Southwestern Vermont Medical Center — Pricing

764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764
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 764 procedures

Procedures with negotiated rates only

These 764 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 $247,894 – $260,288 · median $247,894 16 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $112,007 – $121,233 · median $112,007 16 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $195,035 – $212,520 · median $195,035 16 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $131,574 – $141,197 · median $134,473 16 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $94,680 – $100,479 · median $94,680 16 plans
006 LIVER TRANSPLANT WITHOUT MCC $44,247 – $51,577 · median $44,247 16 plans
007 LUNG TRANSPLANT $109,843 – $117,822 · median $112,211 16 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $48,133 – $50,540 · median $48,133 16 plans
010 PANCREAS TRANSPLANT $37,313 – $46,236 · median $44,034 16 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $36,212 – $49,527 · median $47,169 16 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $36,636 – $38,468 · median $36,636 16 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $23,843 – $25,797 · median $24,568 16 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $104,842 – $146,566 · median $104,842 16 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $49,778 – $59,332 · median $56,506 16 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $39,323 – $59,332 · median $56,506 16 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $191,947 – $353,883 · median $337,031 16 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $64,198 – $76,779 · median $73,123 16 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $70,709 – $81,187 · median $77,321 16 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $56,181 – $64,658 · median $56,181 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $35,884 – $39,218 · median $35,884 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $51,857 – $56,209 · median $51,857 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,016 – $36,392 · median $34,659 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $33,754 – $42,417 · median $40,397 16 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $24,978 – $28,365 · median $27,014 16 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $21,886 – $23,369 · median $22,256 16 plans
028 SPINAL PROCEDURES WITH MCC $31,423 – $57,882 · median $55,126 16 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $22,111 – $32,929 · median $31,361 16 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,710 – $22,275 · median $21,214 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $18,424 – $39,541 · median $37,658 16 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,261 – $20,688 · median $19,703 16 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,372 – $15,588 · median $14,846 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $35,689 – $37,474 · median $35,689 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,668 – $22,087 · median $21,035 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,638 – $17,368 · median $16,541 16 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $25,750 – $32,423 · median $30,879 16 plans
038 EXTRACRANIAL PROCEDURES WITH CC $13,037 – $15,367 · median $14,636 16 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,438 – $13,419 · median $10,438 16 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $25,590 – $36,985 · median $35,224 16 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,859 – $21,426 · median $20,406 16 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,325 – $16,711 · median $15,915 16 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $16,737 – $18,677 · median $17,788 16 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,272 – $9,450 · median $9,000 16 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,231 – $14,153 · median $13,479 16 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,378 – $10,308 · median $9,817 16 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,852 – $22,995 · median $21,900 16 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,630 – $13,094 · median $12,470 16 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $15,807 – $17,157 · median $15,807 16 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,359 – $11,403 · median $10,860 16 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,209 – $8,641 · median $8,209 16 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $24,327 – $26,922 · median $25,640 16 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $15,795 – $17,978 · median $17,122 16 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $13,601 – $14,281 · median $13,601 16 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,856 – $19,239 · median $18,323 16 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,298 – $9,763 · median $9,298 16 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,289 – $8,361 · median $6,289 16 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,725 – $13,610 · median $12,962 16 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,586 – $8,366 · median $7,968 16 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,874 – $7,672 · median $7,306 16 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $15,808 – $17,189 · median $16,370 16 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,320 – $10,199 · median $9,713 16 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,064 – $7,521 · median $7,163 16 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $13,841 – $17,364 · median $13,841 16 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,386 – $9,857 · median $9,388 16 plans
075 VIRAL MENINGITIS WITH CC/MCC $9,183 – $18,382 · median $17,507 16 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,591 – $8,861 · median $8,439 16 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $13,821 – $14,513 · median $13,821 16 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,933 – $9,768 · median $9,302 16 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,604 – $7,116 · median $6,777 16 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $17,864 – $21,215 · median $20,205 16 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,687 – $8,736 · median $8,320 16 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $18,216 – $21,884 · median $20,842 16 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,408 – $13,359 · median $12,408 16 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,223 – $8,834 · median $8,413 16 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,174 – $21,831 · median $20,791 16 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,453 – $12,651 · median $12,049 16 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,027 – $8,512 · median $8,107 16 plans
088 CONCUSSION WITH MCC $14,031 – $14,733 · median $14,031 16 plans
089 CONCUSSION WITH CC $10,519 – $11,289 · median $10,519 16 plans
090 CONCUSSION WITHOUT CC/MCC $8,333 – $8,979 · median $8,551 16 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,968 – $17,186 · median $16,367 16 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,688 – $9,856 · median $9,387 16 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,705 – $7,438 · median $7,084 16 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $30,789 – $34,797 · median $33,140 16 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $21,810 – $30,569 · median $21,810 16 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,741 – $20,937 · median $19,940 16 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $27,044 – $34,933 · median $33,270 16 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,284 – $20,694 · median $19,709 16 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,178 – $12,681 · median $12,077 16 plans
100 SEIZURES WITH MCC $14,717 – $19,042 · median $18,136 16 plans
101 SEIZURES WITHOUT MCC $5,803 – $8,737 · median $8,321 16 plans
102 HEADACHES WITH MCC $10,018 – $11,590 · median $11,038 16 plans
103 HEADACHES WITHOUT MCC $7,005 – $8,091 · median $7,706 16 plans
113 ORBITAL PROCEDURES WITH CC/MCC $18,358 – $24,083 · median $22,936 16 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,268 – $13,072 · median $11,268 16 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $13,669 – $15,026 · median $14,311 16 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $16,748 – $17,585 · median $16,748 16 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,933 – $11,511 · median $10,963 16 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,686 – $12,306 · median $11,720 16 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,990 – $7,151 · median $6,811 16 plans
123 NEUROLOGICAL EYE DISORDERS $7,355 – $8,099 · median $7,355 16 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $12,093 – $12,697 · median $12,093 16 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,979 – $7,660 · median $7,295 16 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $22,052 – $25,474 · median $24,261 16 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,553 – $10,440 · median $9,553 16 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,221 – $14,453 · median $13,765 16 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,919 – $8,315 · median $7,919 16 plans
139 SALIVARY GLAND PROCEDURES $10,865 – $11,408 · median $10,865 16 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $4,816 – $36,290 · median $34,561 16 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,391 – $19,899 · median $18,952 16 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $14,133 – $15,096 · median $14,133 16 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $13,111 – $31,943 · median $30,422 16 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $7,664 – $16,622 · median $15,830 16 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,650 – $11,729 · median $11,170 16 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $12,447 – $20,277 · median $19,311 16 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,792 – $11,870 · median $11,305 16 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,357 – $8,546 · median $8,139 16 plans
149 DYSEQUILIBRIUM $6,066 – $7,153 · median $6,812 16 plans
150 EPISTAXIS WITH MCC $12,025 – $12,626 · median $12,025 16 plans
151 EPISTAXIS WITHOUT MCC $4,023 – $7,403 · median $7,050 16 plans
152 OTITIS MEDIA AND URI WITH MCC $6,428 – $11,413 · median $10,869 16 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,994 – $7,058 · median $6,722 16 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,467 – $14,775 · median $14,071 16 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,744 – $9,092 · median $8,659 16 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,478 – $6,296 · median $5,996 16 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,222 – $16,396 · median $15,615 16 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,671 – $9,015 · median $8,585 16 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,114 – $6,485 · median $6,177 16 plans
163 MAJOR CHEST PROCEDURES WITH MCC $36,940 – $45,275 · median $43,119 16 plans
164 MAJOR CHEST PROCEDURES WITH CC $20,383 – $24,497 · median $23,331 16 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,723 – $18,023 · median $17,165 16 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $31,739 – $38,976 · median $37,120 16 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,647 – $20,263 · median $16,647 16 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,402 – $13,712 · median $12,402 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $8,285 – $29,536 · median $28,130 16 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,123 – $13,476 · median $12,834 16 plans
176 PULMONARY EMBOLISM WITHOUT MCC $5,188 – $7,834 · median $7,461 16 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,722 – $16,294 · median $15,518 16 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,128 – $9,477 · median $9,026 16 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,994 – $7,332 · median $6,983 16 plans
180 RESPIRATORY NEOPLASMS WITH MCC $11,664 – $16,696 · median $15,901 16 plans
181 RESPIRATORY NEOPLASMS WITH CC $9,156 – $10,576 · median $10,073 16 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,307 – $7,986 · median $7,307 16 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,272 – $15,123 · median $14,403 16 plans
184 MAJOR CHEST TRAUMA WITH CC $8,132 – $10,104 · median $9,623 16 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,411 – $7,259 · median $6,913 16 plans
186 PLEURAL EFFUSION WITH MCC $13,374 – $14,908 · median $14,198 16 plans
187 PLEURAL EFFUSION WITH CC $7,511 – $9,570 · median $9,114 16 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,512 – $7,170 · median $6,829 16 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,818 – $11,834 · median $11,270 16 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,115 – $10,585 · median $10,081 16 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,544 – $8,155 · median $7,767 16 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,034 – $6,165 · median $5,871 16 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,974 – $12,742 · median $12,136 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,149 – $7,897 · median $7,521 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,617 – $6,009 · median $5,723 16 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,339 – $20,012 · median $17,339 16 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $6,898 – $9,581 · median $9,125 16 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,548 – $7,475 · median $7,119 16 plans
199 PNEUMOTHORAX WITH MCC $9,620 – $17,041 · median $16,229 16 plans
200 PNEUMOTHORAX WITH CC $6,718 – $10,345 · median $9,852 16 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $4,179 – $6,782 · median $6,459 16 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,836 – $9,197 · median $8,759 16 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,011 – $6,675 · median $6,357 16 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $3,400 – $7,904 · median $7,528 16 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,156 – $17,388 · median $16,560 16 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,379 – $8,774 · median $8,357 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $63,193 – $66,353 · median $63,193 16 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $23,338 – $25,971 · median $24,734 16 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $6,280 – $103,455 · median $98,529 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $71,648 – $98,115 · median $93,443 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $88,783 – $102,029 · median $88,783 16 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $54,136 – $61,140 · median $58,229 16 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $52,112 – $54,718 · median $52,112 16 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $57,295 – $74,068 · median $70,541 16 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $41,927 – $50,376 · median $47,977 16 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $37,551 – $44,651 · median $42,525 16 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $46,093 – $50,654 · median $46,093 16 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $29,086 – $33,107 · median $29,086 16 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $74,237 – $85,051 · median $74,237 16 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $52,710 – $57,138 · median $54,417 16 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $63,264 – $74,917 · median $71,349 16 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $47,550 – $49,927 · median $47,550 16 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $50,506 – $56,485 · median $53,795 16 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $36,968 – $41,225 · median $36,968 16 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $32,858 – $46,170 · median $43,972 16 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $23,918 – $26,983 · median $25,698 16 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $12,752 – $13,937 · median $12,752 16 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $22,180 – $33,187 · median $31,607 16 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $20,835 – $21,877 · median $20,835 16 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,736 – $20,357 · median $16,736 16 plans
245 AICD GENERATOR PROCEDURES $41,453 – $43,875 · median $41,453 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $20,205 – $22,580 · median $21,505 16 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,517 – $18,743 · median $14,517 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $30,680 – $33,746 · median $30,680 16 plans
253 OTHER VASCULAR PROCEDURES WITH CC $22,384 – $24,504 · median $23,337 16 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $15,872 – $16,666 · median $15,872 16 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,086 – $26,389 · median $25,133 16 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $14,686 – $15,750 · median $15,000 16 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,066 – $9,519 · median $9,066 16 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,778 – $26,017 · median $24,778 16 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $17,075 – $17,944 · median $17,075 16 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $30,327 – $32,821 · median $30,327 16 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,997 – $18,075 · median $17,214 16 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $15,051 – $15,803 · median $15,051 16 plans
263 VEIN LIGATION AND STRIPPING $25,069 – $27,137 · median $25,844 16 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $27,752 – $31,371 · median $29,877 16 plans
265 AICD LEAD PROCEDURES $30,432 – $33,946 · median $32,329 16 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $54,235 – $59,995 · median $57,138 16 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $3,630 – $46,875 · median $44,643 16 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $14,640 – $65,841 · median $62,706 16 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $6,017 – $39,944 · median $38,042 16 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $1,923 – $48,573 · median $46,260 16 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $4,072 – $33,198 · median $31,617 16 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $35,649 – $39,325 · median $35,649 16 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $28,680 – $31,129 · median $29,646 16 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $46,090 – $67,580 · median $64,362 16 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $31,764 – $59,650 · median $56,810 16 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $43,749 – $46,679 · median $43,749 16 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $28,491 – $42,843 · median $40,803 16 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $24,627 – $30,742 · median $29,279 16 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,567 – $15,239 · median $14,513 16 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,352 – $8,770 · median $8,352 16 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,569 – $7,674 · median $6,569 16 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $18,034 – $19,817 · median $18,034 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,617 – $7,105 · median $6,767 16 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,471 – $4,875 · median $4,471 16 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $18,002 – $20,705 · median $19,719 16 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,894 – $10,389 · median $9,894 16 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,720 – $24,906 · median $23,720 16 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,518 – $14,461 · median $13,518 16 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,926 – $10,849 · median $9,926 16 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,376 – $12,332 · median $11,745 16 plans
292 HEART FAILURE AND SHOCK WITH CC $7,181 – $8,227 · median $7,835 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,242 – $5,393 · median $5,137 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,005 – $10,505 · median $10,005 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,292 – $7,969 · median $7,292 16 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $14,666 – $16,889 · median $14,666 16 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,726 – $6,998 · median $6,665 16 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,022 – $4,395 · median $4,022 16 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,965 – $15,140 · median $14,419 16 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,614 – $10,249 · median $9,761 16 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,431 – $6,818 · median $6,493 16 plans
302 ATHEROSCLEROSIS WITH MCC $4,249 – $10,768 · median $10,256 16 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,259 – $6,321 · median $6,020 16 plans
304 HYPERTENSION WITH MCC $8,624 – $11,036 · median $10,511 16 plans
305 HYPERTENSION WITHOUT MCC $5,801 – $7,238 · median $6,893 16 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,279 – $14,761 · median $14,058 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,217 – $9,054 · median $8,623 16 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,728 – $11,547 · median $10,998 16 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,756 – $7,153 · median $6,812 16 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,723 – $5,312 · median $5,059 16 plans
311 ANGINA PECTORIS $5,410 – $6,705 · median $6,386 16 plans
312 SYNCOPE AND COLLAPSE $5,843 – $8,294 · median $7,899 16 plans
313 CHEST PAIN $5,475 – $6,950 · median $6,619 16 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,476 – $20,109 · median $19,151 16 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,299 – $9,291 · median $8,849 16 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,125 – $6,654 · median $6,337 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $39,902 – $52,822 · median $39,902 16 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,363 – $22,238 · median $20,363 16 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $33,922 – $48,785 · median $46,462 16 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $20,746 – $23,988 · median $22,846 16 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $14,612 – $15,932 · median $14,612 16 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $36,456 – $43,385 · median $41,319 16 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $19,645 – $22,785 · median $21,700 16 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,295 – $16,060 · median $15,295 16 plans
332 RECTAL RESECTION WITH MCC $33,429 – $36,535 · median $33,429 16 plans
333 RECTAL RESECTION WITH CC $19,023 – $24,884 · median $19,023 16 plans
334 RECTAL RESECTION WITHOUT CC/MCC $14,683 – $19,836 · median $14,683 16 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,586 – $34,339 · median $32,704 16 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $17,333 – $20,222 · median $19,259 16 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,223 – $14,373 · median $13,689 16 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $20,688 – $26,322 · median $25,069 16 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,668 – $14,798 · median $14,093 16 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,771 – $12,370 · median $11,781 16 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $22,839 – $24,485 · median $23,319 16 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,554 – $12,500 · median $11,905 16 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,361 – $9,373 · median $8,926 16 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,209 – $23,053 · median $21,955 16 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,316 – $13,981 · median $13,316 16 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,145 – $12,244 · median $10,145 16 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,622 – $28,089 · median $26,751 16 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,714 – $16,500 · median $15,714 16 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,618 – $13,088 · median $12,465 16 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $39,141 – $46,525 · median $39,141 16 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,783 – $21,101 · median $20,096 16 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,535 – $12,305 · median $11,719 16 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $13,293 – $15,868 · median $15,112 16 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,586 – $9,493 · median $9,041 16 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,794 – $7,143 · median $6,803 16 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,634 – $16,787 · median $15,988 16 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $6,419 – $10,012 · median $9,535 16 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,203 – $6,882 · median $6,554 16 plans
374 DIGESTIVE MALIGNANCY WITH MCC $13,875 – $20,161 · median $19,201 16 plans
375 DIGESTIVE MALIGNANCY WITH CC $8,518 – $11,510 · median $10,962 16 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,899 – $8,562 · median $8,154 16 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,540 – $17,196 · median $16,377 16 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,978 – $9,450 · median $9,000 16 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,870 – $6,082 · median $5,792 16 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $11,150 – $18,716 · median $17,825 16 plans
381 COMPLICATED PEPTIC ULCER WITH CC $7,418 – $10,306 · median $9,816 16 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,878 – $7,272 · median $6,926 16 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,238 – $13,430 · median $12,791 16 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,539 – $8,411 · median $8,011 16 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $9,588 – $15,050 · median $14,334 16 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,077 – $9,332 · median $8,888 16 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,515 – $6,571 · median $6,258 16 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $8,137 – $13,961 · median $13,296 16 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,435 – $7,650 · median $7,285 16 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,626 – $5,369 · median $5,114 16 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,639 – $12,253 · median $11,670 16 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,463 – $7,546 · median $7,187 16 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,883 – $15,557 · median $14,816 16 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,330 – $8,999 · median $8,571 16 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,870 – $6,219 · median $5,923 16 plans
397 APPENDIX PROCEDURES WITH MCC $18,400 – $21,579 · median $20,552 16 plans
398 APPENDIX PROCEDURES WITH CC $13,843 – $18,479 · median $13,843 16 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,182 – $23,987 · median $10,182 16 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $43,823 – $52,879 · median $50,361 16 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $26,413 – $27,734 · median $26,413 16 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,677 – $21,702 · median $19,677 16 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,013 – $35,753 · median $34,050 16 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,905 – $26,157 · median $17,905 16 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $13,336 – $15,034 · median $14,318 16 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $27,813 – $30,398 · median $27,813 16 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,900 – $20,657 · median $18,900 16 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,810 – $14,580 · median $13,810 16 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $31,806 – $33,860 · median $32,248 16 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,212 – $18,978 · median $18,074 16 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,251 – $12,863 · median $12,251 16 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $16,429 – $22,263 · median $21,203 16 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $14,954 – $15,702 · median $14,954 16 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,927 – $12,614 · median $12,013 16 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $26,448 – $30,744 · median $29,280 16 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,639 – $16,421 · median $15,639 16 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,468 – $13,553 · median $12,908 16 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $31,953 – $37,565 · median $35,776 16 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $15,771 – $20,475 · median $19,500 16 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,873 – $15,387 · median $14,654 16 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,202 – $18,404 · median $17,527 16 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,214 – $9,903 · median $9,431 16 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,960 – $6,431 · median $6,124 16 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,812 – $16,904 · median $16,099 16 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,407 – $10,572 · median $10,069 16 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,603 – $7,983 · median $7,603 16 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,890 – $16,029 · median $15,266 16 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,502 – $8,214 · median $7,823 16 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,937 – $5,913 · median $5,631 16 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,724 – $17,560 · median $16,724 16 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,871 – $9,139 · median $8,704 16 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,650 – $6,865 · median $6,538 16 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,051 – $15,687 · median $14,940 16 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,526 – $10,439 · median $9,942 16 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,878 – $7,699 · median $7,332 16 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $77,377 – $85,116 · median $81,063 16 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $50,419 – $58,748 · median $55,951 16 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $34,902 – $44,238 · median $42,131 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $54,329 – $80,966 · median $77,111 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $44,260 – $58,355 · median $55,576 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $41,449 – $47,733 · median $41,449 16 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $60,671 – $63,705 · median $60,671 16 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,063 – $35,135 · median $33,462 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $57,725 – $65,493 · median $62,375 16 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $24,122 – $27,339 · median $26,037 16 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,811 – $59,354 · median $51,811 16 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $27,456 – $28,912 · median $27,456 16 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,114 – $21,429 · median $17,114 16 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $43,166 – $49,818 · median $47,446 16 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,896 – $33,487 · median $31,892 16 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $23,274 – $25,642 · median $24,421 16 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $29,507 – $31,983 · median $30,460 16 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $16,096 – $18,074 · median $17,213 16 plans
471 CERVICAL SPINAL FUSION WITH MCC $35,283 – $47,248 · median $44,998 16 plans
472 CERVICAL SPINAL FUSION WITH CC $24,118 – $28,387 · median $27,036 16 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $19,315 – $23,635 · median $22,509 16 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $18,177 – $41,329 · median $39,361 16 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $19,619 – $22,630 · median $19,619 16 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,501 – $11,304 · median $10,766 16 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,619 – $32,360 · median $30,819 16 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $14,680 – $22,896 · median $21,806 16 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,302 – $17,904 · median $17,052 16 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $26,976 – $28,325 · median $26,976 16 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,981 – $22,149 · median $18,981 16 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,530 – $17,123 · median $14,530 16 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,806 – $23,861 · median $22,725 16 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,253 – $31,640 · median $30,133 16 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,272 – $19,290 · median $18,372 16 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,011 – $14,839 · median $14,132 16 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $19,271 – $27,683 · median $19,271 16 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,322 – $17,981 · median $11,322 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $26,798 – $33,254 · median $31,671 16 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $21,970 – $25,241 · median $21,970 16 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $16,991 – $17,954 · median $17,099 16 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $32,760 – $34,398 · median $32,760 16 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $15,756 – $19,090 · median $18,181 16 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,768 – $13,711 · median $13,058 16 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $15,854 – $25,079 · median $23,885 16 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,799 – $15,800 · median $11,799 16 plans
500 SOFT TISSUE PROCEDURES WITH MCC $19,982 – $31,148 · median $29,665 16 plans
501 SOFT TISSUE PROCEDURES WITH CC $15,515 – $16,672 · median $15,878 16 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,649 – $14,663 · median $12,649 16 plans
503 FOOT PROCEDURES WITH MCC $22,795 – $25,760 · median $24,534 16 plans
504 FOOT PROCEDURES WITH CC $15,799 – $18,212 · median $15,799 16 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $15,603 – $19,026 · median $15,603 16 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,686 – $14,049 · median $13,380 16 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $16,690 – $20,475 · median $19,500 16 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,031 – $13,774 · median $13,118 16 plans
509 ARTHROSCOPY $12,497 – $13,659 · median $12,497 16 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $24,888 – $26,132 · median $24,888 16 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $18,239 – $20,293 · median $18,239 16 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $14,763 – $15,658 · median $14,763 16 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,668 – $15,570 · median $14,829 16 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,611 – $10,004 · median $9,527 16 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $28,921 – $31,197 · median $28,921 16 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,669 – $19,602 · median $18,669 16 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $13,671 – $15,776 · median $13,671 16 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $29,634 – $35,076 · median $33,406 16 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,456 – $18,909 · median $18,008 16 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,095 – $14,825 · median $13,095 16 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $27,167 – $28,760 · median $27,390 16 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,598 – $20,288 · median $19,322 16 plans
533 FRACTURES OF FEMUR WITH MCC $12,834 – $15,670 · median $14,924 16 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,407 – $7,780 · median $7,410 16 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,603 – $12,455 · median $11,862 16 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,539 – $7,560 · median $7,200 16 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $8,846 – $9,288 · median $8,846 16 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,265 – $6,811 · median $6,487 16 plans
539 OSTEOMYELITIS WITH MCC $13,115 – $19,061 · median $18,153 16 plans
540 OSTEOMYELITIS WITH CC $9,624 – $12,470 · median $11,876 16 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $7,259 – $8,240 · median $7,848 16 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,687 – $17,517 · median $16,683 16 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,978 – $11,326 · median $9,978 16 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,088 – $7,372 · median $7,021 16 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,807 – $25,033 · median $22,807 16 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,971 – $11,522 · median $10,971 16 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,531 – $7,908 · median $7,531 16 plans
548 SEPTIC ARTHRITIS WITH MCC $17,456 – $18,728 · median $17,836 16 plans
549 SEPTIC ARTHRITIS WITH CC $11,034 – $11,586 · median $11,034 16 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,534 – $9,063 · median $8,631 16 plans
551 MEDICAL BACK PROBLEMS WITH MCC $9,973 – $16,347 · median $15,569 16 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,357 – $9,282 · median $8,840 16 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $11,930 – $12,981 · median $12,363 16 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,024 – $7,894 · median $7,518 16 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,553 – $13,438 · median $12,798 16 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,643 – $7,919 · median $7,541 16 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $7,667 – $14,953 · median $14,241 16 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,398 – $8,437 · median $8,035 16 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,468 – $17,774 · median $16,928 16 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,356 – $11,344 · median $10,356 16 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,941 – $7,494 · median $7,137 16 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $12,466 – $14,607 · median $13,911 16 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,620 – $8,602 · median $8,193 16 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,288 – $15,112 · median $14,288 16 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,740 – $9,599 · median $9,142 16 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,227 – $7,209 · median $6,865 16 plans
570 SKIN DEBRIDEMENT WITH MCC $23,492 – $28,068 · median $26,732 16 plans
571 SKIN DEBRIDEMENT WITH CC $11,894 – $16,251 · median $15,477 16 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,183 – $10,946 · median $10,425 16 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $52,824 – $59,726 · median $56,882 16 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $31,156 – $32,713 · median $31,156 16 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,443 – $19,652 · median $18,716 16 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $50,831 – $54,587 · median $51,988 16 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $23,564 – $25,445 · median $24,234 16 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,733 – $16,796 · median $14,733 16 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $26,202 – $32,103 · median $30,574 16 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,978 – $18,206 · median $15,978 16 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,319 – $16,090 · median $12,319 16 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,929 – $17,409 · median $15,929 16 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,922 – $25,137 · median $13,922 16 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,917 – $31,811 · median $17,917 16 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,405 – $23,114 · median $15,405 16 plans
592 SKIN ULCERS WITH MCC $16,052 – $20,076 · median $19,120 16 plans
593 SKIN ULCERS WITH CC $11,068 – $13,049 · median $11,068 16 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,963 – $7,563 · median $7,203 16 plans
595 MAJOR SKIN DISORDERS WITH MCC $12,298 – $20,891 · median $19,897 16 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,688 – $9,692 · median $9,230 16 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $8,434 – $15,373 · median $14,641 16 plans
598 MALIGNANT BREAST DISORDERS WITH CC $10,026 – $11,515 · median $10,966 16 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,155 – $6,727 · median $6,155 16 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,150 – $9,850 · median $9,381 16 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,003 – $6,085 · median $5,795 16 plans
602 CELLULITIS WITH MCC $11,600 – $14,288 · median $13,607 16 plans
603 CELLULITIS WITHOUT MCC $5,122 – $8,498 · median $8,093 16 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $7,700 – $14,467 · median $13,778 16 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,581 – $8,729 · median $8,314 16 plans
606 MINOR SKIN DISORDERS WITH MCC $8,037 – $15,232 · median $14,507 16 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,450 – $8,582 · median $8,174 16 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $20,435 – $21,635 · median $20,605 16 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,457 – $15,397 · median $13,457 16 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,024 – $38,015 · median $36,204 16 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,134 – $19,062 · median $18,154 16 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,554 – $11,156 · median $10,625 16 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,555 – $24,998 · median $23,807 16 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $14,840 – $15,582 · median $14,840 16 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $13,880 – $14,574 · median $13,880 16 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,561 – $36,746 · median $34,996 16 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,606 – $17,879 · median $17,028 16 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,899 – $10,705 · median $10,195 16 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $25,890 – $28,059 · median $26,723 16 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,648 – $14,330 · median $13,648 16 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,136 – $11,872 · median $11,307 16 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $36,264 – $38,560 · median $36,724 16 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $12,792 – $21,735 · median $20,700 16 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,636 – $13,412 · median $12,773 16 plans
637 DIABETES WITH MCC $8,807 – $13,921 · median $13,258 16 plans
638 DIABETES WITH CC $5,071 – $8,639 · median $8,228 16 plans
639 DIABETES WITHOUT CC/MCC $3,768 – $5,979 · median $5,695 16 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,355 – $12,633 · median $12,031 16 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,302 – $7,506 · median $7,148 16 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,412 – $12,518 · median $11,922 16 plans
643 ENDOCRINE DISORDERS WITH MCC $14,673 – $15,802 · median $15,049 16 plans
644 ENDOCRINE DISORDERS WITH CC $5,551 – $10,198 · median $9,712 16 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,011 – $7,309 · median $6,961 16 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $19,607 – $43,200 · median $41,142 16 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $31,637 – $113,614 · median $31,637 16 plans
652 KIDNEY TRANSPLANT $25,822 – $28,858 · median $27,484 16 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $30,229 – $51,999 · median $49,523 16 plans
654 MAJOR BLADDER PROCEDURES WITH CC $24,418 – $26,294 · median $25,042 16 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $17,319 – $20,246 · median $19,282 16 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $28,702 – $30,137 · median $28,702 16 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $16,870 – $17,714 · median $16,870 16 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,542 – $14,705 · median $13,542 16 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,101 – $24,867 · median $23,683 16 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,994 – $12,928 · median $12,312 16 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,591 – $10,070 · median $9,591 16 plans
662 MINOR BLADDER PROCEDURES WITH MCC $27,343 – $28,784 · median $27,413 16 plans
663 MINOR BLADDER PROCEDURES WITH CC $13,347 – $14,014 · median $13,347 16 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $9,711 – $10,197 · median $9,711 16 plans
665 PROSTATECTOMY WITH MCC $27,537 – $29,672 · median $28,259 16 plans
666 PROSTATECTOMY WITH CC $15,494 – $16,496 · median $15,710 16 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,853 – $10,082 · median $9,602 16 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $25,401 – $27,068 · median $25,779 16 plans
669 TRANSURETHRAL PROCEDURES WITH CC $14,038 – $14,740 · median $14,038 16 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,806 – $9,246 · median $8,806 16 plans
671 URETHRAL PROCEDURES WITH CC/MCC $15,660 – $16,480 · median $15,660 16 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,576 – $9,373 · median $8,576 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $27,006 – $35,520 · median $33,829 16 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,857 – $22,882 · median $21,792 16 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,254 – $15,239 · median $14,513 16 plans
682 RENAL FAILURE WITH MCC $10,047 – $14,416 · median $13,729 16 plans
683 RENAL FAILURE WITH CC $5,824 – $8,652 · median $8,240 16 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,974 – $5,845 · median $5,566 16 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,291 – $17,668 · median $16,827 16 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $6,991 – $10,040 · median $9,562 16 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,144 – $7,796 · median $7,144 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,334 – $11,280 · median $10,743 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,078 – $7,750 · median $7,381 16 plans
693 URINARY STONES WITH MCC $11,210 – $13,604 · median $12,956 16 plans
694 URINARY STONES WITHOUT MCC $5,059 – $7,518 · median $7,160 16 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,332 – $11,488 · median $10,941 16 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,168 – $6,648 · median $6,331 16 plans
697 URETHRAL STRICTURE $8,930 – $10,692 · median $10,182 16 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,874 – $15,891 · median $15,134 16 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,349 – $9,805 · median $9,338 16 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,864 – $6,803 · median $6,479 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,947 – $19,288 · median $17,947 16 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $13,342 – $16,067 · median $13,342 16 plans
709 PENIS PROCEDURES WITH CC/MCC $19,858 – $21,703 · median $19,858 16 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,102 – $12,461 · median $11,867 16 plans
711 TESTES PROCEDURES WITH CC/MCC $18,387 – $20,391 · median $19,420 16 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,242 – $11,415 · median $10,871 16 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,433 – $13,934 · median $13,271 16 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,622 – $9,207 · median $8,768 16 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $20,095 – $21,204 · median $20,194 16 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,827 – $13,661 · median $13,010 16 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $9,990 – $17,421 · median $16,591 16 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,756 – $11,419 · median $10,756 16 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $15,276 – $18,008 · median $17,150 16 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,193 – $10,703 · median $10,193 16 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,885 – $7,775 · median $7,405 16 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,241 – $11,919 · median $11,352 16 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,878 – $7,020 · median $6,686 16 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,928 – $15,570 · median $14,829 16 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,305 – $7,685 · median $7,319 16 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,184 – $9,699 · median $9,184 16 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,686 – $5,971 · median $5,686 16 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $19,884 – $21,787 · median $19,884 16 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,447 – $12,105 · median $11,528 16 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $23,874 – $37,337 · median $35,559 16 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,376 – $18,959 · median $18,056 16 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,431 – $13,107 · median $12,483 16 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $33,081 – $35,114 · median $33,081 16 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,237 – $17,165 · median $16,347 16 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,229 – $12,480 · median $11,886 16 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,587 – $17,116 · median $16,301 16 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,972 – $11,161 · median $10,630 16 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $9,351 – $18,081 · median $17,220 16 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,476 – $9,950 · median $9,476 16 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,845 – $16,099 · median $15,333 16 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,116 – $11,441 · median $8,116 16 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,852 – $17,926 · median $12,852 16 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $15,637 – $24,178 · median $23,027 16 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,441 – $13,063 · median $12,441 16 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,153 – $17,794 · median $16,946 16 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,397 – $10,419 · median $9,923 16 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,969 – $9,506 · median $9,054 16 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,347 – $14,327 · median $13,645 16 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,170 – $9,534 · median $9,080 16 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,810 – $6,207 · median $5,911 16 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,937 – $9,561 · median $9,106 16 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,100 – $5,817 · median $5,540 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,510 – $11,700 · median $11,143 16 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,482 – $14,830 · median $14,123 16 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,649 – $7,672 · median $7,306 16 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,514 – $6,884 · median $6,556 16 plans
779 ABORTION WITHOUT D&C $3,529 – $9,501 · median $9,049 16 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,037 – $17,019 · median $16,208 16 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,121 – $9,837 · median $9,368 16 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,062 – $8,321 · median $7,925 16 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,568 – $10,096 · median $9,615 16 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,333 – $8,212 · median $7,821 16 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,644 – $17,978 · median $16,644 16 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $5,661 – $57,632 · median $54,888 16 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,163 – $39,359 · median $37,485 16 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $1,650 – $23,749 · median $22,618 16 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,008 – $40,431 · median $38,506 16 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,629 – $34,131 · median $13,629 16 plans
795 NORMAL NEWBORN $1,000 – $1,937 · median $1,845 16 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,814 – $13,624 · median $12,975 16 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,350 – $9,566 · median $9,110 16 plans
799 SPLENIC PROCEDURES WITH MCC $35,530 – $47,590 · median $45,324 16 plans
800 SPLENIC PROCEDURES WITH CC $23,921 – $27,065 · median $25,776 16 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $16,161 – $17,190 · median $16,372 16 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $31,384 – $34,301 · median $31,384 16 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $16,999 – $17,848 · median $16,999 16 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,175 – $11,626 · median $11,073 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,281 – $9,684 · median $9,223 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $3,815 – $7,172 · median $6,831 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,401 – $6,285 · median $5,985 16 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $17,721 – $21,036 · median $20,035 16 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,183 – $11,569 · median $11,018 16 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,944 – $9,648 · median $9,189 16 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,601 – $13,482 · median $12,840 16 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,503 – $8,651 · median $8,239 16 plans
813 COAGULATION DISORDERS $10,473 – $14,984 · median $14,271 16 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,316 – $20,441 · median $19,468 16 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,521 – $9,550 · median $9,095 16 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,921 – $6,822 · median $6,497 16 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,831 – $27,056 · median $25,768 16 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,998 – $13,746 · median $13,091 16 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,659 – $8,714 · median $8,299 16 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $55,314 – $75,076 · median $55,314 16 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $20,419 – $27,013 · median $20,419 16 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,029 – $11,899 · median $11,332 16 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $41,183 – $66,981 · median $41,183 16 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $20,426 – $22,846 · median $20,426 16 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,814 – $13,826 · median $11,814 16 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $41,044 – $44,450 · median $42,333 16 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $19,300 – $22,257 · median $21,197 16 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,006 – $18,598 · median $15,006 16 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,126 – $30,293 · median $28,850 16 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $13,232 – $15,188 · median $14,465 16 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,305 – $10,329 · median $9,837 16 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,597 – $7,086 · median $6,748 16 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,443 – $4,916 · median $4,682 16 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $51,219 – $53,780 · median $51,219 16 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $20,450 – $21,896 · median $20,450 16 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,465 – $13,562 · median $12,916 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $29,033 – $46,528 · median $44,312 16 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $9,717 – $19,227 · median $18,311 16 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,078 – $12,517 · median $11,921 16 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $27,607 – $30,018 · median $28,589 16 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,394 – $15,114 · median $14,394 16 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,755 – $11,168 · median $9,755 16 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,960 – $17,871 · median $17,020 16 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,660 – $11,115 · median $10,586 16 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,608 – $8,308 · median $7,912 16 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $20,154 – $23,475 · median $22,357 16 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,369 – $11,647 · median $11,093 16 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,649 – $8,173 · median $7,649 16 plans
849 RADIOTHERAPY $10,358 – $25,852 · median $24,620 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $43,164 – $48,019 · median $45,733 16 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,702 – $19,577 · median $18,645 16 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,406 – $16,346 · median $15,568 16 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $29,830 – $42,536 · median $40,510 16 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,719 – $20,514 · median $19,537 16 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,392 – $12,327 · median $11,740 16 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $9,942 – $17,693 · median $16,850 16 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,963 – $9,658 · median $9,198 16 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,773 – $8,480 · median $8,076 16 plans
865 VIRAL ILLNESS WITH MCC $15,002 – $36,926 · median $15,002 16 plans
866 VIRAL ILLNESS WITHOUT MCC $5,491 – $8,815 · median $8,395 16 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,760 – $20,097 · median $19,140 16 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $6,207 – $10,426 · median $9,930 16 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,733 – $6,634 · median $6,318 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $63,714 – $67,621 · median $63,714 16 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,731 – $19,043 · median $18,137 16 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,699 – $9,892 · median $9,421 16 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,189 – $35,842 · median $34,135 16 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,852 – $9,169 · median $8,733 16 plans
881 DEPRESSIVE NEUROSES $3,426 – $8,707 · median $8,293 16 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,288 – $9,022 · median $8,593 16 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,820 – $18,014 · median $17,156 16 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,452 – $16,875 · median $16,072 16 plans
885 PSYCHOSES $4,179 – $13,125 · median $12,500 16 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $6,766 – $16,153 · median $15,384 16 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,862 – $12,445 · median $11,852 16 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,517 – $5,518 · median $5,255 16 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,419 – $15,453 · median $14,717 16 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,875 – $17,079 · median $16,266 16 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $39,590 – $50,207 · median $39,590 16 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,855 – $18,103 · median $17,241 16 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,501 – $11,925 · median $11,357 16 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,787 – $35,763 · median $29,787 16 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,036 – $15,212 · median $14,487 16 plans
906 HAND PROCEDURES FOR INJURIES $13,628 – $18,073 · median $17,213 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $29,470 – $35,727 · median $34,025 16 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,322 – $19,250 · median $18,333 16 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,718 – $13,028 · median $12,407 16 plans
913 TRAUMATIC INJURY WITH MCC $13,625 – $14,355 · median $13,671 16 plans
914 TRAUMATIC INJURY WITHOUT MCC $5,336 – $8,719 · median $8,303 16 plans
915 ALLERGIC REACTIONS WITH MCC $13,374 – $17,040 · median $16,228 16 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,326 – $6,328 · median $6,027 16 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,001 – $15,329 · median $14,599 16 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,888 – $8,269 · median $7,875 16 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,770 – $17,527 · median $16,692 16 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,595 – $9,930 · median $9,457 16 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,768 – $6,703 · median $6,383 16 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,596 – $16,760 · median $15,962 16 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,976 – $9,715 · median $9,252 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $241,125 – $265,108 · median $241,125 16 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $53,688 – $66,465 · median $63,300 16 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $15,556 – $30,886 · median $29,415 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $27,291 – $29,123 · median $27,736 16 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $8,150 – $20,099 · median $19,142 16 plans
935 NON-EXTENSIVE BURNS $9,230 – $19,605 · median $18,672 16 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $22,528 – $30,884 · median $29,413 16 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,743 – $20,811 · median $19,820 16 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $16,978 – $21,205 · median $16,978 16 plans
945 REHABILITATION WITH CC/MCC $13,544 – $14,499 · median $13,809 16 plans
946 REHABILITATION WITHOUT CC/MCC $9,264 – $10,101 · median $9,264 16 plans
947 SIGNS AND SYMPTOMS WITH MCC $11,173 – $12,022 · median $11,449 16 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,760 – $7,694 · median $7,327 16 plans
949 AFTERCARE WITH CC/MCC $9,814 – $11,296 · median $9,814 16 plans
950 AFTERCARE WITHOUT CC/MCC $5,842 – $7,906 · median $5,842 16 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,062 – $5,667 · median $5,397 16 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $55,712 – $69,601 · median $55,712 16 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $35,477 – $64,103 · median $35,477 16 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $66,162 – $69,470 · median $66,162 16 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $37,001 – $41,528 · median $37,001 16 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,166 – $29,045 · median $23,166 16 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $25,013 – $27,975 · median $25,013 16 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,957 – $14,417 · median $13,731 16 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,744 – $9,501 · median $8,744 16 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $62,869 – $66,013 · median $62,869 16 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $25,427 – $27,790 · median $25,427 16 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $20,577 – $28,014 · median $26,680 16 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,379 – $13,095 · median $12,471 16 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,733 – $8,303 · median $7,733 16 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,697 – $13,602 · median $12,954 16 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $43,364 – $45,869 · median $43,364 16 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,967 – $23,879 · median $22,742 16 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,948 – $15,706 · median $14,959 16 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $28,177 – $32,434 · median $30,890 16 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,815 – $16,300 · median $15,524 16 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,747 – $10,377 · median $9,882 16 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,316 – $23,432 · median $22,316 15 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $26,297 – $27,612 · median $26,297 15 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,680 – $17,514 · median $16,680 15 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $37,872 – $39,766 · median $37,872 15 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,156 – $28,514 · median $27,156 15 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,190 – $25,399 · median $24,190 15 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $16,004 – $16,804 · median $16,004 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,639 – $8,021 · median $7,639 15 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,827 – $8,218 · median $7,827 15 plans
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