Ronald Reagan UCLA Medical Center — Pricing
785 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 785 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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.
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Showing all 785 procedures
Procedures with negotiated rates only
These 785 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 |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $5,500 – $240,571 · median $122,099 | 40 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $5,500 – $160,975 · median $102,877 | 40 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $5,500 – $148,297 · median $94,816 | 40 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $5,500 – $192,871 · median $116,159 | 40 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $5,500 – $146,175 · median $84,473 | 40 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $5,500 – $146,175 · median $73,314 | 40 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $5,500 – $146,674 · median $93,784 | 39 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $5,500 – $146,175 · median $65,698 | 39 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,500 – $146,175 · median $79,506 | 36 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,500 – $146,175 · median $49,758 | 36 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $17,500 – $211,227 · median $134,828 | 36 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $17,500 – $152,270 · median $97,342 | 36 plans |
| 245 | AICD generator procedures | $17,500 – $125,606 · median $77,976 | 36 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,500 – $84,552 · median $54,286 | 35 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,500 – $77,625 · median $36,231 | 35 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,500 – $77,625 · median $29,129 | 35 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,500 – $77,625 · median $44,990 | 35 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,500 – $77,625 · median $28,384 | 35 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,500 – $84,906 · median $54,511 | 35 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,500 – $77,625 · median $30,601 | 35 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,986 – $77,625 · median $24,582 | 35 plans |
| 650 | Kidney transplant | $32,000 – $94,000 · median $54,125 | 35 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $25,000 – $200,937 · median $128,285 | 34 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $25,000 – $137,778 · median $88,128 | 34 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,000 – $123,157 · median $60,095 | 34 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $25,000 – $142,210 · median $90,946 | 34 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,000 – $123,157 · median $62,357 | 34 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $25,000 – $123,157 · median $71,407 | 34 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,000 – $123,157 · median $52,454 | 34 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,000 – $123,157 · median $43,345 | 34 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,000 – $123,157 · median $66,943 | 34 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,493 – $123,157 · median $37,740 | 34 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,805 – $123,157 · median $28,395 | 34 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,000 – $123,157 · median $56,928 | 34 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,971 – $123,157 · median $28,670 | 34 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,988 – $123,157 · median $22,383 | 34 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,000 – $123,157 · median $63,663 | 34 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,245 – $123,157 · median $35,662 | 34 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,358 – $123,157 · median $24,843 | 34 plans |
| 010 | Pancreas Transplant | $40,108 – $319,046 · median $126,889 | 33 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,500 – $146,175 · median $73,577 | 33 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,500 – $146,175 · median $40,418 | 33 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,500 – $146,175 · median $30,069 | 33 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,165 – $67,963 · median $43,738 | 33 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,165 – $47,902 · median $25,857 | 33 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,165 – $47,902 · median $24,978 | 33 plans |
| 007 | Lung transplant | $115,000 – $325,763 · median $207,651 | 32 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $12,133 – $127,949 · median $81,878 | 32 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $12,133 – $125,606 · median $55,116 | 32 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,133 – $125,606 · median $40,379 | 32 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $5,500 – $55,170 · median $35,605 | 32 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,500 – $42,527 · median $17,797 | 32 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,500 – $125,606 · median $55,920 | 31 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,133 – $57,646 · median $37,179 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,133 – $54,276 · median $25,675 | 30 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,500 – $125,606 · median $54,894 | 30 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,500 – $125,606 · median $40,989 | 30 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,500 – $125,606 · median $28,253 | 30 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $137,994 – $345,051 · median $228,992 | 29 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,133 – $45,098 · median $29,200 | 29 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $17,500 – $702,145 · median $446,960 | 28 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $17,500 – $274,686 · median $175,175 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $39,725 – $166,202 · median $106,200 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $39,725 – $125,606 · median $67,927 | 28 plans |
| 215 | Other heart assist system implant | $17,500 – $264,094 · median $168,441 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $5,500 – $194,838 · median $82,098 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,500 – $146,175 · median $69,230 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,032 – $25,451 · median $14,371 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,032 – $25,451 · median $14,865 | 26 plans |
| 265 | AICD LEAD PROCEDURES | $28,217 – $88,919 · median $57,062 | 25 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $5,500 – $176,157 · median $112,530 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,940 – $24,877 · median $16,344 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,621 – $18,037 · median $11,995 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,712 – $17,343 · median $10,627 | 25 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $39,729 – $123,157 · median $61,607 | 24 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $23,784 – $123,157 · median $36,987 | 24 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,512 – $123,157 · median $28,846 | 24 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $46,267 – $109,498 · median $71,617 | 24 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,380 – $87,320 · median $37,908 | 24 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,032 – $27,327 · median $17,902 | 24 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,032 – $45,918 · median $29,722 | 24 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,032 – $26,996 · median $17,691 | 24 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,032 – $40,279 · median $26,137 | 24 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,032 – $26,467 · median $17,355 | 24 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,032 – $31,822 · median $20,759 | 24 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,032 – $24,134 · median $15,871 | 24 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,032 – $24,134 · median $15,871 | 24 plans |
| 955 | Craniotomy for multiple significant trauma | $28,890 – $170,207 · median $108,747 | 24 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $24,915 – $106,173 · median $68,033 | 23 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,915 – $79,644 · median $51,165 | 23 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $24,915 – $71,343 · median $45,887 | 23 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $28,623 – $534,221 · median $340,191 | 22 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $40,574 – $154,406 · median $98,700 | 22 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $40,574 – $115,957 · median $74,254 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $112,164 – $265,455 · median $169,307 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $51,074 – $120,875 · median $77,381 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $63,573 – $150,455 · median $96,188 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $63,573 – $150,455 · median $96,188 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $83,494 – $197,602 · median $126,165 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $11,770 – $96,933 · median $62,158 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,770 – $56,703 · median $36,579 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,770 – $45,693 · median $29,579 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,777 – $94,595 · median $52,858 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,502 – $94,595 · median $28,368 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,479 – $94,595 · median $19,304 | 21 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $73,087 – $271,550 · median $173,182 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $17,500 – $149,331 · median $73,614 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $36,574 – $86,558 · median $55,562 | 21 plans |
| 693 | URINARY STONES WITH MCC | $15,487 – $36,652 · median $23,831 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,230 – $19,478 · median $12,911 | 21 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $28,350 – $591,333 · median $376,504 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $148,823 – $352,215 · median $224,470 | 20 plans |
| 008 | Simultaneous Kidney/Pancreas Transplant | $40,000 – $484,152 · median $124,000 | 20 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $64,032 – $151,542 · median $96,879 | 20 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $35,354 – $83,672 · median $53,726 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,439 – $55,472 · median $35,797 | 20 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,197 – $50,165 · median $32,422 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,705 – $22,968 · median $15,130 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,789 – $37,368 · median $24,286 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,491 – $27,195 · median $17,818 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $26,374 – $62,419 · median $40,214 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,054 – $33,262 · median $21,675 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $19,442 – $46,012 · median $29,782 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,887 – $30,500 · median $19,919 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,399 – $22,245 · median $14,670 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $28,473 – $67,387 · median $43,372 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,757 – $44,392 · median $28,752 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,796 – $35,017 · median $22,791 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,951 – $49,584 · median $32,053 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,710 – $25,348 · median $16,643 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,249 – $17,157 · median $11,435 | 20 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,324 – $36,266 · median $23,585 | 20 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,284 – $21,973 · median $14,497 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,427 – $19,944 · median $13,207 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $18,314 – $43,343 · median $28,085 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $11,100 – $26,270 · median $17,230 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,901 – $18,700 · median $12,416 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,279 – $38,527 · median $25,023 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,979 – $25,984 · median $17,047 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,141 – $42,934 · median $27,825 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,657 – $22,855 · median $15,058 | 20 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $16,286 – $38,544 · median $25,034 | 20 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,510 – $24,874 · median $16,342 | 20 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,022 – $16,640 · median $11,093 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $20,936 – $49,549 · median $32,031 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,530 – $22,554 · median $14,867 | 20 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $24,437 – $57,835 · median $37,299 | 20 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,644 – $34,658 · median $22,563 | 20 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,070 – $23,832 · median $15,680 | 20 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $23,867 – $56,484 · median $36,440 | 20 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,814 – $32,694 · median $21,314 | 20 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,311 – $22,035 · median $14,537 | 20 plans |
| 088 | CONCUSSION WITH MCC | $14,858 – $35,164 · median $22,885 | 20 plans |
| 089 | CONCUSSION WITH CC | $11,292 – $26,724 · median $17,518 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,029 – $21,370 · median $14,114 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $19,200 – $45,439 · median $29,417 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,151 – $26,390 · median $17,306 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,313 – $19,675 · median $13,036 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $38,430 – $90,950 · median $58,354 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,248 – $59,754 · median $38,519 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,248 – $59,754 · median $38,519 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $37,755 – $89,353 · median $57,338 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $22,848 – $54,074 · median $34,907 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,675 – $34,730 · median $22,609 | 20 plans |
| 100 | SEIZURES WITH MCC | $20,910 – $49,487 · median $31,991 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $9,708 – $22,975 · median $15,135 | 20 plans |
| 102 | HEADACHES WITH MCC | $12,212 – $28,903 · median $18,903 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $8,955 – $21,193 · median $14,001 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,768 – $56,250 · median $36,291 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,450 – $29,466 · median $19,262 | 20 plans |
| 115 | Extraocular procedures except orbit | $16,125 – $38,163 · median $24,791 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,574 – $41,593 · median $26,972 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,360 – $26,886 · median $17,621 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,251 – $28,995 · median $18,962 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,144 – $16,915 · median $11,277 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,460 – $20,021 · median $13,256 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,733 – $32,502 · median $21,192 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,697 – $20,582 · median $13,613 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $25,395 – $60,101 · median $38,740 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,303 – $24,383 · median $16,030 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,731 – $34,863 · median $22,693 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,568 – $20,278 · median $13,420 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,461 – $34,224 · median $22,287 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $44,544 – $105,420 · median $67,554 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,629 – $53,555 · median $34,578 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,561 – $39,195 · median $25,447 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $24,162 – $57,185 · median $36,885 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,111 – $31,029 · median $20,255 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,433 – $19,959 · median $13,217 | 20 plans |
| 149 | Dysequilibrium | $7,873 – $18,633 · median $12,374 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $14,558 – $34,454 · median $22,433 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,984 – $18,894 · median $12,540 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,952 – $28,287 · median $18,512 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,496 – $17,740 · median $11,806 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,129 – $40,538 · median $26,302 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,833 – $23,272 · median $15,323 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,082 – $16,775 · median $11,183 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,247 – $40,818 · median $26,479 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,907 – $23,446 · median $15,434 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,947 – $16,471 · median $10,981 | 20 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $40,553 – $95,976 · median $61,549 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,245 – $45,546 · median $29,486 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,260 – $33,748 · median $21,984 | 20 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $32,320 – $76,490 · median $49,160 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,841 – $35,124 · median $22,859 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,579 – $20,303 · median $13,436 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,026 – $40,294 · median $26,146 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,449 – $24,730 · median $16,250 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,107 – $19,186 · median $12,726 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,409 – $43,567 · median $28,227 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,694 – $27,676 · median $18,124 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,821 – $20,876 · median $13,800 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,718 – $39,566 · median $25,683 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,250 – $26,624 · median $17,455 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,191 – $19,386 · median $12,852 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,641 – $39,384 · median $25,568 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,575 – $25,026 · median $16,439 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,733 – $18,301 · median $12,163 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,033 – $30,844 · median $20,138 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,828 – $27,993 · median $18,325 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,048 – $21,415 · median $14,142 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,817 – $16,176 · median $10,784 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,879 – $32,846 · median $21,411 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,637 – $20,440 · median $13,523 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,559 – $15,594 · median $10,396 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,844 – $46,965 · median $30,387 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,427 – $24,678 · median $16,217 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,377 – $17,459 · median $11,627 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,593 – $44,003 · median $28,505 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,665 – $27,606 · median $18,079 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,132 – $16,887 · median $11,258 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,182 – $24,097 · median $15,848 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,337 – $17,364 · median $11,567 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,542 – $20,216 · median $13,380 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,883 – $47,057 · median $30,446 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,540 – $22,579 · median $14,883 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $68,115 – $161,206 · median $103,024 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,267 – $66,898 · median $43,062 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $53,051 – $125,554 · median $80,355 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,673 – $72,592 · median $46,682 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,903 – $37,637 · median $24,457 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $27,558 – $65,221 · median $41,995 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,839 – $42,218 · median $27,370 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,394 – $22,232 · median $14,662 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $28,249 – $66,856 · median $43,035 | 20 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $52,697 – $124,716 · median $79,823 | 20 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,750 – $79,875 · median $51,313 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,288 – $40,915 · median $26,541 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,709 – $22,978 · median $15,136 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,637 – $18,074 · median $12,019 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,595 – $48,742 · median $31,517 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,805 – $18,471 · median $12,271 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,913 – $14,136 · median $9,424 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,769 – $68,087 · median $43,818 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,607 – $39,302 · median $25,515 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,311 – $24,403 · median $16,043 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,743 – $32,524 · median $21,206 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,071 – $21,467 · median $14,176 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,779 – $13,834 · median $9,223 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,934 – $30,610 · median $19,989 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,319 – $19,687 · median $13,044 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,256 – $40,840 · median $26,493 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,419 – $17,558 · median $11,691 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,652 – $11,291 · median $7,527 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,037 – $40,322 · median $26,164 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,276 – $26,687 · median $17,494 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,514 – $17,783 · median $11,833 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,252 – $28,997 · median $18,964 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,082 – $16,775 · median $11,183 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $12,374 – $29,284 · median $19,146 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,907 – $18,713 · median $12,424 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,771 – $37,325 · median $24,259 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,757 – $23,092 · median $15,209 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,701 – $30,059 · median $19,639 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,787 – $18,428 · median $12,244 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,893 – $14,091 · median $9,394 | 20 plans |
| 311 | ANGINA PECTORIS | $7,355 – $17,406 · median $11,594 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,177 – $21,719 · median $14,336 | 20 plans |
| 313 | CHEST PAIN | $7,514 – $17,783 · median $11,833 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,682 – $53,680 · median $34,657 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,135 – $23,987 · median $15,778 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,191 – $17,020 · median $11,347 | 20 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $65,158 – $154,207 · median $98,574 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $53,494 – $126,603 · median $81,023 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,574 – $60,525 · median $39,009 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,783 – $39,721 · median $25,782 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $48,364 – $114,461 · median $73,303 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,896 – $58,919 · median $37,988 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,389 – $41,154 · median $26,693 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $36,534 – $86,463 · median $55,501 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $22,385 – $52,977 · median $34,210 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,469 – $41,344 · median $26,813 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $38,163 – $90,320 · median $57,953 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $22,248 – $52,653 · median $34,004 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,168 – $38,265 · median $24,856 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,380 – $67,165 · median $43,231 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,680 – $37,108 · median $24,121 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,116 – $31,041 · median $20,263 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $24,928 – $58,997 · median $38,038 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,259 – $31,380 · median $20,479 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,278 – $21,958 · median $14,488 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $25,475 – $60,290 · median $38,860 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,846 – $37,502 · median $24,371 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,613 – $27,484 · median $18,002 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $30,892 – $73,110 · median $47,011 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,917 – $42,403 · median $27,487 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,042 – $33,232 · median $21,656 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $44,928 – $106,330 · median $68,133 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,719 – $56,135 · median $36,218 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,273 – $33,778 · median $22,003 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,589 – $41,628 · median $26,994 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,718 – $25,365 · median $16,654 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,352 – $17,399 · median $11,589 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,411 – $43,572 · median $28,230 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,841 – $25,657 · median $16,840 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,640 – $18,082 · median $12,023 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $22,238 – $52,630 · median $33,990 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,941 – $30,628 · median $20,000 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,300 – $22,010 · median $14,521 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,150 – $45,322 · median $29,343 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,384 – $24,575 · median $16,152 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,706 – $15,926 · median $10,618 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,268 – $47,967 · median $31,024 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,471 – $27,148 · median $17,788 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,892 – $18,678 · median $12,402 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,315 – $31,512 · median $20,563 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,159 – $21,676 · median $14,309 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,113 – $40,501 · median $26,278 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,453 – $24,740 · median $16,257 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,060 – $16,725 · median $11,150 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,482 – $36,640 · median $23,823 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,443 – $19,981 · median $13,231 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,763 – $13,799 · median $9,199 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,529 – $32,018 · median $20,884 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,218 – $19,450 · median $12,893 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,442 – $41,279 · median $26,772 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,914 – $23,464 · median $15,445 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,703 – $15,919 · median $10,613 | 20 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $26,097 – $61,764 · median $39,797 | 20 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,836 – $28,013 · median $18,338 | 20 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $41,205 – $97,519 · median $62,530 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $57,177 – $135,320 · median $86,565 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $29,579 – $70,004 · median $45,036 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,495 – $53,239 · median $34,377 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $36,877 – $87,276 · median $56,018 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $22,081 – $52,259 · median $33,754 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,337 – $38,664 · median $25,110 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,821 – $68,210 · median $43,895 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,451 – $53,134 · median $34,310 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,510 – $41,441 · median $26,875 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $36,904 – $87,338 · median $56,058 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,834 – $49,308 · median $31,877 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,432 – $34,155 · median $22,243 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $25,030 – $59,238 · median $38,191 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,467 – $41,339 · median $26,810 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,878 – $32,844 · median $21,409 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $37,174 – $87,979 · median $56,465 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,248 – $40,820 · median $26,481 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,476 – $36,627 · median $23,815 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,840 – $101,387 · median $64,990 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $24,049 – $56,915 · median $36,714 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,281 – $38,532 · median $25,026 | 20 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $110,332 – $261,118 · median $166,549 | 20 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $74,809 – $177,047 · median $113,096 | 20 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $57,972 – $137,199 · median $87,760 | 20 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $87,847 – $207,904 · median $132,715 | 20 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $57,618 – $136,362 · median $87,227 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,634 – $48,834 · median $31,576 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,268 – $26,667 · median $17,482 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,336 – $17,362 · median $11,565 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,217 – $45,481 · median $29,444 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,877 – $28,110 · median $18,399 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,270 – $19,573 · median $12,971 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,523 – $41,471 · median $26,894 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,060 – $21,442 · median $14,160 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,479 – $15,413 · median $10,275 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $19,911 – $47,122 · median $30,487 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,176 – $24,084 · median $15,840 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,401 – $17,516 · median $11,664 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,741 – $41,987 · median $27,222 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,422 – $27,033 · median $17,715 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,398 – $19,874 · median $13,163 | 20 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,617 – $167,127 · median $106,788 | 20 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $43,009 – $101,788 · median $65,245 | 20 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $54,243 – $128,375 · median $82,149 | 20 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,503 – $76,924 · median $49,436 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $89,201 – $211,110 · median $134,753 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $60,450 – $143,065 · median $91,489 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $45,479 – $107,634 · median $68,962 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $56,886 – $134,629 · median $86,126 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $31,056 – $73,499 · median $47,258 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,285 – $43,275 · median $28,042 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $53,659 – $126,992 · median $81,270 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $36,076 – $85,379 · median $54,812 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,630 – $65,390 · median $42,103 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $51,159 – $121,077 · median $77,509 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,515 – $72,218 · median $46,444 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,935 – $59,012 · median $38,047 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,235 – $111,789 · median $71,604 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,722 – $53,775 · median $34,717 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,250 – $28,992 · median $18,960 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $36,221 – $85,723 · median $55,031 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,631 – $58,294 · median $37,591 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,704 – $44,265 · median $28,671 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,976 – $73,310 · median $47,138 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,854 – $51,721 · median $33,411 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,709 – $39,544 · median $25,669 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $33,907 – $80,247 · median $51,549 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,338 – $52,867 · median $34,140 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,643 – $39,389 · median $25,571 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,700 – $48,991 · median $31,676 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,043 – $30,869 · median $20,154 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $37,403 – $88,520 · median $56,809 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $25,288 – $59,849 · median $38,580 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $19,858 – $46,997 · median $30,408 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $37,081 – $87,757 · median $56,324 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $20,781 – $49,181 · median $31,796 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,141 – $33,467 · median $21,805 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $26,593 – $62,938 · median $40,543 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,226 – $28,935 · median $18,924 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $33,374 – $78,985 · median $50,747 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,797 – $44,487 · median $28,812 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,716 – $34,828 · median $22,671 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $27,875 – $65,971 · median $42,472 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,484 – $43,746 · median $28,341 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,484 – $43,746 · median $28,341 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,789 – $37,368 · median $24,286 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,414 – $48,313 · median $31,245 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,593 – $32,170 · median $20,981 | 20 plans |
| 509 | ARTHROSCOPY | $18,502 – $43,789 · median $28,368 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,858 – $37,530 · median $24,389 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,739 – $25,415 · median $16,686 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $32,571 – $77,084 · median $49,537 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,188 – $50,145 · median $32,410 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,722 – $37,208 · median $24,184 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $37,748 – $89,338 · median $57,329 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,769 – $49,153 · median $31,779 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,095 – $35,725 · median $23,241 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,699 – $72,654 · median $46,721 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,203 – $52,548 · median $33,938 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,061 – $38,011 · median $24,694 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,573 – $20,290 · median $13,428 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,007 – $33,150 · median $21,604 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,541 – $20,213 · median $13,378 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,679 – $22,908 · median $15,092 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,073 – $16,754 · median $11,169 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $21,301 – $50,412 · median $32,579 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,630 – $32,258 · median $21,037 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,215 – $21,808 · median $14,393 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $19,644 – $46,491 · median $30,086 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,174 – $26,445 · median $17,341 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,959 – $18,837 · median $12,504 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $26,614 – $62,987 · median $40,575 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,193 – $28,858 · median $18,875 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,859 – $18,600 · median $12,353 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $21,219 – $50,217 · median $32,456 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,693 – $30,039 · median $19,626 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,080 – $21,489 · median $14,190 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,973 – $42,535 · median $27,571 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,151 – $24,024 · median $15,802 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,755 – $32,554 · median $21,225 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,790 – $20,804 · median $13,754 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,183 – $33,566 · median $21,869 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,600 – $20,353 · median $13,467 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $16,322 – $38,629 · median $25,088 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,098 – $21,532 · median $14,217 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,551 – $46,272 · median $29,947 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,993 – $28,384 · median $18,574 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,611 – $20,380 · median $13,485 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,528 – $39,115 · median $25,397 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,740 – $25,418 · median $16,688 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,879 – $18,648 · median $12,383 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,705 – $75,035 · median $48,235 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,634 – $41,735 · median $27,062 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,032 – $28,476 · median $18,632 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $64,861 – $153,504 · median $98,127 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $36,494 – $86,369 · median $55,441 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,030 – $49,771 · median $32,172 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $56,826 – $134,487 · median $86,036 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,046 – $66,375 · median $42,729 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,804 – $42,136 · median $27,317 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $34,329 – $81,246 · median $52,184 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,674 – $44,195 · median $28,627 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,158 – $35,875 · median $23,336 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,444 – $43,652 · median $28,281 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,302 – $40,947 · median $26,561 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,564 – $51,035 · median $32,975 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,908 – $49,482 · median $31,988 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $21,658 – $51,257 · median $33,117 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $12,878 – $30,478 · median $19,905 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,939 – $21,155 · median $13,978 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,277 – $52,723 · median $34,048 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,387 – $26,948 · median $17,661 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $18,502 – $43,789 · median $28,368 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,363 – $26,893 · median $17,626 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,004 – $21,310 · median $14,076 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,075 – $23,845 · median $15,688 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,314 – $15,042 · median $10,028 | 20 plans |
| 602 | CELLULITIS WITH MCC | $15,474 – $36,622 · median $23,812 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,277 – $21,956 · median $14,486 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,648 – $37,034 · median $24,073 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,729 – $23,025 · median $15,166 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $16,960 – $40,140 · median $26,048 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,102 – $21,542 · median $14,223 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $24,003 – $56,808 · median $36,646 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,093 – $35,720 · median $23,238 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $40,708 – $96,342 · median $61,782 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,344 – $48,149 · median $31,140 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,114 – $31,036 · median $20,260 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $39,412 – $93,276 · median $59,833 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,146 – $47,680 · median $30,842 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,565 – $25,004 · median $16,425 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $30,198 – $71,468 · median $45,967 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,897 – $37,622 · median $24,447 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,344 – $31,580 · median $20,606 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $41,558 – $98,354 · median $63,061 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $23,689 – $56,063 · median $36,172 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,759 – $34,930 · median $22,736 | 20 plans |
| 637 | DIABETES WITH MCC | $15,338 – $36,301 · median $23,607 | 20 plans |
| 638 | DIABETES WITH CC | $9,660 – $22,863 · median $15,063 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,600 – $15,686 · median $10,458 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,455 – $41,311 · median $26,793 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,884 – $25,759 · median $16,905 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,202 – $19,410 · median $12,868 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $58,714 – $138,957 · median $88,877 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $29,724 – $70,346 · median $45,254 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,879 – $51,780 · median $33,449 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $34,315 – $81,211 · median $52,162 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,254 – $45,569 · median $29,500 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,841 – $37,490 · median $24,363 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $27,219 – $64,418 · median $41,485 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,113 – $33,402 · median $21,764 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,813 – $25,590 · median $16,797 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $32,857 – $77,762 · median $49,969 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,087 – $38,073 · median $24,734 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,373 – $26,916 · median $17,640 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $36,164 – $85,589 · median $54,945 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $17,350 – $41,062 · median $26,634 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,825 – $25,620 · median $16,816 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $30,716 – $72,694 · median $46,746 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,299 – $38,574 · median $25,053 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,066 – $23,823 · median $15,673 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,155 – $42,966 · median $27,845 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,527 – $27,280 · median $17,872 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $44,127 – $104,433 · median $66,927 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $24,313 – $57,541 · median $37,112 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,486 – $39,018 · median $25,335 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $15,819 – $37,438 · median $24,330 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $9,362 – $22,157 · median $14,615 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,397 – $15,230 · median $10,153 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $19,861 – $47,004 · median $30,413 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,088 – $26,240 · median $17,211 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,628 – $18,052 · median $12,004 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,326 – $29,172 · median $19,075 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,453 – $20,006 · median $13,247 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,878 – $28,112 · median $18,401 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,286 – $17,244 · median $11,491 | 20 plans |
| 697 | Urethral stricture | $10,551 – $24,972 · median $16,404 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,704 – $41,899 · median $27,167 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,742 – $25,423 · median $16,691 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,312 – $17,304 · median $11,529 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,439 – $48,373 · median $31,283 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,614 – $36,954 · median $24,023 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,667 – $56,013 · median $36,140 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,813 – $37,425 · median $24,322 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,123 – $47,625 · median $30,807 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,266 – $26,662 · median $17,479 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,230 – $36,044 · median $23,444 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,897 – $23,424 · median $15,420 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,785 – $56,292 · median $36,318 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,949 – $35,379 · median $23,021 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,543 – $46,252 · median $29,934 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,975 – $30,707 · median $20,051 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,210 – $43,096 · median $27,928 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,827 – $27,990 · median $18,323 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,674 – $18,162 · median $12,074 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,298 – $31,473 · median $20,537 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,840 – $18,555 · median $12,325 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,476 – $36,627 · median $23,815 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,606 – $20,368 · median $13,477 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,595 – $27,442 · median $17,975 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,392 – $15,218 · median $10,145 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,148 – $52,416 · median $33,854 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,785 – $30,259 · median $19,766 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $41,473 – $98,152 · median $62,933 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,048 – $49,814 · median $32,199 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,977 – $37,811 · median $24,568 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,240 – $45,534 · median $29,478 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,625 – $29,880 · median $19,525 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,580 – $48,707 · median $31,495 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,794 – $25,545 · median $16,769 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,638 – $41,742 · median $27,067 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,061 – $23,810 · median $15,665 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,348 – $33,958 · median $22,117 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $27,264 – $64,525 · median $41,553 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,582 – $32,143 · median $20,964 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,056 – $45,100 · median $29,202 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,692 – $27,671 · median $18,120 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,058 – $23,805 · median $15,662 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,907 – $35,279 · median $22,957 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,736 – $25,408 · median $16,681 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,741 – $16,005 · median $10,670 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,381 – $24,568 · median $16,147 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,677 – $15,860 · median $10,573 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,635 – $34,636 · median $22,549 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,333 – $26,821 · median $17,580 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $9,846 – $23,302 · median $15,342 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,986 – $44,933 · median $29,096 | 20 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $50,080 – $118,522 · median $75,884 | 20 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $30,689 – $72,632 · median $46,707 | 20 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,291 – $40,922 · median $26,546 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $37,757 – $89,357 · median $57,341 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,748 – $44,370 · median $28,738 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,645 – $27,559 · median $18,049 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $24,122 – $57,090 · median $36,825 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,044 – $30,872 · median $20,155 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,025 – $23,725 · median $15,612 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,818 – $35,069 · median $22,824 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,720 – $23,005 · median $15,154 | 20 plans |
| 813 | COAGULATION DISORDERS | $16,304 – $38,587 · median $25,061 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $22,018 – $52,109 · median $33,659 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,702 – $25,328 · median $16,631 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,945 – $16,466 · median $10,977 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $26,701 – $63,192 · median $40,705 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,566 – $32,106 · median $20,940 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,600 – $20,353 · median $13,467 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $61,323 – $145,131 · median $92,803 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,513 – $55,647 · median $35,908 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,046 – $28,509 · median $18,653 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $49,287 – $116,645 · median $74,691 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $23,165 – $54,824 · median $35,384 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,963 – $30,680 · median $20,033 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $50,298 – $119,038 · median $76,213 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,856 – $58,825 · median $37,928 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,882 – $39,955 · median $25,931 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $32,480 – $76,869 · median $49,401 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,404 – $36,455 · median $23,706 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,123 – $28,691 · median $18,769 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,872 – $18,630 · median $12,372 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,475 – $13,147 · median $8,765 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $52,738 – $124,813 · median $79,885 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,362 – $50,556 · median $32,671 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,434 – $34,160 · median $22,246 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $33,588 – $79,491 · median $51,068 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,515 – $39,085 · median $25,378 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,079 – $26,220 · median $17,198 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $19,941 – $47,194 · median $30,533 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,588 – $29,792 · median $19,469 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,814 – $20,859 · median $13,789 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $26,898 – $63,658 · median $41,001 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,384 – $31,674 · median $20,666 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,625 – $20,413 · median $13,505 | 20 plans |
| 849 | Radiotherapy | $28,133 – $66,582 · median $42,860 | 20 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $97,024 – $229,623 · median $146,524 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $52,676 – $124,666 · median $79,791 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $21,045 – $49,806 · median $32,194 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,122 – $40,521 · median $26,290 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $47,518 – $112,460 · median $72,030 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $22,949 – $54,313 · median $35,060 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,570 – $32,116 · median $20,946 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,366 – $45,833 · median $29,668 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,531 – $24,924 · median $16,374 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,458 – $22,384 · median $14,759 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,545 – $36,789 · median $23,918 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,319 – $22,055 · median $14,550 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,585 – $53,450 · median $34,511 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,060 – $26,176 · median $17,169 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,579 – $17,937 · median $11,931 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $73,269 – $173,403 · median $110,779 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,666 – $48,909 · median $31,624 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,859 – $25,700 · median $16,867 | 20 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $41,388 – $97,952 · median $62,806 | 20 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,096 – $23,895 · median $15,719 | 20 plans |
| 881 | DEPRESSIVE NEUROSES | $9,628 – $22,786 · median $15,014 | 20 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,132 – $23,980 · median $15,773 | 20 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,526 – $46,212 · median $29,909 | 20 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,591 – $41,633 · median $26,997 | 20 plans |
| 885 | PSYCHOSES | $14,847 – $35,137 · median $22,867 | 20 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,922 – $44,781 · median $28,999 | 20 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,527 – $29,648 · median $19,377 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $46,664 – $110,438 · median $70,745 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,986 – $47,301 · median $30,601 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,840 – $30,388 · median $19,848 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $40,667 – $96,245 · median $61,720 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,360 – $41,084 · median $26,649 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $22,987 – $54,403 · median $35,117 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,045 – $40,339 · median $26,175 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,652 – $22,843 · median $15,051 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $18,304 – $43,320 · median $28,070 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,995 – $16,578 · median $11,052 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,270 – $40,872 · median $26,514 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,317 – $22,050 · median $14,547 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,207 – $45,456 · median $29,429 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,700 – $25,323 · median $16,627 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,243 – $17,142 · median $11,426 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,794 – $42,111 · median $27,302 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,742 – $25,423 · median $16,691 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $70,345 – $166,483 · median $106,379 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $33,497 – $79,277 · median $50,932 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $45,573 – $107,856 · median $69,103 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,601 – $53,488 · median $34,535 | 20 plans |
| 935 | Non-extensive burns | $23,133 – $54,749 · median $35,337 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $33,430 – $79,118 · median $50,831 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $22,238 – $52,630 · median $33,990 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,584 – $48,714 · median $31,500 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,078 – $38,051 · median $24,720 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,759 – $27,831 · median $18,222 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,547 – $32,061 · median $20,911 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,368 – $19,804 · median $13,119 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,365 – $26,896 · median $17,628 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,173 – $14,724 · median $9,816 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,972 – $14,269 · median $9,513 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $40,259 – $95,280 · median $61,107 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $78,616 – $186,058 · median $118,825 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $43,286 – $102,444 · median $65,662 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,847 – $65,904 · median $42,429 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,613 – $67,719 · median $43,583 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,800 – $37,393 · median $24,301 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,612 – $22,748 · median $14,990 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $66,610 – $157,644 · median $100,759 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,946 – $66,138 · median $42,578 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $31,452 – $74,436 · median $47,854 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,971 – $35,431 · median $23,054 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,564 – $25,002 · median $16,423 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,187 – $35,942 · median $23,379 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $50,070 – $118,499 · median $75,870 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $25,787 – $61,028 · median $39,329 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,570 – $41,583 · median $26,966 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,892 – $87,311 · median $56,040 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,074 – $42,774 · median $27,723 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,170 – $28,803 · median $18,840 | 20 plans |
| 795 | NORMAL NEWBORN | $2,104 – $5,540 · median $3,693 | 19 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,515 – $17,785 · median $11,835 | 18 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $62,613 – $148,185 · median $94,744 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $42,761 – $101,200 · median $64,871 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $25,801 – $61,063 · median $39,351 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $43,926 – $103,957 · median $66,624 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $15,548 – $36,797 · median $23,923 | 18 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $21,000 – $97,471 · median $41,198 | 17 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $21,000 – $77,796 · median $40,537 | 17 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $12,133 – $70,962 · median $34,100 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $39,725 – $117,273 · median $82,986 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $86,045 – $129,068 · median $86,045 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $65,565 – $98,348 · median $65,565 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $42,526 – $63,789 · median $42,526 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $598,228 – $897,343 · median $598,228 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $24,509 – $36,764 · median $24,509 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $97,786 – $146,679 · median $97,786 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $45,914 – $68,872 · median $45,914 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $52,332 – $78,497 · median $52,332 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $30,410 – $45,614 · median $30,410 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $40,913 – $61,369 · median $40,913 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $45,824 – $68,736 · median $45,824 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $31,609 – $47,414 · median $31,609 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $26,008 – $39,013 · median $26,008 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $23,721 – $35,582 · median $23,721 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $14,692 – $22,039 · median $14,692 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $21,574 – $32,361 · median $21,574 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $12,911 – $19,366 · median $12,911 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $20,197 – $30,295 · median $20,197 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $63,619 – $95,429 · median $63,619 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $29,345 – $44,017 · median $29,345 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $22,297 – $33,445 · median $22,297 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $88,128 – $132,191 · median $88,128 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $34,378 – $51,567 · median $34,378 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $20,666 – $30,999 · median $20,666 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $10,418 – $15,627 · median $10,418 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $23,474 – $35,211 · median $23,474 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $28,750 – $43,125 · median $28,750 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $14,508 – $21,763 · median $14,508 | 13 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $17,500 – $146,175 · median $22,000 | 11 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $17,500 – $146,175 · median $22,000 | 11 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $17,500 – $146,175 · median $22,000 | 11 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $17,500 – $146,175 · median $22,000 | 11 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,500 – $146,175 · median $22,000 | 11 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,500 – $146,175 · median $22,000 | 11 plans |
| 999 | Bone Marrow Transplant - Autologous | $80,000 – $126,500 · median $105,000 | 5 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $41,198 – $54,276 · median $53,423 | 3 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $41,198 – $54,276 · median $53,423 | 3 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $41,198 – $54,276 · median $53,423 | 3 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $41,198 – $54,276 · median $53,423 | 3 plans |
| 652 | Kidney Transplant - Cadaveric | $181,011 – $244,316 · median $238,343 | 3 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $10,456 – $11,775 · median $11,116 | 2 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $10,456 – $11,775 · median $11,116 | 2 plans |
| 775 | Vaginal delivery w/o complicating diagnoses | $10,456 – $11,775 · median $11,116 | 2 plans |
No procedures match that keyword.