037 · median $39,738 16 plans
254 Other Vascular Procedures Without Cc/Mcc $11,920 – $58,679 · median $27,747 16 plans
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $18,046 – $64,416 · median $33,123 16 plans
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $11,359 – $41,503 · median $21,106 16 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $7,307 – $36,573 · median $17,294 16 plans
258 Cardiac Pacemaker Device Replacement With Mcc $21,021 – $74,593 · median $37,160 16 plans
259 Cardiac Pacemaker Device Replacement Without Mcc $13,528 – $56,814 · median $26,865 16 plans
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $21,762 – $100,926 · median $51,711 16 plans
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $12,648 – $53,156 · median $25,136 16 plans
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $10,904 – $38,694 · median $20,023 16 plans
263 Vein Ligation And Stripping $20,455 – $72,583 · median $35,851 16 plans
264 Other Circulatory System O.R. Procedures $20,114 – $88,608 · median $41,899 16 plans
265 Aicd Lead Procedures $24,207 – $87,601 · median $44,751 16 plans
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $36,764 – $200,997 · median $95,044 16 plans
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $3,542 – $154,831 · median $73,214 16 plans
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $13,206 – $185,030 · median $87,494 16 plans
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $6,003 – $116,386 · median $55,035 16 plans
270 Other Major Cardiovascular Procedures With Mcc $3,196 – $139,406 · median $65,920 16 plans
271 Other Major Cardiovascular Procedures With Cc $4,009 – $85,716 · median $43,882 16 plans
272 Other Major Cardiovascular Procedures Without Cc/Mcc $17,080 – $70,963 · median $33,556 16 plans
273 Percutaneous And Other Intracardiac Procedures With Mcc $27,601 – $101,216 · median $47,861 16 plans
274 Percutaneous And Other Intracardiac Procedures Without Mcc $22,022 – $86,200 · median $40,761 16 plans
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $47,704 – $177,161 · median $89,843 16 plans
276 Cardiac Defibrillator Implant With Mcc $32,974 – $155,099 · median $75,242 16 plans
277 Cardiac Defibrillator Implant Without Mcc $30,899 – $117,254 · median $57,854 16 plans
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $28,561 – $132,142 · median $65,883 16 plans
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $24,128 – $85,616 · median $42,627 16 plans
280 Acute Myocardial Infarction, Discharged Alive With Mcc $10,732 – $51,430 · median $24,319 16 plans
281 Acute Myocardial Infarction, Discharged Alive With Cc $6,149 – $31,231 · median $14,768 16 plans
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $4,838 – $23,791 · median $11,250 16 plans
283 Acute Myocardial Infarction, Expired With Mcc $13,252 – $51,713 · median $24,749 16 plans
284 Acute Myocardial Infarction, Expired With Cc $4,631 – $18,392 · median $8,934 16 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $4,007 – $14,218 · median $7,248 16 plans
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $14,804 – $64,582 · median $30,538 16 plans
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $7,159 – $34,881 · median $16,494 16 plans
288 Acute And Subacute Endocarditis With Mcc $18,105 – $72,493 · median $34,279 16 plans
289 Acute And Subacute Endocarditis With Cc $6,740 – $40,522 · median $20,425 16 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $6,220 – $27,297 · median $14,172 16 plans
291 Heart Failure And Shock With Mcc $8,589 – $41,374 · median $19,564 16 plans
292 Heart Failure And Shock With Cc $5,680 – $31,484 · median $14,887 16 plans
293 Heart Failure And Shock Without Cc/Mcc $3,787 – $22,422 · median $10,602 16 plans
296 Cardiac Arrest, Unexplained With Mcc $10,449 – $40,565 · median $20,496 16 plans
297 Cardiac Arrest, Unexplained With Cc $4,242 – $19,723 · median $9,326 16 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $3,045 – $10,942 · median $5,810 16 plans
299 Peripheral Vascular Disorders With Mcc $8,305 – $26,975 · median $14,495 16 plans
300 Peripheral Vascular Disorders With Cc $7,142 – $26,298 · median $12,435 16 plans
301 Peripheral Vascular Disorders Without Cc/Mcc $4,815 – $23,329 · median $11,032 16 plans
302 Atherosclerosis With Mcc $8,006 – $28,604 · median $14,772 16 plans
303 Atherosclerosis Without Mcc $4,504 – $18,434 · median $8,717 16 plans
304 Hypertension With Mcc $7,961 – $29,058 · median $14,785 16 plans
305 Hypertension Without Mcc $5,052 – $18,538 · median $9,678 16 plans
306 Cardiac Congenital And Valvular Disorders With Mcc $10,542 – $38,589 · median $18,247 16 plans
307 Cardiac Congenital And Valvular Disorders Without Mcc $6,110 – $28,443 · median $13,450 16 plans
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $8,055 – $29,014 · median $13,719 16 plans
309 Cardiac Arrhythmia And Conduction Disorders With Cc $4,647 – $22,997 · median $10,874 16 plans
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $3,787 – $17,231 · median $8,148 16 plans
311 Angina Pectoris $4,696 – $22,084 · median $10,443 16 plans
312 Syncope And Collapse $5,831 – $19,413 · median $9,180 16 plans
313 Chest Pain $4,817 – $21,030 · median $9,945 16 plans
314 Other Circulatory System Diagnoses With Mcc $13,950 – $48,526 · median $22,946 16 plans
315 Other Circulatory System Diagnoses With Cc $6,445 – $29,800 · median $14,091 16 plans
316 Other Circulatory System Diagnoses Without Cc/Mcc $4,548 – $21,829 · median $10,322 16 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $29,858 – $108,837 · median $55,409 16 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $16,092 – $57,836 · median $30,064 16 plans
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal Devices $18,203 – $70,938 · median $37,163 16 plans
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $11,795 – $45,181 · median $23,886 16 plans
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $28,951 – $106,367 · median $53,951 16 plans
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $21,081 – $79,997 · median $39,471 16 plans
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $21,478 – $76,215 · median $38,100 16 plans
326 Stomach, Esophageal And Duodenal Procedures With Mcc $33,367 – $144,827 · median $68,483 16 plans
327 Stomach, Esophageal And Duodenal Procedures With Cc $16,352 – $76,568 · median $36,206 16 plans
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $10,696 – $35,918 · median $16,984 16 plans
329 Major Small And Large Bowel Procedures With Mcc $30,752 – $108,599 · median $51,353 16 plans
330 Major Small And Large Bowel Procedures With Cc $16,038 – $62,541 · median $29,573 16 plans
331 Major Small And Large Bowel Procedures Without Cc/Mcc $11,259 – $48,194 · median $22,789 16 plans
332 Rectal Resection With Mcc $24,223 – $95,259 · median $47,726 16 plans
333 Rectal Resection With Cc $15,670 – $69,847 · median $33,028 16 plans
334 Rectal Resection Without Cc/Mcc $10,958 – $42,019 · median $21,361 16 plans
335 Peritoneal Adhesiolysis With Mcc $23,890 – $83,177 · median $43,301 16 plans
336 Peritoneal Adhesiolysis With Cc $14,108 – $59,391 · median $28,084 16 plans
337 Peritoneal Adhesiolysis Without Cc/Mcc $10,270 – $39,236 · median $18,553 16 plans
344 Minor Small And Large Bowel Procedures With Mcc $14,780 – $66,682 · median $32,681 16 plans
345 Minor Small And Large Bowel Procedures With Cc $10,067 – $44,556 · median $21,069 16 plans
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $7,936 – $30,916 · median $15,254 16 plans
347 Anal And Stomal Procedures With Mcc $15,358 – $58,590 · median $30,213 16 plans
348 Anal And Stomal Procedures With Cc $8,756 – $31,151 · median $16,486 16 plans
349 Anal And Stomal Procedures Without Cc/Mcc $5,825 – $21,953 · median $11,662 16 plans
350 Inguinal And Femoral Hernia Procedures With Mcc $16,671 – $59,860 · median $30,694 16 plans
351 Inguinal And Femoral Hernia Procedures With Cc $10,199 – $37,262 · median $18,950 16 plans
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $7,813 – $29,376 · median $13,891 16 plans
353 Hernia Procedures Except Inguinal And Femoral With Mcc $19,415 – $58,637 · median $31,508 16 plans
354 Hernia Procedures Except Inguinal And Femoral With Cc $11,256 – $53,655 · median $25,371 16 plans
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $8,998 – $38,433 · median $18,173 16 plans
356 Other Digestive System O.R. Procedures With Mcc $28,474 – $76,726 · median $36,281 16 plans
357 Other Digestive System O.R. Procedures With Cc $15,558 – $50,828 · median $26,402 16 plans
358 Other Digestive System O.R. Procedures Without Cc/Mcc $9,352 – $29,269 · median $15,727 16 plans
368 Major Esophageal Disorders With Mcc $8,940 – $44,605 · median $21,092 16 plans
369 Major Esophageal Disorders With Cc $6,561 – $33,259 · median $15,727 16 plans
370 Major Esophageal Disorders Without Cc/Mcc $4,689 – $23,513 · median $11,118 16 plans
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $11,862 – $50,498 · median $23,879 16 plans
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $6,831 – $27,367 · median $12,941 16 plans
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $4,866 – $20,976 · median $9,919 16 plans
374 Digestive Malignancy With Mcc $14,308 – $54,493 · median $25,768 16 plans
375 Digestive Malignancy With Cc $8,093 – $32,934 · median $15,573 16 plans
376 Digestive Malignancy Without Cc/Mcc $6,184 – $21,943 · median $11,294 16 plans
377 Gastrointestinal Hemorrhage With Mcc $12,230 – $43,747 · median $20,686 16 plans
378 Gastrointestinal Hemorrhage With Cc $6,561 – $24,941 · median $11,794 16 plans
379 Gastrointestinal Hemorrhage Without Cc/Mcc $4,218 – $18,265 · median $8,637 16 plans
380 Complicated Peptic Ulcer With Mcc $13,102 – $38,016 · median $17,976 16 plans
381 Complicated Peptic Ulcer With Cc $7,249 – $29,668 · median $14,029 16 plans
382 Complicated Peptic Ulcer Without Cc/Mcc $5,189 – $25,514 · median $12,065 16 plans
383 Uncomplicated Peptic Ulcer With Mcc $9,237 – $32,778 · median $16,484 16 plans
384 Uncomplicated Peptic Ulcer Without Mcc $5,719 – $21,469 · median $10,994 16 plans
385 Inflammatory Bowel Disease With Mcc $10,586 – $43,150 · median $20,404 16 plans
386 Inflammatory Bowel Disease With Cc $6,532 – $25,844 · median $12,221 16 plans
387 Inflammatory Bowel Disease Without Cc/Mcc $4,558 – $24,128 · median $11,409 16 plans
388 Gastrointestinal Obstruction With Mcc $9,880 – $40,243 · median $19,029 16 plans
389 Gastrointestinal Obstruction With Cc $5,054 – $24,073 · median $11,383 16 plans
390 Gastrointestinal Obstruction Without Cc/Mcc $3,639 – $18,126 · median $8,571 16 plans
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $8,485 – $27,186 · median $12,855 16 plans
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $5,216 – $20,663 · median $9,771 16 plans
393 Other Digestive System Diagnoses With Mcc $10,700 – $34,229 · median $18,393 16 plans
394 Other Digestive System Diagnoses With Cc $6,260 – $25,529 · median $12,072 16 plans
395 Other Digestive System Diagnoses Without Cc/Mcc $4,342 – $19,681 · median $9,307 16 plans
397 Appendix Procedures With Mcc $16,022 – $61,477 · median $30,000 16 plans
398 Appendix Procedures With Cc $10,126 – $37,443 · median $20,145 16 plans
399 Appendix Procedures Without Cc/Mcc $7,658 – $27,840 · median $14,841 16 plans
405 Pancreas, Liver And Shunt Procedures With Mcc $36,599 – $174,974 · median $82,739 16 plans
406 Pancreas, Liver And Shunt Procedures With Cc $19,403 – $89,979 · median $42,548 16 plans
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $14,850 – $54,937 · median $26,162 16 plans
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $23,855 – $97,216 · median $51,046 16 plans
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $14,567 – $65,303 · median $30,880 16 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $10,622 – $53,518 · median $25,307 16 plans
411 Cholecystectomy With C.D.E. With Mcc $22,100 – $78,420 · median $39,223 16 plans
412 Cholecystectomy With C.D.E. With Cc $14,066 – $53,087 · median $27,502 16 plans
413 Cholecystectomy With C.D.E. Without Cc/Mcc $11,109 – $41,359 · median $20,800 16 plans
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $23,835 – $86,951 · median $44,250 16 plans
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $13,827 – $49,063 · median $25,281 16 plans
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $9,121 – $38,244 · median $19,885 16 plans
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $15,966 – $58,850 · median $29,804 16 plans
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $11,317 – $41,051 · median $20,948 16 plans
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $9,138 – $32,672 · median $16,786 16 plans
420 Hepatobiliary Diagnostic Procedures With Mcc $22,794 – $87,546 · median $46,223 16 plans
421 Hepatobiliary Diagnostic Procedures With Cc $11,624 – $50,227 · median $23,751 16 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $9,363 – $36,409 · median $17,531 16 plans
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $27,785 – $136,641 · median $64,612 16 plans
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $14,638 – $56,519 · median $28,499 16 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $10,037 – $38,291 · median $18,794 16 plans
432 Cirrhosis And Alcoholic Hepatitis With Mcc $13,168 – $39,816 · median $20,427 16 plans
433 Cirrhosis And Alcoholic Hepatitis With Cc $7,066 – $27,578 · median $13,040 16 plans
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $4,767 – $17,457 · median $8,255 16 plans
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $12,288 – $41,902 · median $20,550 16 plans
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $7,552 – $20,480 · median $11,005 16 plans
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $4,823 – $10,776 · median $6,431 16 plans
438 Disorders Of Pancreas Except Malignancy With Mcc $10,906 – $44,518 · median $21,051 16 plans
439 Disorders Of Pancreas Except Malignancy With Cc $5,628 – $30,452 · median $14,400 16 plans
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $4,157 – $21,323 · median $10,083 16 plans
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $12,007 – $51,028 · median $24,129 16 plans
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $6,458 – $27,570 · median $13,037 16 plans
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $4,681 – $22,149 · median $10,473 16 plans
444 Disorders Of The Biliary Tract With Mcc $10,585 – $36,617 · median $17,315 16 plans
445 Disorders Of The Biliary Tract With Cc $7,322 – $30,335 · median $14,344 16 plans
446 Disorders Of The Biliary Tract Without Cc/Mcc $5,535 – $22,526 · median $10,652 16 plans
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Mcc $56,221 – $266,880 · median $126,198 16 plans
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $39,895 – $198,006 · median $93,630 16 plans
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/Mcc $27,916 – $146,191 · median $69,128 16 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $36,950 – $110,863 · median $59,617 16 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $17,796 – $93,965 · median $44,432 16 plans
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Mcc $38,131 – $135,396 · median $64,024 16 plans
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $20,838 – $71,456 · median $35,113 16 plans
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/Mcc $12,201 – $49,268 · median $23,423 16 plans
466 Revision Of Hip Or Knee Replacement With Mcc $34,825 – $127,239 · median $65,012 16 plans
467 Revision Of Hip Or Knee Replacement With Cc $23,594 – $86,066 · median $43,802 16 plans
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $18,385 – $66,127 · median $33,879 16 plans
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Replacement $20,293 – $81,245 · median $38,418 16 plans
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $12,905 – $56,976 · median $29,413 16 plans
471 Cervical Spinal Fusion With Mcc $31,430 – $70,221 · median $38,555 16 plans
472 Cervical Spinal Fusion With Cc $19,227 – $58,121 · median $27,483 16 plans
473 Cervical Spinal Fusion Without Cc/Mcc $16,333 – $41,825 · median $20,620 16 plans
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $28,720 – $124,928 · median $59,074 16 plans
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $15,225 – $59,654 · median $28,208 16 plans
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $7,530 – $28,768 · median $14,943 16 plans
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $23,112 – $88,804 · median $41,992 16 plans
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $16,453 – $58,381 · median $29,988 16 plans
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $11,755 – $48,615 · median $22,988 16 plans
480 Hip And Femur Procedures Except Major Joint With Mcc $19,484 – $88,717 · median $41,951 16 plans
481 Hip And Femur Procedures Except Major Joint With Cc $14,013 – $63,962 · median $30,245 16 plans
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $10,912 – $42,130 · median $19,922 16 plans
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $18,545 – $67,077 · median $31,718 16 plans
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $21,590 – $105,715 · median $49,989 16 plans
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $13,990 – $37,277 · median $17,669 16 plans
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $10,478 – $26,514 · median $14,671 16 plans
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $11,834 – $33,356 · median $17,923 16 plans
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $7,472 – $29,829 · median $15,627 16 plans
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $24,564 – $105,110 · median $49,703 16 plans
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $16,967 – $74,216 · median $35,094 16 plans
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $13,424 – $50,022 · median $23,653 16 plans
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $19,577 – $78,494 · median $42,178 16 plans
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $12,069 – $48,509 · median $22,938 16 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $8,084 – $27,459 · median $14,755 16 plans
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $19,636 – $78,926 · median $37,321 16 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $13,050 – $33,691 · median $15,931 16 plans
500 Soft Tissue Procedures With Mcc $21,173 – $97,211 · median $45,967 16 plans
501 Soft Tissue Procedures With Cc $11,695 – $54,044 · median $25,555 16 plans
502 Soft Tissue Procedures Without Cc/Mcc $9,004 – $34,202 · median $16,173 16 plans
503 Foot Procedures With Mcc $18,673 – $87,584 · median $41,415 16 plans
504 Foot Procedures With Cc $12,505 – $45,548 · median $21,538 16 plans
505 Foot Procedures Without Cc/Mcc $11,994 – $42,158 · median $20,768 16 plans
506 Major Thumb Or Joint Procedures $9,026 – $36,518 · median $17,268 16 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $12,085 – $57,288 · median $27,089 16 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $10,132 – $35,952 · median $17,479 16 plans
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $20,208 – $70,628 · median $33,948 16 plans
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $13,912 – $56,388 · median $26,664 16 plans
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $11,075 – $38,356 · median $18,884 16 plans
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $10,532 – $38,624 · median $18,264 16 plans
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $6,839 – $23,825 · median $12,139 16 plans
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $21,321 – $101,685 · median $48,083 16 plans
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $13,903 – $62,516 · median $29,561 16 plans
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $10,281 – $45,630 · median $21,577 16 plans
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $25,003 – $92,988 · median $43,970 16 plans
519 Back And Neck Procedures Except Spinal Fusion With Cc $13,382 – $52,070 · median $24,622 16 plans
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $9,995 – $36,501 · median $17,260 16 plans
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $19,202 – $72,515 · median $36,869 16 plans
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $14,168 – $52,591 · median $26,527 16 plans
533 Fractures Of Femur With Mcc $10,488 – $39,811 · median $18,825 16 plans
534 Fractures Of Femur Without Mcc $4,544 – $21,219 · median $10,034 16 plans
535 Fractures Of Hip And Pelvis With Mcc $8,577 – $27,578 · median $14,819 16 plans
536 Fractures Of Hip And Pelvis Without Mcc $5,403 – $24,502 · median $11,586 16 plans
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $6,384 – $22,687 · median $11,934 16 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $4,819 – $17,100 · median $8,635 16 plans
539 Osteomyelitis With Mcc $13,178 – $51,428 · median $24,318 16 plans
540 Osteomyelitis With Cc $7,920 – $35,464 · median $16,770 16 plans
541 Osteomyelitis Without Cc/Mcc $4,822 – $21,576 · median $10,054 16 plans
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $11,818 – $58,831 · median $27,819 16 plans
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $6,878 – $34,055 · median $16,104 16 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $5,048 – $18,838 · median $9,147 16 plans
545 Connective Tissue Disorders With Mcc $16,603 – $81,503 · median $38,540 16 plans
546 Connective Tissue Disorders With Cc $7,717 – $36,325 · median $17,177 16 plans
547 Connective Tissue Disorders Without Cc/Mcc $5,594 – $20,763 · median $9,818 16 plans
548 Septic Arthritis With Mcc $12,918 – $54,104 · median $25,584 16 plans
549 Septic Arthritis With Cc $8,076 – $29,668 · median $15,092 16 plans
550 Septic Arthritis Without Cc/Mcc $5,848 – $21,335 · median $11,556 16 plans
551 Medical Back Problems With Mcc $10,039 – $40,846 · median $19,670 16 plans
552 Medical Back Problems Without Mcc $6,431 – $29,400 · median $13,902 16 plans
553 Bone Diseases And Arthropathies With Mcc $8,673 – $32,235 · median $16,430 16 plans
554 Bone Diseases And Arthropathies Without Mcc $4,868 – $20,537 · median $10,385 16 plans
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $8,843 – $49,250 · median $23,289 16 plans
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $5,557 – $25,527 · median $12,071 16 plans
557 Tendonitis, Myositis And Bursitis With Mcc $9,113 – $24,220 · median $13,014 16 plans
558 Tendonitis, Myositis And Bursitis Without Mcc $4,402 – $20,381 · median $9,637 16 plans
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $12,477 – $45,602 · median $23,187 16 plans
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $7,534 – $27,912 · median $14,325 16 plans
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $5,378 – $19,887 · median $10,057 16 plans
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $9,532 – $43,430 · median $20,536 16 plans
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $5,991 – $27,533 · median $13,019 16 plans
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $10,327 – $38,708 · median $19,414 16 plans
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $6,519 – $26,749 · median $12,649 16 plans
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $5,013 – $20,671 · median $9,832 16 plans
570 Skin Debridement With Mcc $19,677 – $78,380 · median $37,063 16 plans
571 Skin Debridement With Cc $11,303 – $41,342 · median $21,014 16 plans
572 Skin Debridement Without Cc/Mcc $7,669 – $28,277 · median $14,671 16 plans
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $43,830 – $155,530 · median $79,473 16 plans
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $19,835 – $85,761 · median $43,396 16 plans
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $12,022 – $49,154 · median $22,510 16 plans
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $32,790 – $133,630 · median $65,857 16 plans
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $17,734 – $65,899 · median $35,410 16 plans
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $10,747 – $41,701 · median $21,859 16 plans
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $21,666 – $69,199 · median $37,046 16 plans
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $11,561 – $56,418 · median $26,678 16 plans
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $9,655 – $40,454 · median $19,129 16 plans
582 Mastectomy For Malignancy With Cc/Mcc $12,889 – $63,208 · median $30,388 16 plans
583 Mastectomy For Malignancy Without Cc/Mcc $11,537 – $66,030 · median $25,844 16 plans
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $14,322 – $58,947 · median $27,988 16 plans
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $12,906 – $54,721 · median $26,474 16 plans
592 Skin Ulcers With Mcc $12,948 – $48,675 · median $23,017 16 plans
593 Skin Ulcers With Cc $5,776 – $31,312 · median $14,807 16 plans
594 Skin Ulcers Without Cc/Mcc $5,799 – $21,008 · median $10,727 16 plans
595 Major Skin Disorders With Mcc $14,188 – $55,450 · median $26,220 16 plans
596 Major Skin Disorders Without Mcc $4,821 – $26,635 · median $13,573 16 plans
597 Malignant Breast Disorders With Mcc $11,153 – $43,246 · median $21,005 16 plans
598 Malignant Breast Disorders With Cc $7,569 – $31,176 · median $14,742 16 plans
599 Malignant Breast Disorders Without Cc/Mcc $5,147 – $21,045 · median $9,638 16 plans
600 Non-Malignant Breast Disorders With Cc/Mcc $3,969 – $24,728 · median $12,423 16 plans
601 Non-Malignant Breast Disorders Without Cc/Mcc $4,048 – $14,830 · median $8,016 16 plans
602 Cellulitis With Mcc $9,509 – $39,945 · median $18,889 16 plans
603 Cellulitis Without Mcc $4,999 – $21,606 · median $10,217 16 plans
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $9,849 – $49,449 · median $23,382 16 plans
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $5,697 – $28,232 · median $13,350 16 plans
606 Minor Skin Disorders With Mcc $6,438 – $44,814 · median $21,191 16 plans
607 Minor Skin Disorders Without Mcc $3,787 – $16,016 · median $7,573 16 plans
614 Adrenal And Pituitary Procedures With Cc/Mcc $14,664 – $78,450 · median $37,096 16 plans
615 Adrenal And Pituitary Procedures Without Cc/Mcc $9,362 – $44,308 · median $20,951 16 plans
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $21,489 – $109,142 · median $51,609 16 plans
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $12,513 – $37,862 · median $18,548 16 plans
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $9,489 – $33,670 · median $16,508 16 plans
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $23,812 – $92,196 · median $44,997 16 plans
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $12,002 – $53,268 · median $25,188 16 plans
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $8,376 – $29,720 · median $14,289 16 plans
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $20,205 – $61,045 · median $32,802 16 plans
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $10,031 – $35,806 · median $19,033 16 plans
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $8,887 – $27,932 · median $13,208 16 plans
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $24,933 – $100,643 · median $47,591 16 plans
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $14,027 – $63,366 · median $29,964 16 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $9,764 – $34,649 · median $17,867 16 plans
637 Diabetes With Mcc $9,360 – $39,593 · median $18,722 16 plans
638 Diabetes With Cc $5,543 – $21,722 · median $10,272 16 plans
639 Diabetes Without Cc/Mcc $4,014 – $15,956 · median $7,545 16 plans
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $8,935 – $28,262 · median $13,364 16 plans
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $5,206 – $14,568 · median $7,608 16 plans
642 Inborn And Other Disorders Of Metabolism $9,514 – $33,761 · median $16,598 16 plans
643 Endocrine Disorders With Mcc $11,013 – $34,864 · median $18,734 16 plans
644 Endocrine Disorders With Cc $6,857 – $22,342 · median $11,979 16 plans
645 Endocrine Disorders Without Cc/Mcc $4,507 – $15,904 · median $8,546 16 plans
653 Major Bladder Procedures With Mcc $31,974 – $138,044 · median $67,282 16 plans
654 Major Bladder Procedures With Cc $18,728 – $76,716 · median $36,276 16 plans
655 Major Bladder Procedures Without Cc/Mcc $14,161 – $51,396 · median $26,496 16 plans
656 Kidney And Ureter Procedures For Neoplasm With Mcc $21,300 – $105,122 · median $49,708 16 plans
657 Kidney And Ureter Procedures For Neoplasm With Cc $12,243 – $58,672 · median $27,744 16 plans
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $10,382 – $50,790 · median $24,017 16 plans
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $16,999 – $86,396 · median $40,853 16 plans
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $8,842 – $46,803 · median $22,131 16 plans
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $6,927 – $43,576 · median $20,606 16 plans
662 Minor Bladder Procedures With Mcc $20,482 – $76,915 · median $38,350 16 plans
663 Minor Bladder Procedures With Cc $10,170 – $37,798 · median $19,092 16 plans
664 Minor Bladder Procedures Without Cc/Mcc $7,004 – $26,970 · median $13,597 16 plans
665 Prostatectomy With Mcc $20,882 – $80,982 · median $38,293 16 plans
666 Prostatectomy With Cc $11,703 – $41,528 · median $21,206 16 plans
667 Prostatectomy Without Cc/Mcc $7,401 – $26,261 · median $13,348 16 plans
668 Transurethral Procedures With Mcc $19,535 – $95,949 · median $45,371 16 plans
669 Transurethral Procedures With Cc $10,111 – $26,615 · median $14,301 16 plans
670 Transurethral Procedures Without Cc/Mcc $6,538 – $22,124 · median $11,607 16 plans
671 Urethral Procedures With Cc/Mcc $12,009 – $42,748 · median $22,249 16 plans
672 Urethral Procedures Without Cc/Mcc $7,222 – $27,278 · median $13,522 16 plans
673 Other Kidney And Urinary Tract Procedures With Mcc $25,993 – $85,009 · median $40,198 16 plans
674 Other Kidney And Urinary Tract Procedures With Cc $15,646 – $59,508 · median $28,139 16 plans
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $10,981 – $43,407 · median $20,526 16 plans
682 Renal Failure With Mcc $9,908 – $47,651 · median $22,532 16 plans
683 Renal Failure With Cc $5,764 – $24,341 · median $11,510 16 plans
684 Renal Failure Without Cc/Mcc $4,016 – $14,969 · median $7,109 16 plans
686 Kidney And Urinary Tract Neoplasms With Mcc $12,067 – $56,616 · median $26,772 16 plans
687 Kidney And Urinary Tract Neoplasms With Cc $7,010 – $33,936 · median $16,047 16 plans
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $5,287 – $18,762 · median $9,860 16 plans
689 Kidney And Urinary Tract Infections With Mcc $7,763 – $29,415 · median $13,909 16 plans
690 Kidney And Urinary Tract Infections Without Mcc $5,416 – $18,962 · median $8,966 16 plans
693 Urinary Stones With Mcc $8,995 – $41,885 · median $19,806 16 plans
694 Urinary Stones Without Mcc $5,083 – $16,242 · median $7,680 16 plans
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $7,652 – $27,788 · median $14,215 16 plans
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $4,007 – $18,533 · median $8,764 16 plans
697 Urethral Stricture $7,211 – $26,568 · median $12,563 16 plans
698 Other Kidney And Urinary Tract Diagnoses With Mcc $11,068 – $38,653 · median $18,278 16 plans
699 Other Kidney And Urinary Tract Diagnoses With Cc $6,791 – $33,294 · median $15,744 16 plans
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $4,616 – $21,859 · median $10,336 16 plans
707 Major Male Pelvic Procedures With Cc/Mcc $13,382 – $46,520 · median $23,453 16 plans
708 Major Male Pelvic Procedures Without Cc/Mcc $10,264 – $37,579 · median $19,520 16 plans
709 Penis Procedures With Cc/Mcc $15,569 – $56,055 · median $29,237 16 plans
710 Penis Procedures Without Cc/Mcc $9,374 – $37,478 · median $17,807 16 plans
711 Testes Procedures With Cc/Mcc $13,941 – $49,469 · median $24,991 16 plans
712 Testes Procedures Without Cc/Mcc $7,357 – $26,526 · median $14,424 16 plans
713 Transurethral Prostatectomy With Cc/Mcc $10,058 – $23,389 · median $12,568 16 plans
714 Transurethral Prostatectomy Without Cc/Mcc $7,074 – $19,924 · median $10,706 16 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $14,968 – $55,820 · median $28,032 16 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $9,841 – $35,293 · median $18,107 16 plans
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $12,648 – $45,721 · median $23,369 16 plans
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $8,986 – $31,885 · median $16,017 16 plans
722 Malignancy, Male Reproductive System With Mcc $12,107 – $42,962 · median $22,061 16 plans
723 Malignancy, Male Reproductive System With Cc $7,645 – $27,744 · median $14,227 16 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $4,387 – $18,069 · median $8,866 16 plans
725 Benign Prostatic Hypertrophy With Mcc $7,829 – $31,169 · median $15,140 16 plans
726 Benign Prostatic Hypertrophy Without Mcc $3,410 – $20,862 · median $9,865 16 plans
727 Inflammation Of The Male Reproductive System With Mcc $9,921 – $36,233 · median $18,430 16 plans
728 Inflammation Of The Male Reproductive System Without Mcc $5,341 – $21,893 · median $10,353 16 plans
729 Other Male Reproductive System Diagnoses With Cc/Mcc $7,083 – $27,109 · median $13,389 16 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $3,084 – $15,953 · median $7,972 16 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $14,250 – $58,421 · median $27,625 16 plans
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $9,002 – $37,579 · median $17,770 16 plans
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $23,914 – $139,307 · median $65,873 16 plans
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $13,786 – $49,570 · median $25,400 16 plans
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $9,825 – $37,617 · median $17,788 16 plans
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $23,970 – $93,560 · median $45,869 16 plans
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $12,107 – $45,994 · median $21,749 16 plans
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $9,541 – $31,945 · median $15,433 16 plans
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $11,578 – $25,869 · median $14,252 16 plans
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $8,301 – $20,259 · median $10,886 16 plans
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $13,342 – $48,646 · median $24,944 16 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $3,807 – $27,004 · median $13,590 16 plans
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $11,622 – $41,515 · median $19,631 16 plans
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $5,752 – $28,788 · median $13,613 16 plans
748 Female Reproductive System Reconstructive Procedures $9,281 – $25,286 · median $14,266 16 plans
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $15,417 – $79,715 · median $37,694 16 plans
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $9,873 – $36,315 · median $17,172 16 plans
754 Malignancy, Female Reproductive System With Mcc $12,321 – $48,065 · median $22,728 16 plans
755 Malignancy, Female Reproductive System With Cc $6,900 – $27,930 · median $13,207 16 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $6,426 – $23,920 · median $11,717 16 plans
757 Infections, Female Reproductive System With Mcc $8,573 – $34,951 · median $17,786 16 plans
758 Infections, Female Reproductive System With Cc $6,313 – $26,335 · median $12,453 16 plans
759 Infections, Female Reproductive System Without Cc/Mcc $3,737 – $15,754 · median $8,121 16 plans
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $4,471 – $17,536 · median $9,423 16 plans
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $3,659 – $16,130 · median $7,627 16 plans
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $5,031 – $11,423 · median $7,418 16 plans
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $11,305 – $32,287 · median $15,267 16 plans
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $5,989 – $15,227 · median $7,788 16 plans
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $3,495 – $16,447 · median $7,777 16 plans
779 Abortion Without D&C $4,015 – $11,973 · median $6,535 16 plans
783 Cesarean Section With Sterilization With Mcc $12,740 – $34,631 · median $19,070 16 plans
789 Neonates, Died Or Transferred To Another Acute Care Facility $3,016 – $21,610 · median $6,548 16 plans
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $6,428 – $139,874 · median $75,160 16 plans
791 Prematurity With Major Problems $2,538 – $42,135 · median $27,970 16 plans
792 Prematurity Without Major Problems $1,983 – $19,024 · median $7,032 16 plans
793 Full Term Neonate With Major Problems $4,367 – $40,517 · median $9,481 16 plans
794 Neonate With Other Significant Problems $2,156 – $23,192 · median $4,610 16 plans
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $7,808 – $29,129 · median $15,434 16 plans
799 Splenic Procedures With Mcc $30,299 – $113,782 · median $61,140 16 plans
800 Splenic Procedures With Cc $18,796 – $65,132 · median $34,998 16 plans
801 Splenic Procedures Without Cc/Mcc $12,771 – $43,670 · median $21,111 16 plans
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $26,655 – $94,583 · median $47,194 16 plans
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $12,436 – $48,603 · median $24,136 16 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $9,072 – $37,173 · median $17,578 16 plans
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $5,057 – $20,300 · median $9,599 16 plans
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Mcc $14,771 – $81,838 · median $38,698 16 plans
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $8,469 – $39,214 · median $18,543 16 plans
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/Mcc $6,814 – $24,644 · median $11,653 16 plans
811 Red Blood Cell Disorders With Mcc $9,395 – $29,725 · median $14,056 16 plans
812 Red Blood Cell Disorders Without Mcc $6,143 – $21,189 · median $10,020 16 plans
813 Coagulation Disorders $10,205 – $33,279 · median $17,882 16 plans
814 Reticuloendothelial And Immunity Disorders With Mcc $14,228 – $47,953 · median $22,675 16 plans
815 Reticuloendothelial And Immunity Disorders With Cc $6,784 – $30,995 · median $14,656 16 plans
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $4,228 – $23,081 · median $10,914 16 plans
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $12,353 – $62,870 · median $31,164 16 plans
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $7,755 – $34,752 · median $16,433 16 plans
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $4,683 – $20,414 · median $10,482 16 plans
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $39,237 – $143,828 · median $73,030 16 plans
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $14,977 – $55,669 · median $28,352 16 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $8,055 – $28,583 · median $15,645 16 plans
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $30,673 – $115,399 · median $54,568 16 plans
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $15,157 – $63,428 · median $29,993 16 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $9,028 – $32,035 · median $16,114 16 plans
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $31,296 – $136,809 · median $64,692 16 plans
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $15,462 – $63,185 · median $29,878 16 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/Mcc $11,399 – $45,074 · median $21,314 16 plans
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $21,141 – $85,657 · median $43,500 16 plans
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $10,069 – $36,272 · median $18,570 16 plans
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $4,799 – $28,547 · median $14,607 16 plans
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $3,901 – $18,196 · median $9,039 16 plans
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $2,570 – $14,515 · median $6,864 16 plans
834 Acute Leukemia Without Major O.R. Procedures With Mcc $36,729 – $136,663 · median $75,124 16 plans
835 Acute Leukemia Without Major O.R. Procedures With Cc $13,954 – $52,881 · median $26,223 16 plans
836 Acute Leukemia Without Major O.R. Procedures Without Cc/Mcc $8,159 – $31,513 · median $16,592 16 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mcc $32,142 – $123,370 · median $63,644 16 plans
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $13,609 – $50,354 · median $25,768 16 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $9,002 – $34,278 · median $17,583 16 plans
840 Lymphoma And Non-Acute Leukemia With Mcc $21,642 – $78,889 · median $40,163 16 plans
841 Lymphoma And Non-Acute Leukemia With Cc $10,914 – $38,729 · median $19,971 16 plans
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $6,760 – $26,038 · median $13,219 16 plans
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $12,669 – $52,045 · median $24,610 16 plans
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $8,145 – $38,946 · median $18,416 16 plans
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $5,697 – $20,844 · median $10,594 16 plans
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $13,648 – $63,056 · median $32,142 16 plans
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $7,909 – $31,409 · median $16,109 16 plans
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $5,683 – $26,772 · median $12,659 16 plans
849 Radiotherapy $18,127 – $65,750 · median $33,552 16 plans
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $33,040 – $150,648 · median $71,236 16 plans
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $13,368 – $57,968 · median $27,411 16 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $10,017 – $32,426 · median $17,424 16 plans
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $30,432 – $106,412 · median $51,870 16 plans
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $14,327 – $37,416 · median $17,693 16 plans
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $9,319 – $28,617 · median $14,643 16 plans
862 Postoperative And Post-Traumatic Infections With Mcc $11,564 – $35,226 · median $16,657 16 plans
863 Postoperative And Post-Traumatic Infections Without Mcc $6,102 – $24,822 · median $11,738 16 plans
864 Fever And Inflammatory Conditions $5,528 – $17,583 · median $8,314 16 plans
865 Viral Illness With Mcc $9,626 – $26,977 · median $12,757 16 plans
866 Viral Illness Without Mcc $5,135 – $24,542 · median $11,605 16 plans
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $14,004 – $53,052 · median $26,368 16 plans
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $6,898 – $29,926 · median $14,151 16 plans
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $4,882 – $17,677 · median $9,103 16 plans
870 Septicemia Or Severe Sepsis With Mv >96 Hours $46,242 – $193,452 · median $91,476 16 plans
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $12,996 – $48,526 · median $24,333 16 plans
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $6,585 – $20,455 · median $9,672 16 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $25,857 – $99,299 · median $46,955 16 plans
901 Wound Debridements For Injuries With Mcc $28,076 – $108,463 · median $53,814 16 plans
902 Wound Debridements For Injuries With Cc $12,808 – $53,657 · median $25,373 16 plans
903 Wound Debridements For Injuries Without Cc/Mcc $7,825 – $30,360 · median $14,938 16 plans
904 Skin Grafts For Injuries With Cc/Mcc $24,574 – $95,232 · median $50,060 16 plans
905 Skin Grafts For Injuries Without Cc/Mcc $9,924 – $40,888 · median $19,052 16 plans
906 Hand Procedures For Injuries $13,142 – $51,358 · median $24,285 16 plans
907 Other O.R. Procedures For Injuries With Mcc $25,686 – $128,615 · median $60,817 16 plans
908 Other O.R. Procedures For Injuries With Cc $13,348 – $51,467 · median $24,337 16 plans
909 Other O.R. Procedures For Injuries Without Cc/Mcc $8,782 – $37,326 · median $17,650 16 plans
913 Traumatic Injury With Mcc $10,936 – $40,154 · median $20,373 16 plans
914 Traumatic Injury Without Mcc $5,924 – $23,508 · median $11,116 16 plans
915 Allergic Reactions With Mcc $11,250 – $26,077 · median $14,012 16 plans
916 Allergic Reactions Without Mcc $3,866 – $12,276 · median $6,596 16 plans
917 Poisoning And Toxic Effects Of Drugs With Mcc $10,493 – $36,148 · median $17,093 16 plans
918 Poisoning And Toxic Effects Of Drugs Without Mcc $4,850 – $16,896 · median $7,990 16 plans
919 Complications Of Treatment With Mcc $12,248 – $35,184 · median $18,906 16 plans
920 Complications Of Treatment With Cc $6,706 – $23,213 · median $12,011 16 plans
921 Complications Of Treatment Without Cc/Mcc $4,606 – $16,294 · median $8,556 16 plans
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $11,704 – $51,701 · median $24,447 16 plans
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $4,542 – $18,305 · median $9,836 16 plans
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $24,276 – $86,141 · median $42,448 16 plans
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $15,634 – $55,478 · median $27,837 16 plans
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $12,956 – $48,960 · median $25,044 16 plans
945 Rehabilitation With Cc/Mcc $10,360 – $46,917 · median $22,185 16 plans
946 Rehabilitation Without Cc/Mcc $7,672 – $27,037 · median $13,196 16 plans
947 Signs And Symptoms With Mcc $8,493 – $34,908 · median $16,507 16 plans
948 Signs And Symptoms Without Mcc $5,356 – $19,914 · median $9,417 16 plans
949 Aftercare With Cc/Mcc $7,959 – $35,107 · median $18,864 16 plans
950 Aftercare Without Cc/Mcc $4,199 – $23,887 · median $12,836 16 plans
951 Other Factors Influencing Health Status $3,505 – $14,925 · median $7,057 16 plans
955 Craniotomy For Multiple Significant Trauma $45,033 – $165,877 · median $87,609 16 plans
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $25,175 – $110,100 · median $59,161 16 plans
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $50,979 – $242,807 · median $114,814 16 plans
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $28,192 – $114,328 · median $54,061 16 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $15,182 – $89,255 · median $42,205 16 plans
963 Other Multiple Significant Trauma With Mcc $18,290 – $87,856 · median $41,544 16 plans
964 Other Multiple Significant Trauma With Cc $10,253 – $48,152 · median $22,769 16 plans
965 Other Multiple Significant Trauma Without Cc/Mcc $6,292 – $40,121 · median $18,972 16 plans
969 Hiv With Extensive O.R. Procedures With Mcc $40,953 – $153,395 · median $81,999 16 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $17,645 – $65,482 · median $35,166 16 plans
974 Hiv With Major Related Condition With Mcc $19,308 – $86,207 · median $40,764 16 plans
975 Hiv With Major Related Condition With Cc $8,664 – $35,052 · median $16,222 16 plans
976 Hiv With Major Related Condition Without Cc/Mcc $6,039 – $24,609 · median $11,308 16 plans
977 Hiv With Or Without Other Related Condition $8,682 – $35,479 · median $16,777 16 plans
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $31,389 – $145,144 · median $68,633 16 plans
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $16,448 – $78,601 · median $37,168 16 plans
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $10,045 – $41,113 · median $19,441 16 plans
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $22,937 – $76,796 · median $39,007 16 plans
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $10,996 – $33,765 · median $19,050 16 plans
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $8,023 – $26,318 · median $12,958 16 plans
786 Cesarean Section Without Sterilization With Mcc $9,539 – $30,847 · median $15,581 15 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $142,840 – $588,325 · median $230,466 15 plans
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $30,111 – $170,280 · median $72,775 15 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $15,249 – $78,961 · median $34,544 15 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $26,053 – $106,952 · median $42,036 15 plans
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $3,186 – $53,208 · median $22,051 15 plans
935 Non-Extensive Burns $9,500 – $54,528 · median $23,792 15 plans
209 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 — 14 plans
213 SPLENIC PROCEDURES AGE 0-17 $16,143 – $135,482 · median $53,837 14 plans
317 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,734 – $158,738 · median $83,303 14 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $16,205 – $57,503 · median $27,646 14 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $23,005 – $110,399 · median $39,246 14 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $16,152 – $60,099 · median $27,556 14 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $10,796 – $98,888 · median $53,136 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $17,773 – $265,504 · median $142,665 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $13,323 – $179,502 · median $96,195 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $10,124 – $138,446 · median $74,392 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $60,276 – $213,888 · median $112,013 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $38,583 – $137,541 · median $73,906 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $44,701 – $167,040 · median $89,757 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,372 – $102,851 · median $55,266 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $35,656 – $127,713 · median $68,625 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $21,612 – $76,690 · median $41,121 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $57,934 – $228,644 · median $115,397 14 plans
894 Alcohol, Drug Abuse Or Dependence, Left Ama $3,377 – $9,177 · median $4,375 12 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $6,442 – $19,778 · median $10,039 12 plans
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $10,260 – $24,315 · median $12,376 12 plans
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $187,486 – $495,000 · median $198,735 11 plans
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $75,812 – $495,000 · median $81,498 11 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $68,980 – $403,000 · median $74,153 11 plans
006 Liver Transplant Without Mcc $31,023 – $403,000 · median $33,349 11 plans
007 Lung Transplant $86,640 – $143,491 · median $91,838 11 plans
008 Simultaneous Pancreas And Kidney Transplant $37,496 – $300,000 · median $40,121 11 plans
010 Pancreas Transplant $48,007 – $148,117 · median $50,407 11 plans
014 Allogeneic Bone Marrow Transplant $80,403 – $131,568 · median $85,227 11 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $39,671 – $71,518 · median $42,051 11 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $36,343 – $58,638 · median $38,524 11 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $288,903 – $424,868 · median $306,237 11 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $47,732 – $83,864 · median $50,596 11 plans
650 Kidney Transplant With Hemodialysis With Mcc $23,159 – $245,000 · median $33,341 11 plans
651 Kidney Transplant With Hemodialysis Without Mcc $24,793 – $245,000 · median $26,652 11 plans
652 Kidney Transplant $21,606 – $245,000 · median $23,227 11 plans
880 Acute Adjustment Reaction And Psychosocial Dysfunction $5,749 – $7,102 · median $6,681 11 plans
881 Depressive Neuroses $4,016 – $6,798 · median $6,452 11 plans
882 Neuroses Except Depressive $4,082 – $10,268 · median $7,471 11 plans
883 Disorders Of Personality And Impulse Control $8,081 – $14,207 · median $13,484 11 plans
884 Organic Disturbances And Intellectual Disability $10,764 – $18,455 · median $11,302 11 plans
885 Psychoses $4,656 – $10,093 · median $9,579 11 plans
886 Behavioral And Developmental Disorders $10,745 – $16,045 · median $14,440 11 plans
887 Other Mental Disorder Diagnoses $7,165 – $15,240 · median $7,594 11 plans
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $5,906 – $12,496 · median $6,379 11 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $15,022 – $38,276 · median $24,595 8 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $9,695 – $24,688 · median $15,864 8 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,477 – $16,534 · median $10,624 8 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $11,930 – $30,430 · median $19,553 8 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,045 – $15,741 · median $10,114 8 plans
509 ARTHROSCOPY $17,066 – $43,524 · median $27,967 8 plans
104 CRANIOTOMY- VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17 $25,800 – $25,800 · median $25,800 1 plans
105 TRAUMATIC STUPOR AND COMA <1 HOUR AGE 0-17 $3,742 – $3,742 · median $3,742 1 plans
106 CONCUSSION AGE 0-17 $3,420 – $3,420 · median $3,420 1 plans
107 SEIZURES AND HEADACHES AGE 0-17 $4,777 – $4,777 · median $4,777 1 plans
108 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 $9,273 – $9,273 · median $9,273 1 plans
109 OTHER DISORDERS OF THE EYE AGE 0-17 $7,181 – $7,181 · median $7,181 1 plans
111 SINUS AND MASTOID PROCEDURES AGE 0-17 $20,577 – $20,577 · median $20,577 1 plans
112 OTITIS MEDIA AND URI AGE 0-17 $2,752 – $2,752 · median $2,752 1 plans
118 OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES AGE 0-17 $4,967 – $4,967 · median $4,967 1 plans
119 DENTAL AND ORAL DISEASES AGE 0-17 $6,297 – $6,297 · median $6,297 1 plans
120 RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17 $7,761 – $7,761 · median $7,761 1 plans
160 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 $7,855 – $7,855 · median $7,855 1 plans
161 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 $16,964 – $16,964 · median $16,964 1 plans
162 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17 $10,493 – $10,493 · median $10,493 1 plans
169 FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH AGE 0-17 $4,005 – $4,005 · median $4,005 1 plans
170 CELLULITIS AGE 0-17 $3,087 – $3,087 · median $3,087 1 plans
171 TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST AGE 0-17 $4,787 – $4,787 · median $4,787 1 plans
172 MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES AGE 0-17 $5,121 – $5,121 · median $5,121 1 plans
174 KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17 $3,686 – $3,686 · median $3,686 1 plans
210 URETHRAL STRICTURE AGE 0-17 $13,901 – $13,901 · median $13,901 1 plans
211 OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17 $5,455 – $5,455 · median $5,455 1 plans
214 RED BLOOD CELL DISORDERS AGE 0-17 $5,312 – $5,312 · median $5,312 1 plans
361 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $40,741 – $40,741 · median $40,741 1 plans
362 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $37,999 – $37,999 · median $37,999 1 plans
363 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $28,255 – $28,255 · median $28,255 1 plans
364 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $30,894 – $30,894 · median $30,894 1 plans
365 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $84,613 – $84,613 · median $84,613 1 plans
366 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $64,397 – $64,397 · median $64,397 1 plans
367 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $49,346 – $49,346 · median $49,346 1 plans
396 MAJOR HEAD AND NECK PROCEDURES WITH MCC $37,775 – $37,775 · median $37,775 1 plans
400 OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE 0-17 $8,710 – $8,710 · median $8,710 1 plans
401 OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH CC $15,202 – $15,202 · median $15,202 1 plans
403 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $47,202 – $47,202 · median $47,202 1 plans
404 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $34,234 – $34,234 · median $34,234 1 plans
608 BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD $32,379 – $32,379 · median $32,379 1 plans
609 OTHER RESPIRATORY PROBLEMS AFTER BIRTH $25,191 – $25,191 · median $25,191 1 plans
610 NEONATE- DIED WITHIN ONE DAY OF BIRTH $3,182 – $3,182 · median $3,182 1 plans
611 NEONATE- TRANSFERRED <5 DAYS OLD $2,058 – $2,058 · median $2,058 1 plans
612 NEONATE- BIRTH WEIGHT <750 GRAMS- DISCHARGED ALIVE $272,926 – $272,926 · median $272,926 1 plans
613 NEONATE- BIRTH WEIGHT <750 GRAMS- DIED $38,265 – $38,265 · median $38,265 1 plans
631 NEONATE- BIRTH WEIGHT 750-999 GRAMS- DISCHARGED ALIVE $197,901 – $197,901 · median $197,901 1 plans
632 NEONATE- BIRTH WEIGHT 750-999 GRAMS- DIED $97,126 – $97,126 · median $97,126 1 plans
633 NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE $297,836 – $297,836 · median $297,836 1 plans
634 NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE $106,754 – $106,754 · median $106,754 1 plans
635 NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- DIED $59,416 – $59,416 · median $59,416 1 plans
636 NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS $175,004 – $175,004 · median $175,004 1 plans
646 NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS $55,441 – $55,441 · median $55,441 1 plans
647 NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS $59,540 – $59,540 · median $59,540 1 plans
648 NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM $41,505 – $41,505 · median $41,505 1 plans
649 NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM $29,248 – $29,248 · median $29,248 1 plans
676 NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS $28,263 – $28,263 · median $28,263 1 plans
677 NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS $39,315 – $39,315 · median $39,315 1 plans
678 NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM $23,564 – $23,564 · median $23,564 1 plans
679 NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM $10,908 – $10,908 · median $10,908 1 plans
680 NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH OTHER PROBLEM $7,353 – $7,353 · median $7,353 1 plans
681 NEONATE- BIRTH WEIGHT >2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS $119,200 – $119,200 · median $119,200 1 plans
691 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $45,991 – $45,991 · median $45,991 1 plans
692 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $28,276 – $28,276 · median $28,276 1 plans
762 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,339 – $9,339 · median $9,339 1 plans
763 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,123 – $7,123 · median $7,123 1 plans
764 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,239 – $6,239 · median $6,239 1 plans
771 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,559 – $9,559 · median $9,559 1 plans
772 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,758 – $7,758 · median $7,758 1 plans
773 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,607 – $6,607 · median $6,607 1 plans
898 ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE >21 WITHOUT MCC $7,523 – $7,523 · median $7,523 1 plans
899 ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE <=21 WITHOUT MCC $7,671 – $7,671 · median $7,671 1 plans
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