Santa Monica UCLA Medical Center & Orthopaedic Hospital — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 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 – $243,854 · median $109,592 | 37 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $5,500 – $163,901 · median $75,766 | 37 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $5,500 – $163,901 · median $75,766 | 37 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $5,500 – $191,395 · median $88,406 | 37 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $5,500 – $154,581 · median $61,527 | 37 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $5,500 – $154,581 · median $58,174 | 37 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $5,500 – $154,581 · median $67,667 | 36 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $5,500 – $154,581 · median $48,417 | 36 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $25,000 – $196,144 · median $91,091 | 34 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $25,000 – $131,957 · median $64,547 | 34 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,000 – $130,239 · median $44,333 | 34 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,000 – $130,239 · median $47,890 | 34 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $25,000 – $130,239 · median $56,062 | 34 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,000 – $130,239 · median $38,820 | 34 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,000 – $130,239 · median $32,907 | 34 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,000 – $130,239 · median $53,805 | 34 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,445 – $130,239 · median $29,974 | 34 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,514 – $130,239 · median $26,532 | 34 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,000 – $130,239 · median $41,725 | 34 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,090 – $130,239 · median $26,030 | 34 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,381 – $130,239 · median $19,718 | 34 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,500 – $154,581 · median $58,952 | 34 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,500 – $154,581 · median $38,876 | 34 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $17,500 – $210,130 · median $97,019 | 34 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $17,500 – $154,581 · median $71,854 | 34 plans |
| 245 | AICD generator procedures | $17,500 – $131,258 · median $52,699 | 34 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,500 – $82,089 · median $38,736 | 33 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,500 – $82,089 · median $26,184 | 33 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,500 – $82,089 · median $22,778 | 33 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,500 – $82,089 · median $36,423 | 33 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,500 – $82,089 · median $23,588 | 33 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,500 – $82,089 · median $38,897 | 33 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,500 – $82,089 · median $23,824 | 33 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $17,167 – $82,089 · median $20,540 | 33 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,000 – $130,239 · median $49,978 | 33 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,014 – $130,239 · median $29,700 | 33 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,826 – $130,239 · median $22,043 | 33 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,998 – $71,974 · median $33,913 | 32 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,855 – $50,058 · median $20,258 | 32 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,887 – $50,058 · median $18,792 | 32 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,500 – $154,581 · median $52,515 | 31 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,500 – $154,581 · median $31,015 | 31 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,500 – $154,581 · median $23,521 | 31 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,497 – $56,718 · median $26,818 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,497 – $56,718 · median $19,829 | 29 plans |
| 264 | Other circulatory system O.R. procedures | $17,500 – $131,258 · median $39,903 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $12,497 – $131,521 · median $64,290 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $12,497 – $131,258 · median $43,699 | 29 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,497 – $131,258 · median $32,173 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $5,500 – $55,158 · median $25,773 | 29 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,500 – $44,972 · median $13,941 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,500 – $131,258 · median $40,390 | 28 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,500 – $131,258 · median $30,160 | 28 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,500 – $131,258 · median $21,947 | 28 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $17,500 – $698,545 · median $321,559 | 27 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $17,500 – $282,465 · median $130,274 | 27 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $25,000 – $142,838 · median $71,414 | 27 plans |
| 007 | Lung transplant | $115,000 – $322,807 · median $163,110 | 26 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $40,574 – $171,444 · median $83,957 | 26 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $40,574 – $131,258 · median $52,182 | 26 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $12,497 – $43,946 · median $22,559 | 26 plans |
| 652 | KIDNEY TRANSPLANT | $32,000 – $110,000 · median $40,191 | 26 plans |
| 010 | PANCREAS TRANSPLANT | $40,108 – $230,025 · median $90,595 | 25 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $126,578 – $345,051 · median $157,485 | 24 plans |
| 215 | Other heart assist system implant | $17,500 – $248,196 · median $114,519 | 24 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $5,500 – $190,570 · median $83,632 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,500 – $154,581 · median $67,983 | 24 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,183 – $27,194 · median $11,391 | 24 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,183 – $27,194 · median $11,637 | 24 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $40,668 – $130,239 · median $47,343 | 23 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $23,158 – $130,239 · median $27,708 | 23 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,197 – $130,239 · median $21,772 | 23 plans |
| 265 | AICD lead procedures | $29,896 – $92,778 · median $41,879 | 23 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,067 – $26,901 · median $12,783 | 23 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,941 – $18,795 · median $9,382 | 23 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $7,101 – $18,531 · median $8,307 | 23 plans |
| 955 | Craniotomy for multiple significant trauma | $29,106 – $167,785 · median $77,637 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $5,500 – $177,738 · median $82,127 | 22 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $47,005 – $111,246 · median $55,072 | 22 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $25,334 – $92,778 · median $29,376 | 22 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,183 – $26,712 · median $12,748 | 22 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,183 – $61,198 · median $27,872 | 22 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,183 – $27,194 · median $12,994 | 22 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,183 – $41,117 · median $19,318 | 22 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,183 – $27,838 · median $13,403 | 22 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,183 – $29,090 · median $14,564 | 22 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,183 – $24,937 · median $12,084 | 22 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,183 – $23,857 · median $11,572 | 22 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $28,623 – $529,076 · median $243,648 | 21 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $27,247 – $107,868 · median $50,006 | 21 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $27,247 – $78,544 · median $36,525 | 21 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $27,247 – $80,025 · median $37,205 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $108,595 – $257,007 · median $123,793 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $48,839 – $115,585 · median $56,106 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $62,454 – $147,808 · median $70,765 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $57,215 – $135,410 · median $68,666 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $75,145 – $177,843 · median $90,078 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $17,500 – $152,761 · median $74,561 | 20 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $40,574 – $149,725 · median $72,134 | 20 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $40,574 – $115,124 · median $55,047 | 20 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $145,889 – $345,271 · median $160,295 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $63,282 – $149,768 · median $69,268 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $35,932 – $85,040 · median $39,511 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,121 – $54,719 · median $25,572 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $40,768 – $96,484 · median $44,772 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $25,178 – $59,587 · median $27,810 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,462 – $48,428 · median $22,679 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,077 – $45,150 · median $23,120 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $10,313 – $24,408 · median $11,637 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,082 – $38,061 · median $17,913 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,739 – $25,415 · median $12,688 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $24,468 – $57,907 · median $28,685 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,646 – $32,295 · median $15,443 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,005 – $42,612 · median $21,234 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,070 – $30,932 · median $14,636 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,688 – $22,928 · median $10,956 | 19 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $29,039 – $68,726 · median $32,011 | 19 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,508 – $43,801 · median $20,552 | 19 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,785 – $34,992 · median $16,502 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $21,181 – $50,128 · median $23,461 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,641 – $25,184 · median $11,993 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,208 – $17,060 · median $8,258 | 19 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,413 – $19,912 · median $9,569 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,897 – $39,990 · median $18,800 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,857 – $25,695 · median $12,228 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $19,836 – $47,797 · median $22,389 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,691 – $20,570 · median $10,717 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $19,064 – $45,117 · median $22,840 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,433 – $22,324 · median $10,679 | 19 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $24,073 – $56,973 · median $26,608 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,701 – $34,793 · median $16,411 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,067 – $23,825 · median $11,368 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $23,929 – $56,631 · median $26,451 | 19 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,721 – $32,472 · median $15,344 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,634 – $22,801 · median $10,898 | 19 plans |
| 088 | CONCUSSION WITH MCC | $14,238 – $33,696 · median $16,307 | 19 plans |
| 089 | CONCUSSION WITH CC | $11,571 – $27,385 · median $13,005 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,670 – $20,520 · median $10,042 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,497 – $43,776 · median $20,973 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,775 – $25,500 · median $12,322 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,387 – $19,849 · median $9,541 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $37,068 – $87,727 · median $41,642 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $27,165 – $64,291 · median $29,972 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $27,165 – $64,291 · median $29,972 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $38,041 – $90,031 · median $41,805 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $24,171 – $57,204 · median $26,714 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,349 – $33,960 · median $16,110 | 19 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $37,716 – $100,271 · median $43,350 | 19 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,252 – $100,271 · median $21,294 | 19 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,663 – $100,271 · median $14,774 | 19 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $73,818 – $271,056 · median $125,029 | 19 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $49,517 – $117,191 · median $57,743 | 19 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $39,031 – $92,374 · median $43,612 | 19 plans |
| 693 | URINARY STONES WITH MCC | $14,161 – $33,514 · median $16,983 | 19 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,233 – $19,485 · median $9,605 | 19 plans |
| 795 | NORMAL NEWBORN | $2,104 – $5,183 · median $2,705 | 19 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $34,020 – $532,199 · median $268,889 | 19 plans |
| 100 | SEIZURES WITH MCC | $20,399 – $48,278 · median $23,305 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $9,507 – $22,499 · median $10,931 | 18 plans |
| 102 | HEADACHES WITH MCC | $11,806 – $27,940 · median $13,618 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $8,808 – $20,846 · median $10,138 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,763 – $58,605 · median $27,915 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,719 – $33,726 · median $15,920 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,166 – $38,260 · median $18,433 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $19,044 – $45,070 · median $21,142 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,427 – $27,043 · median $13,090 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,252 – $28,997 · median $14,020 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,016 – $19,587 · median $9,420 | 18 plans |
| 123 | Neurological eye disorders | $8,411 – $19,907 · median $9,690 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,935 – $32,981 · median $15,918 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,087 – $19,139 · median $9,680 | 18 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,855 – $54,091 · median $27,489 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,694 – $25,308 · median $12,263 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,727 – $37,221 · median $17,657 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,334 – $22,090 · median $10,571 | 18 plans |
| 139 | Salivary gland procedures | $13,015 – $30,802 · median $15,726 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $44,924 – $106,320 · median $50,853 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,972 – $54,368 · median $26,105 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,814 – $39,793 · median $19,163 | 18 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $22,301 – $52,780 · median $26,308 | 18 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,392 – $31,694 · median $15,305 | 18 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,395 – $19,869 · median $9,672 | 18 plans |
| 149 | Dysequilibrium | $7,916 – $18,735 · median $9,132 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $14,024 – $33,190 · median $16,173 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,731 – $18,296 · median $8,969 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,451 – $29,468 · median $14,233 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,775 – $18,401 · median $8,973 | 18 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,467 – $38,973 · median $18,980 | 18 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,653 – $22,845 · median $11,090 | 18 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,279 – $17,227 · median $8,414 | 18 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $18,082 – $42,794 · median $20,426 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,582 – $22,678 · median $11,082 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,462 – $17,661 · median $8,560 | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $39,367 – $93,169 · median $44,926 | 18 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $18,994 – $44,953 · median $21,621 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,392 – $34,060 · median $16,432 | 18 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $31,349 – $74,192 · median $35,824 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,467 – $34,239 · median $16,584 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,479 – $20,066 · median $9,766 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,459 – $38,953 · median $18,920 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,280 – $24,329 · median $11,796 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,952 – $18,820 · median $9,172 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,600 – $44,021 · median $21,177 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,280 – $26,697 · median $13,033 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,939 – $18,790 · median $9,659 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,114 – $38,135 · median $18,553 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,208 – $26,525 · median $12,843 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,284 – $19,605 · median $9,546 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,415 – $38,848 · median $18,713 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,418 – $24,655 · median $11,952 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,554 – $17,877 · median $8,731 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,012 – $30,795 · median $14,877 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,667 – $27,611 · median $13,360 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,879 – $21,013 · median $10,217 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,762 – $16,003 · median $7,831 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,844 – $32,764 · median $15,815 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,488 – $20,088 · median $9,777 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,620 – $15,666 · median $7,670 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,877 – $47,042 · median $22,616 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,996 – $23,658 · median $11,604 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,543 – $17,853 · median $8,712 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,580 – $43,973 · median $21,154 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,578 – $27,402 · median $13,260 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,532 – $17,825 · median $8,699 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,229 – $24,209 · median $11,739 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,057 – $16,701 · median $8,228 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,504 – $20,126 · median $9,795 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,285 – $45,641 · median $22,104 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,912 – $23,459 · median $11,382 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $67,773 – $160,396 · median $76,612 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,951 – $68,516 · median $32,845 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $51,838 – $122,682 · median $58,917 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,023 – $71,054 · median $34,166 | 18 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,581 – $34,509 · median $17,430 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $28,410 – $67,237 · median $32,140 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,883 – $42,323 · median $20,368 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,434 – $27,225 · median $12,932 | 18 plans |
| 263 | VEIN LIGATION AND STRIPPING | $30,700 – $76,211 · median $35,452 | 18 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $56,977 – $138,747 · median $64,202 | 18 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $36,613 – $89,896 · median $41,743 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,895 – $39,985 · median $19,315 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,680 – $22,910 · median $11,121 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,616 – $18,025 · median $8,794 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,863 – $49,375 · median $23,727 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,291 – $17,254 · median $8,724 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,308 – $14,929 · median $7,319 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,503 – $67,457 · median $32,340 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,978 – $42,548 · median $19,990 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,792 – $23,174 · median $11,422 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,522 – $32,001 · median $15,451 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,942 – $21,163 · median $10,288 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,961 – $14,109 · median $6,928 | 18 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,451 – $38,933 · median $19,039 | 18 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,678 – $15,804 · median $8,151 | 18 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,793 – $11,344 · median $5,631 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,196 – $40,698 · median $19,594 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,243 – $26,609 · median $12,883 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,580 – $17,940 · median $8,753 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,603 – $29,827 · median $14,416 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,090 – $16,781 · median $8,201 | 18 plans |
| 304 | HYPERTENSION WITH MCC | $12,534 – $29,663 · median $14,337 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,953 – $18,822 · median $9,174 | 18 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,597 – $39,280 · median $18,745 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,618 – $22,763 · median $11,051 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,681 – $30,012 · median $14,504 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,749 – $18,339 · median $8,943 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,962 – $14,111 · median $6,929 | 18 plans |
| 311 | ANGINA PECTORIS | $7,393 – $17,496 · median $8,542 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,180 – $21,726 · median $10,557 | 18 plans |
| 313 | Chest pain | $7,583 – $17,947 · median $8,757 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,962 – $51,977 · median $25,169 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,146 – $24,012 · median $11,646 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,184 – $17,003 · median $8,307 | 18 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $70,370 – $166,673 · median $77,224 | 18 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $52,529 – $124,320 · median $59,559 | 18 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,743 – $60,926 · median $29,229 | 18 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,876 – $39,940 · median $19,233 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $48,412 – $114,576 · median $54,785 | 18 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $25,248 – $59,754 · median $28,671 | 18 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,725 – $41,949 · median $20,190 | 18 plans |
| 332 | RECTAL RESECTION WITH MCC | $38,135 – $90,252 · median $42,736 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $24,397 – $58,383 · median $27,256 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,251 – $40,828 · median $19,656 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $37,610 – $89,011 · median $42,617 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $22,210 – $52,563 · median $25,246 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,167 – $38,263 · median $18,434 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,203 – $64,381 · median $31,289 | 18 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,848 – $37,507 · median $18,074 | 18 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,494 – $29,568 · median $14,505 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $24,178 – $57,222 · median $27,669 | 18 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,785 – $32,624 · median $15,731 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,170 – $21,701 · median $10,545 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,246 – $62,115 · median $29,731 | 18 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,057 – $38,001 · median $18,309 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,300 – $29,109 · median $13,950 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $30,565 – $72,337 · median $34,665 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,720 – $41,937 · median $20,184 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,166 – $33,527 · median $16,178 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $46,267 – $109,498 · median $52,122 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $24,493 – $57,967 · median $27,739 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,723 – $34,845 · median $16,806 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,767 – $39,681 · median $19,402 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,535 – $24,932 · median $12,084 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,381 – $17,469 · median $8,529 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,675 – $44,198 · median $21,261 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,754 – $25,450 · median $12,331 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,661 – $18,132 · median $8,845 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $22,526 – $53,311 · median $25,602 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,740 – $30,151 · median $14,570 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,735 – $23,040 · median $11,183 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,253 – $45,566 · median $21,913 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,329 – $24,446 · median $11,852 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,640 – $15,714 · median $7,693 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,667 – $48,911 · median $23,506 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,412 – $27,008 · median $13,073 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,432 – $19,956 · median $9,646 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $14,542 – $34,416 · median $16,238 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,003 – $21,307 · median $10,357 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,665 – $39,442 · median $19,087 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,283 – $24,336 · median $11,800 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,176 – $16,983 · median $8,297 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,554 – $36,812 · median $17,743 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,319 – $19,687 · median $9,586 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,730 – $13,560 · median $6,667 | 18 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,358 – $31,615 · median $15,267 | 18 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,211 – $19,433 · median $9,464 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $16,845 – $39,865 · median $19,368 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,855 – $23,324 · median $11,318 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,836 – $16,177 · median $7,914 | 18 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $25,224 – $59,697 · median $28,908 | 18 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,056 – $28,534 · median $13,800 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $42,346 – $100,218 · median $47,788 | 18 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $57,618 – $136,362 · median $65,163 | 18 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $30,546 – $72,293 · median $34,497 | 18 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,378 – $55,327 · median $26,409 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $37,554 – $88,879 · median $42,545 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $22,932 – $54,273 · median $25,922 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,722 – $39,576 · median $19,060 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $31,315 – $82,341 · median $38,270 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,144 – $52,409 · median $25,172 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,489 – $41,391 · median $19,924 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $37,523 – $88,804 · median $42,509 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $21,767 – $51,516 · median $24,551 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,359 – $33,983 · median $16,395 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $25,135 – $59,485 · median $28,543 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,817 – $42,166 · median $20,293 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $14,385 – $34,045 · median $16,423 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $35,885 – $84,928 · median $41,079 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $18,300 – $43,310 · median $20,545 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,740 – $34,885 · median $17,084 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $43,741 – $103,521 · median $49,514 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $23,044 – $54,537 · median $26,535 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,802 – $37,398 · median $18,136 | 18 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $116,080 – $274,723 · median $128,765 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $76,029 – $179,936 · median $85,919 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $59,213 – $140,138 · median $66,876 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $94,756 – $224,580 · median $103,947 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $60,742 – $143,755 · median $67,498 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,730 – $49,061 · median $23,578 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,124 – $26,328 · median $12,749 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,504 – $17,760 · median $8,668 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,345 – $45,783 · median $22,016 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,913 – $28,195 · median $13,638 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,987 – $21,270 · median $10,194 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,170 – $40,636 · median $19,601 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,860 – $20,968 · median $10,206 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,545 – $15,489 · median $7,586 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $18,903 – $44,736 · median $21,895 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,167 – $24,062 · median $11,669 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,370 – $17,441 · median $8,516 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,599 – $41,650 · median $20,048 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,527 – $27,280 · median $13,202 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,713 – $20,622 · median $10,031 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,374 – $166,551 · median $79,543 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $44,666 – $105,709 · median $50,117 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $56,134 – $132,850 · median $62,997 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $34,024 – $80,523 · median $38,117 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $88,508 – $209,470 · median $99,987 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $62,806 – $148,641 · median $70,296 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $43,948 – $104,009 · median $50,246 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $60,030 – $142,070 · median $66,678 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,805 – $77,639 · median $36,599 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $19,208 – $45,459 · median $21,652 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $54,826 – $129,754 · median $61,939 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $37,144 – $87,907 · median $41,926 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $28,943 – $68,499 · median $32,472 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $50,858 – $120,364 · median $57,542 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $31,030 – $73,437 · median $35,189 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $25,713 – $60,854 · median $29,121 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,215 – $107,008 · median $51,928 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,969 – $56,726 · median $26,864 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,430 – $29,419 · median $14,221 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $36,385 – $86,112 · median $41,227 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,901 – $61,300 · median $29,045 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,579 – $46,336 · median $22,101 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,674 – $72,594 · median $34,788 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $22,060 – $52,209 · median $25,077 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,178 – $40,656 · median $19,574 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $33,989 – $80,441 · median $38,525 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,024 – $52,124 · median $25,037 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,496 – $39,040 · median $18,804 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,631 – $44,093 · median $22,439 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,763 – $27,838 · median $14,215 | 18 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $38,671 – $91,521 · median $43,541 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $26,711 – $63,217 · median $29,874 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $21,133 – $50,016 · median $23,629 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $38,187 – $90,377 · median $43,088 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,999 – $44,965 · median $22,673 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,726 – $30,119 · median $15,382 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $28,920 – $75,199 · median $34,987 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $13,478 – $50,222 · median $23,504 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $33,333 – $78,888 · median $37,786 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,412 – $43,574 · median $21,011 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,176 – $33,549 · median $16,346 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $29,397 – $69,573 · median $32,864 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $19,687 – $46,593 · median $22,030 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,883 – $44,689 · median $21,495 | 18 plans |
| 506 | Major thumb or joint procedures | $14,210 – $33,631 · median $17,155 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,026 – $45,028 · median $22,279 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,948 – $37,749 · median $17,770 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,581 – $39,242 · median $18,788 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,767 – $25,483 · median $12,346 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $33,566 – $79,439 · median $37,908 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,887 – $51,800 · median $24,826 | 18 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,185 – $38,305 · median $18,454 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $39,363 – $93,159 · median $44,122 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $21,067 – $49,859 · median $23,958 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,734 – $37,238 · median $17,876 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,230 – $71,545 · median $34,301 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,305 – $52,787 · median $25,353 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,512 – $39,078 · median $18,822 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,490 – $20,093 · median $9,779 | 18 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,503 – $31,956 · median $15,573 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,506 – $20,131 · median $9,797 | 18 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,051 – $23,788 · median $11,539 | 18 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,587 – $17,955 · median $8,701 | 18 plans |
| 539 | OSTEOMYELITIS WITH MCC | $20,746 – $49,098 · median $23,718 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,653 – $32,313 · median $15,600 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,293 – $19,627 · median $10,082 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $18,606 – $44,033 · median $21,579 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,827 – $25,625 · median $12,490 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,948 – $18,810 · median $9,168 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $26,138 – $61,861 · median $29,719 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,148 – $28,751 · median $13,903 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,785 – $20,844 · median $9,998 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $20,337 – $48,131 · median $23,435 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,715 – $30,092 · median $14,542 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,206 – $21,788 · median $10,587 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,653 – $41,780 · median $20,125 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,125 – $23,962 · median $11,622 | 18 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,653 – $32,313 · median $15,600 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,743 – $20,692 · median $10,064 | 18 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,922 – $32,948 · median $15,912 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,748 – $20,704 · median $10,070 | 18 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,661 – $37,064 · median $18,076 | 18 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,408 – $22,265 · median $10,813 | 18 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,642 – $46,486 · median $22,351 | 18 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,861 – $28,070 · median $13,579 | 18 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,467 – $20,039 · median $9,753 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,258 – $38,477 · median $18,536 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,263 – $24,289 · median $11,927 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,892 – $18,678 · median $9,105 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $30,977 – $73,312 · median $35,277 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,795 – $42,114 · median $20,268 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,073 – $28,574 · median $13,819 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $69,002 – $163,305 · median $76,274 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $36,562 – $86,531 · median $41,426 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,927 – $44,793 · median $22,793 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,622 – $122,171 · median $61,414 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,918 – $66,073 · median $31,681 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,919 – $40,042 · median $19,606 | 18 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $34,109 – $80,725 · median $38,661 | 18 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,200 – $43,073 · median $20,821 | 18 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,199 – $35,972 · median $17,343 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $20,162 – $48,024 · median $22,494 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,162 – $42,984 · median $20,502 | 18 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,547 – $53,361 · median $25,407 | 18 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,318 – $48,086 · median $23,257 | 18 plans |
| 592 | SKIN ULCERS WITH MCC | $20,383 – $48,241 · median $23,698 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $12,495 – $29,571 · median $14,378 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,130 – $21,607 · median $10,500 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,336 – $52,862 · median $25,388 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,401 – $26,983 · median $13,061 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,559 – $41,555 · median $20,355 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,915 – $28,200 · median $13,593 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,104 – $19,179 · median $9,856 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,971 – $25,964 · median $12,352 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,372 – $15,081 · median $7,391 | 18 plans |
| 602 | CELLULITIS WITH MCC | $14,970 – $35,428 · median $17,217 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,173 – $21,709 · median $10,549 | 18 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,505 – $36,695 · median $17,687 | 18 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,648 – $22,833 · median $11,084 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,938 – $37,719 · median $18,580 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,547 – $22,594 · median $10,967 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,085 – $54,634 · median $26,535 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,738 – $34,880 · median $16,877 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,731 – $86,930 · median $44,020 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,699 – $46,621 · median $22,593 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $14,432 – $35,354 · median $16,669 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $37,487 – $88,719 · median $43,217 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,894 – $44,716 · median $22,017 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,693 – $31,206 · median $14,762 | 18 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $31,809 – $75,281 · median $35,549 | 18 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,792 – $37,375 · median $18,011 | 18 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,990 – $33,110 · median $15,892 | 18 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $39,252 – $92,897 · median $45,399 | 18 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $22,948 – $54,310 · median $26,285 | 18 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,372 – $36,381 · median $17,481 | 18 plans |
| 637 | DIABETES WITH MCC | $15,132 – $35,812 · median $17,267 | 18 plans |
| 638 | DIABETES WITH CC | $9,439 – $22,339 · median $10,866 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,543 – $15,485 · median $7,584 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,337 – $41,032 · median $19,753 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,796 – $25,550 · median $12,378 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,092 – $19,151 · median $9,330 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $54,731 – $129,529 · median $63,648 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $29,483 – $69,778 · median $33,446 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,293 – $52,760 · median $25,340 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $33,533 – $79,362 · median $38,171 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,274 – $45,616 · median $21,937 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,344 – $38,681 · median $18,633 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $26,762 – $63,336 · median $30,407 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,921 – $32,946 · median $15,901 | 18 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,905 – $25,809 · median $12,502 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $32,245 – $76,313 · median $36,636 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,011 – $37,894 · median $18,258 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,026 – $26,096 · median $12,713 | 18 plans |
| 665 | PROSTATECTOMY WITH MCC | $32,874 – $77,801 · median $39,207 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $18,424 – $43,604 · median $20,673 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,651 – $27,574 · median $13,131 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $30,755 – $72,786 · median $34,879 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,346 – $38,686 · median $18,636 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,293 – $24,361 · median $11,812 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,906 – $44,744 · median $21,410 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,370 – $26,908 · median $13,025 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $44,253 – $104,732 · median $50,096 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $24,631 – $58,294 · median $27,976 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,288 – $40,915 · median $19,544 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $15,599 – $36,917 · median $17,793 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $9,224 – $21,831 · median $10,607 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,323 – $14,964 · median $7,335 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,997 – $44,960 · median $21,924 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,036 – $26,118 · median $12,649 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,324 – $19,700 · median $9,472 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,221 – $28,923 · median $13,985 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,526 – $20,178 · median $9,819 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,047 – $28,511 · median $13,789 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,257 – $17,175 · median $8,389 | 18 plans |
| 697 | URETHRAL STRICTURE | $11,352 – $26,866 · median $12,806 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,425 – $41,239 · median $19,852 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,690 – $25,301 · median $12,260 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,266 – $17,197 · median $8,399 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,068 – $49,861 · median $23,937 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,159 – $38,243 · median $18,414 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,510 – $58,007 · median $27,718 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,758 – $34,927 · median $17,334 | 18 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $21,948 – $51,942 · median $24,295 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,583 – $27,412 · median $13,265 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,834 – $37,475 · median $18,011 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,975 – $26,358 · median $12,533 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,564 – $55,769 · median $26,773 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,493 – $36,667 · median $17,659 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,912 – $47,124 · median $22,655 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $14,146 – $33,479 · median $15,807 | 18 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $19,061 – $45,110 · median $21,527 | 18 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,035 – $28,484 · median $13,776 | 18 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,906 – $16,344 · median $8,424 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,325 – $29,169 · median $14,631 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,604 – $17,997 · median $8,818 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,619 – $36,964 · median $17,815 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,544 – $20,221 · median $9,840 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,151 – $26,390 · median $12,905 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,078 – $16,751 · median $8,116 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,434 – $53,094 · median $25,499 | 18 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $14,079 – $33,539 · median $15,834 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $37,648 – $89,101 · median $44,913 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,703 – $51,364 · median $24,643 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,467 – $36,605 · median $17,777 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,325 – $45,736 · median $21,994 | 18 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,068 – $30,927 · median $14,939 | 18 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,582 – $51,077 · median $24,300 | 18 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,939 – $28,354 · median $13,451 | 18 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,296 – $43,300 · median $20,773 | 18 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,055 – $21,430 · median $10,992 | 18 plans |
| 748 | Female reproductive system reconstructive procedures | $14,612 – $34,581 · median $16,680 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $27,043 – $64,002 · median $30,695 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,935 – $36,787 · median $17,328 | 18 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,398 – $45,908 · median $22,076 | 18 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,457 – $27,115 · median $13,135 | 18 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,116 – $23,942 · median $11,612 | 18 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,081 – $35,693 · median $17,210 | 18 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,311 – $24,403 · median $11,953 | 18 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,989 – $16,541 · median $8,087 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,611 – $25,114 · median $12,170 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,009 – $14,221 · median $7,351 | 18 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $16,067 – $42,121 · median $19,780 | 18 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,561 – $24,994 · median $12,518 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,896 – $16,320 · median $8,333 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $8,861 – $20,971 · median $10,761 | 18 plans |
| 789 | Neonates, died or transferred to another acute care facility | $18,982 – $44,923 · median $21,607 | 18 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $62,600 – $148,152 · median $70,779 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $42,751 – $101,178 · median $48,403 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $25,796 – $61,051 · median $29,289 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $43,916 – $103,935 · median $49,716 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $15,545 – $36,789 · median $17,732 | 18 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $47,700 – $112,891 · median $54,907 | 18 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $29,590 – $70,029 · median $33,922 | 18 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $18,922 – $47,583 · median $22,291 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $40,919 – $99,311 · median $46,072 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,579 – $46,336 · median $22,127 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,853 – $33,801 · median $15,955 | 18 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $23,255 – $55,036 · median $26,697 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,333 – $31,555 · median $15,239 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,023 – $26,088 · median $12,409 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,791 – $35,005 · median $16,882 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,671 – $22,888 · median $11,110 | 18 plans |
| 813 | Coagulation disorders | $16,065 – $38,021 · median $18,319 | 18 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $22,399 – $53,012 · median $25,460 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,680 – $25,276 · median $12,248 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,657 – $15,754 · median $7,802 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $24,031 – $56,873 · median $28,894 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,209 – $28,895 · median $14,763 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,057 – $21,435 · median $10,404 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $61,771 – $146,191 · median $69,845 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,578 – $55,801 · median $26,788 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,681 – $30,012 · median $14,413 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $48,289 – $114,284 · median $54,824 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $23,862 – $56,474 · median $27,069 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,212 – $33,636 · median $15,879 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $49,269 – $116,602 · median $55,939 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,343 – $57,611 · median $27,726 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,945 – $42,470 · median $20,136 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $33,283 – $78,769 · median $37,700 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,851 – $37,515 · median $18,078 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,665 – $29,974 · median $14,450 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,600 – $17,987 · median $8,833 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,507 – $13,034 · median $6,416 | 18 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $50,601 – $119,756 · median $58,028 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,985 – $52,032 · median $24,982 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,208 – $35,992 · median $17,199 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $34,071 – $80,636 · median $38,618 | 18 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,183 – $40,666 · median $19,504 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,642 – $25,186 · median $12,331 | 18 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $21,010 – $49,724 · median $23,611 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,822 – $30,346 · median $14,663 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,969 – $21,228 · median $10,319 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $27,305 – $64,623 · median $30,990 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,779 – $32,609 · median $15,741 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,946 – $21,173 · median $10,293 | 18 plans |
| 849 | RADIOTHERAPY | $28,538 – $67,539 · median $32,380 | 18 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $91,206 – $215,853 · median $105,513 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $52,016 – $123,103 · median $58,847 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $21,045 – $49,806 · median $23,933 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,769 – $37,320 · median $18,740 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $47,909 – $113,384 · median $54,218 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $22,555 – $53,381 · median $25,659 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,671 – $34,721 · median $16,396 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,208 – $45,459 · median $21,862 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,510 – $24,874 · median $12,056 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,350 – $22,127 · median $10,748 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,781 – $37,348 · median $17,998 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,159 – $21,676 · median $10,533 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,047 – $52,177 · median $25,166 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,860 – $25,702 · median $12,451 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,686 – $18,189 · median $8,872 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $72,798 – $172,289 · median $82,277 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,459 – $48,420 · median $23,272 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,778 – $25,508 · median $12,358 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $40,707 – $96,339 · median $46,157 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,113 – $23,935 · median $11,609 | 18 plans |
| 881 | Depressive neuroses | $9,910 – $23,454 · median $11,380 | 18 plans |
| 882 | Neuroses except depressive | $11,228 – $26,766 · median $12,721 | 18 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,710 – $49,014 · median $23,203 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $16,946 – $40,105 · median $19,507 | 18 plans |
| 885 | PSYCHOSES | $14,712 – $34,818 · median $16,793 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,675 – $51,731 · median $24,198 | 18 plans |
| 887 | Other mental disorder diagnoses | $11,279 – $26,694 · median $13,649 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $44,200 – $104,608 · median $51,030 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $20,164 – $47,722 · median $22,940 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,319 – $29,154 · median $14,255 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $38,687 – $91,559 · median $44,591 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,624 – $36,976 · median $18,845 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $20,689 – $48,964 · median $24,899 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,216 – $40,745 · median $19,617 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,326 – $22,073 · median $10,796 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,711 – $41,917 · median $20,337 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,018 – $16,609 · median $8,119 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,519 – $39,095 · median $19,086 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,027 – $21,365 · median $10,442 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,283 – $45,636 · median $21,946 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,557 – $24,984 · median $12,109 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,251 – $17,160 · median $8,382 | 18 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,425 – $43,607 · median $20,936 | 18 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,719 – $25,368 · median $12,292 | 18 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $75,546 – $178,792 · median $83,076 | 18 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $33,923 – $80,284 · median $38,451 | 18 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $41,015 – $97,070 · median $49,197 | 18 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,283 – $55,103 · median $26,420 | 18 plans |
| 935 | Non-extensive burns | $21,697 – $51,349 · median $25,257 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $36,268 – $90,447 · median $41,997 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $24,239 – $58,251 · median $27,195 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,357 – $50,544 · median $24,180 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,311 – $38,602 · median $18,595 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,079 – $28,586 · median $13,824 | 18 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,370 – $31,642 · median $15,280 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,431 – $19,954 · median $9,713 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $12,530 – $29,655 · median $14,049 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,611 – $15,647 · median $7,639 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,856 – $13,859 · median $6,809 | 18 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $39,634 – $93,799 · median $44,924 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $80,256 – $189,939 · median $90,528 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $44,383 – $105,039 · median $50,127 | 18 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $30,267 – $73,387 · median $34,154 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,794 – $68,145 · median $32,668 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,142 – $38,203 · median $18,405 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,906 – $23,444 · median $11,375 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $64,472 – $152,584 · median $73,574 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,778 – $65,742 · median $31,523 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,397 – $71,939 · median $34,803 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,640 – $32,280 · median $16,374 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,508 – $22,501 · median $11,534 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,668 – $32,347 · median $16,507 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $49,416 – $116,951 · median $56,035 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $25,894 – $61,282 · median $29,517 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,053 – $42,724 · median $20,677 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,109 – $85,459 · median $41,059 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,311 – $40,970 · median $19,980 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,631 – $29,892 · median $14,565 | 18 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $25,200 – $102,835 · median $43,612 | 16 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $25,200 – $82,051 · median $42,023 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $61,933 – $92,899 · median $64,642 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $47,670 – $118,671 · median $76,605 | 14 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $12,497 – $67,821 · median $33,860 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $61,421 – $92,132 · median $62,917 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $46,793 – $70,190 · median $48,729 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $30,337 – $45,505 · median $33,440 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $427,262 – $661,299 · median $495,275 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,469 – $36,610 · median $17,246 | 13 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,104 – $21,547 · median $10,321 | 13 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $17,534 – $41,498 · median $19,493 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $10,806 – $25,575 · median $12,173 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,965 – $18,850 · median $9,081 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $17,467 – $26,201 · median $17,761 | 12 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $63,707 – $104,711 · median $66,757 | 12 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $30,898 – $49,135 · median $31,827 | 12 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $35,175 – $56,011 · median $36,258 | 12 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $21,682 – $32,523 · median $22,520 | 12 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $29,184 – $43,776 · median $32,180 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $32,692 – $49,038 · median $35,029 | 12 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $22,539 – $33,809 · median $24,245 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $18,538 – $27,808 · median $19,386 | 12 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,743 – $25,357 · median $16,824 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,456 – $15,683 · median $10,677 | 12 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $15,371 – $23,056 · median $15,721 | 12 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,183 – $13,775 · median $9,333 | 12 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $14,387 – $21,778 · median $16,712 | 12 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $41,473 – $68,104 · median $43,438 | 12 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $20,921 – $31,382 · median $21,153 | 12 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,887 – $23,831 · median $16,758 | 12 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $62,909 – $94,363 · median $63,328 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $24,318 – $36,775 · median $24,417 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,390 – $22,083 · median $14,556 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,402 – $11,104 · median $7,485 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,638 – $25,092 · median $16,683 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $20,414 – $30,745 · median $20,455 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,324 – $15,486 · median $10,532 | 12 plans |
| 999 | Small Bowel Transplant | — | 4 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,842 – $17,842 · median $17,842 | 1 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $11,634 – $11,634 · median $11,634 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,885 – $7,885 · median $7,885 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $14,239 – $14,239 · median $14,239 | 1 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,278 – $9,278 · median $9,278 | 1 plans |
| 509 | ARTHROSCOPY | $20,224 – $20,224 · median $20,224 | 1 plans |
No procedures match that keyword.