Cleveland Clinic Martin North Hospital — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 |
|---|---|---|---|
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,758 – $143,039 · median $61,272 | 36 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,293 – $143,039 · median $48,286 | 36 plans |
| 652 | Kidney transplant | $24,656 – $143,039 · median $42,089 | 36 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $209,523 – $545,569 · median $341,892 | 35 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $85,158 – $415,000 · median $147,147 | 35 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $77,549 – $397,360 · median $133,885 | 35 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,278 – $397,360 · median $60,213 | 35 plans |
| 007 | LUNG TRANSPLANT | $97,216 – $354,264 · median $157,992 | 35 plans |
| 010 | PANCREAS TRANSPLANT | $54,193 – $186,135 · median $87,544 | 35 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $90,270 – $349,444 · median $146,618 | 35 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,910 – $196,483 · median $69,324 | 35 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,204 – $196,483 · median $66,274 | 35 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $158,869 – $465,447 · median $253,546 | 34 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $103,930 – $303,747 · median $165,462 | 34 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,487 – $122,903 · median $66,950 | 34 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $41,366 – $119,603 · median $65,152 | 34 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $32,142 – $92,453 · median $50,362 | 34 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $22,002 – $63,195 · median $34,425 | 34 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $322,465 – $946,956 · median $515,528 | 34 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $53,887 – $156,455 · median $85,226 | 34 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,357 – $172,555 · median $91,416 | 34 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,172 – $116,088 · median $63,237 | 34 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,259 – $69,677 · median $36,913 | 34 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,424 – $125,660 · median $68,451 | 34 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,866 – $85,784 · median $45,446 | 34 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,605 – $99,705 · median $54,313 | 34 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,738 – $68,182 · median $36,121 | 34 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,262 – $55,325 · median $30,137 | 34 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,495 – $131,756 · median $69,801 | 34 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,047 – $74,813 · median $40,753 | 34 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,760 – $48,139 · median $25,503 | 34 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,112 – $98,253 · median $53,522 | 34 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,270 – $46,731 · median $24,757 | 34 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,696 – $36,466 · median $19,319 | 34 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $11,122 – $84,881 · median $32,230 | 34 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,122 – $52,421 · median $20,209 | 34 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,437 – $42,604 · median $16,573 | 34 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,134 – $72,192 · median $38,246 | 34 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,388 – $35,582 · median $18,851 | 34 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,975 – $25,778 · median $13,656 | 34 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,479 – $84,672 · median $44,857 | 34 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,786 – $48,215 · median $25,543 | 34 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,191 – $37,887 · median $20,072 | 34 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,829 – $39,720 · median $21,043 | 34 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,476 – $21,473 · median $11,376 | 34 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,657 – $33,483 · median $17,739 | 34 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,784 – $22,359 · median $12,180 | 34 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,736 – $50,943 · median $27,751 | 34 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,892 – $28,411 · median $15,477 | 34 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,052 – $37,488 · median $20,421 | 34 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,474 – $27,212 · median $14,823 | 34 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,022 – $20,170 · median $10,987 | 34 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,050 – $60,460 · median $32,935 | 34 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,416 – $38,534 · median $20,991 | 34 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,718 – $30,784 · median $16,769 | 34 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,353 – $44,099 · median $24,022 | 34 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,713 – $22,155 · median $12,069 | 34 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,225 – $15,008 · median $8,176 | 34 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,213 – $32,207 · median $17,544 | 34 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,599 – $18,955 · median $10,326 | 34 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,099 – $17,517 · median $9,280 | 34 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,710 – $36,507 · median $19,341 | 34 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,833 – $22,499 · median $11,920 | 34 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,773 – $16,583 · median $8,785 | 34 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,248 – $35,181 · median $18,638 | 34 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,870 – $22,604 · median $12,313 | 34 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,640 – $42,049 · median $22,906 | 34 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,300 – $18,096 · median $9,857 | 34 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,819 – $39,691 · median $21,621 | 34 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,838 – $19,640 · median $10,698 | 34 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,450 – $50,121 · median $27,303 | 34 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,657 – $30,609 · median $16,216 | 34 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,297 – $20,960 · median $11,104 | 34 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,345 – $49,821 · median $26,394 | 34 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,946 – $28,567 · median $15,134 | 34 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,983 – $20,058 · median $10,627 | 34 plans |
| 088 | CONCUSSION WITH MCC | $10,321 – $29,644 · median $15,705 | 34 plans |
| 089 | CONCUSSION WITH CC | $8,388 – $24,091 · median $13,123 | 34 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,285 – $18,052 · median $9,834 | 34 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,408 – $38,512 · median $20,979 | 34 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,810 – $22,433 · median $12,220 | 34 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,080 – $17,462 · median $9,512 | 34 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,870 – $77,177 · median $42,041 | 34 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,692 – $56,559 · median $29,964 | 34 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,692 – $56,559 · median $29,964 | 34 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,575 – $79,203 · median $41,960 | 34 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,521 – $50,325 · median $26,661 | 34 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,402 – $29,876 · median $16,275 | 34 plans |
| 100 | SEIZURES WITH MCC | $14,787 – $42,472 · median $23,136 | 34 plans |
| 101 | SEIZURES WITHOUT MCC | $6,891 – $19,793 · median $10,782 | 34 plans |
| 102 | HEADACHES WITH MCC | $8,558 – $24,580 · median $13,390 | 34 plans |
| 103 | HEADACHES WITHOUT MCC | $6,385 – $18,339 · median $9,990 | 34 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,950 – $51,557 · median $28,085 | 34 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,330 – $29,670 · median $16,156 | 34 plans |
| 115 | Extraocular procedures except orbit | $11,719 – $33,659 · median $18,335 | 34 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,804 – $39,650 · median $21,599 | 34 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,283 – $23,791 · median $12,960 | 34 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,881 – $25,510 · median $13,896 | 34 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,999 – $17,232 · median $9,326 | 34 plans |
| 123 | Neurological eye disorders | $6,097 – $17,513 · median $9,540 | 34 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,102 – $29,014 · median $15,805 | 34 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,862 – $16,837 · median $9,172 | 34 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,567 – $47,586 · median $25,210 | 34 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,752 – $22,265 · median $12,128 | 34 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,400 – $32,744 · median $17,837 | 34 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,766 – $19,433 · median $10,586 | 34 plans |
| 139 | Salivary gland procedures | $9,434 – $27,098 · median $14,761 | 34 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,509 – $93,534 · median $49,552 | 34 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,652 – $47,829 · median $26,054 | 34 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,188 – $35,007 · median $19,070 | 34 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,604 – $82,159 · median $44,755 | 34 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,230 – $38,001 · median $20,700 | 34 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,179 – $26,365 · median $14,362 | 34 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,166 – $46,432 · median $25,293 | 34 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,708 – $27,883 · median $15,189 | 34 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,086 – $17,480 · median $9,522 | 34 plans |
| 149 | Dysequilibrium | $5,738 – $16,482 · median $8,978 | 34 plans |
| 150 | EPISTAXIS WITH MCC | $10,166 – $29,198 · median $15,905 | 34 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,604 – $16,096 · median $8,768 | 34 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,026 – $25,924 · median $14,122 | 34 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,636 – $16,188 · median $8,818 | 34 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,937 – $34,286 · median $18,677 | 34 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,997 – $20,098 · median $10,948 | 34 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,276 – $15,155 · median $8,256 | 34 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,107 – $37,648 · median $20,508 | 34 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,946 – $19,951 · median $10,868 | 34 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,409 – $15,537 · median $8,463 | 34 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,122 – $98,281 · median $52,067 | 34 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,270 – $55,349 · median $30,150 | 34 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,614 – $41,976 · median $22,866 | 34 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,536 – $81,964 · median $44,649 | 34 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,768 – $39,547 · median $21,543 | 34 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,432 – $29,964 · median $16,322 | 34 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $22,724 – $65,269 · median $35,555 | 34 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,487 – $30,122 · median $16,408 | 34 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,146 – $17,653 · median $9,616 | 34 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,931 – $34,268 · median $18,667 | 34 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,452 – $21,403 · median $11,659 | 34 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,764 – $16,556 · median $9,019 | 34 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,483 – $38,727 · median $20,517 | 34 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,177 – $23,486 · median $12,794 | 34 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,755 – $16,530 · median $8,757 | 34 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,680 – $33,549 · median $17,774 | 34 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,124 – $23,335 · median $12,362 | 34 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,005 – $17,247 · median $9,137 | 34 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,899 – $34,176 · median $18,617 | 34 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,552 – $21,690 · median $11,815 | 34 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,476 – $15,727 · median $8,567 | 34 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,432 – $27,091 · median $14,757 | 34 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,457 – $24,291 · median $12,869 | 34 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,436 – $18,486 · median $9,794 | 34 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,902 – $14,078 · median $7,669 | 34 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,035 – $28,823 · median $15,270 | 34 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,153 – $17,673 · median $9,627 | 34 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,798 – $13,782 · median $7,302 | 34 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,408 – $41,384 · median $22,544 | 34 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,246 – $20,813 · median $11,026 | 34 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,468 – $15,706 · median $8,555 | 34 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,468 – $38,685 · median $20,494 | 34 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,393 – $24,107 · median $13,132 | 34 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,460 – $15,681 · median $8,308 | 34 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,415 – $21,297 · median $11,601 | 34 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,115 – $14,692 · median $7,784 | 34 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,164 – $17,705 · median $9,645 | 34 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,979 – $40,152 · median $21,872 | 34 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,185 – $20,637 · median $11,242 | 34 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $48,672 – $141,107 · median $76,866 | 34 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,986 – $60,276 · median $32,835 | 34 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $81,748 – $238,458 · median $129,897 | 34 plans |
| 215 | Other heart assist system implant | $74,915 – $218,347 · median $118,941 | 34 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $72,539 – $214,527 · median $88,130 | 34 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,720 – $144,190 · median $76,389 | 34 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,720 – $144,190 · median $76,389 | 34 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $57,938 – $168,377 · median $85,819 | 34 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,462 – $116,943 · median $65,797 | 34 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,282 – $110,527 · median $61,503 | 34 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,591 – $108,492 · median $59,099 | 34 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,046 – $69,065 · median $37,622 | 34 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $63,537 – $184,859 · median $88,130 | 34 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $45,900 – $132,947 · median $71,708 | 34 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $57,691 – $167,652 · median $85,628 | 34 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $41,430 – $119,792 · median $67,400 | 34 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,454 – $128,693 · median $70,103 | 34 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,939 – $91,856 · median $50,037 | 34 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,399 – $107,928 · median $58,792 | 34 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,763 – $62,509 · median $34,051 | 34 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,570 – $30,359 · median $16,083 | 34 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,044 – $70,015 · median $26,725 | 34 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,044 – $46,729 · median $20,391 | 34 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,800 – $39,637 · median $20,035 | 34 plans |
| 245 | AICD generator procedures | $16,044 – $100,049 · median $37,847 | 34 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $8,380 – $47,860 · median $18,520 | 34 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,380 – $32,773 · median $12,933 | 34 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,632 – $76,495 · median $40,525 | 34 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,817 – $56,919 · median $30,154 | 34 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,603 – $39,071 · median $20,699 | 34 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,594 – $59,151 · median $31,337 | 34 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,963 – $37,233 · median $19,725 | 34 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,339 – $23,951 · median $12,527 | 34 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,023 – $68,903 · median $26,313 | 34 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,023 – $44,343 · median $18,118 | 34 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $11,420 – $71,331 · median $27,212 | 34 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,420 – $41,457 · median $16,149 | 34 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,420 – $35,742 · median $14,760 | 34 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,342 – $67,046 · median $35,519 | 34 plans |
| 264 | Other circulatory system O.R. procedures | $25,505 – $73,256 · median $38,809 | 34 plans |
| 265 | AICD lead procedures | $27,624 – $79,344 · median $42,034 | 34 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $46,390 – $134,390 · median $71,197 | 34 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $36,201 – $104,400 · median $55,309 | 34 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,974 – $150,825 · median $79,904 | 34 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,195 – $92,611 · median $49,063 | 34 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,041 – $115,704 · median $63,028 | 34 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,151 – $77,986 · median $41,315 | 34 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,491 – $55,985 · median $29,659 | 34 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $8,380 – $90,468 · median $34,299 | 34 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $8,380 – $72,184 · median $27,528 | 34 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,855 – $156,363 · median $72,945 | 34 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,482 – $131,719 · median $60,062 | 34 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $35,140 – $101,279 · median $55,170 | 34 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $42,201 – $122,061 · median $66,491 | 34 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $27,534 – $79,085 · median $43,080 | 34 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,247 – $35,176 · median $19,162 | 34 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,017 – $20,155 · median $10,678 | 34 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,521 – $15,857 · median $8,401 | 34 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,123 – $43,437 · median $23,012 | 34 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,285 – $15,179 · median $8,042 | 34 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,572 – $13,133 · median $6,958 | 34 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,894 – $48,524 · median $22,298 | 34 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,170 – $23,596 · median $13,203 | 34 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,661 – $59,344 · median $31,439 | 34 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,032 – $37,431 · median $19,830 | 34 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,098 – $20,387 · median $10,801 | 34 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,801 – $28,152 · median $14,915 | 34 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,482 – $18,618 · median $9,863 | 34 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,321 – $12,412 · median $6,576 | 34 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,925 – $34,251 · median $18,145 | 34 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,840 – $13,903 · median $7,365 | 34 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,475 – $9,980 · median $5,287 | 34 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,465 – $35,803 · median $18,968 | 34 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,150 – $23,409 · median $12,402 | 34 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,495 – $15,782 · median $8,361 | 34 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,136 – $26,240 · median $13,902 | 34 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,140 – $14,763 · median $7,821 | 34 plans |
| 304 | HYPERTENSION WITH MCC | $9,085 – $26,096 · median $13,825 | 34 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,765 – $16,559 · median $8,772 | 34 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,031 – $34,556 · median $18,307 | 34 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,972 – $20,026 · median $10,609 | 34 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,192 – $26,403 · median $13,987 | 34 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,617 – $16,133 · median $8,547 | 34 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,322 – $12,414 · median $6,577 | 34 plans |
| 311 | Angina pectoris | $5,359 – $15,392 · median $8,154 | 34 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,654 – $19,113 · median $10,126 | 34 plans |
| 313 | Chest pain | $5,497 – $15,789 · median $8,365 | 34 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,920 – $45,726 · median $24,225 | 34 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,355 – $21,124 · median $11,191 | 34 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,208 – $14,958 · median $7,924 | 34 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,981 – $97,867 · median $51,848 | 34 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,364 – $52,746 · median $27,944 | 34 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $20,773 – $59,664 · median $31,609 | 34 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $13,460 – $38,661 · median $20,482 | 34 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $30,466 – $94,896 · median $38,722 | 34 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $24,057 – $69,098 · median $36,607 | 34 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $24,511 – $70,401 · median $37,297 | 34 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,889 – $109,369 · median $59,577 | 34 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,661 – $53,599 · median $28,395 | 34 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,233 – $35,137 · median $19,140 | 34 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,708 – $100,797 · median $38,124 | 34 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,302 – $52,568 · median $28,367 | 34 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,848 – $36,904 · median $20,764 | 34 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,643 – $79,398 · median $43,251 | 34 plans |
| 333 | RECTAL RESECTION WITH CC | $17,882 – $51,362 · median $27,979 | 34 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,505 – $35,918 · median $19,566 | 34 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,263 – $78,306 · median $42,656 | 34 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,099 – $46,242 · median $25,189 | 34 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,719 – $33,661 · median $18,336 | 34 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,719 – $56,638 · median $30,853 | 34 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,488 – $32,997 · median $17,974 | 34 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,056 – $26,012 · median $14,170 | 34 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,526 – $50,340 · median $27,422 | 34 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,992 – $28,701 · median $15,634 | 34 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,647 – $19,091 · median $10,400 | 34 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,025 – $54,645 · median $28,950 | 34 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,639 – $33,431 · median $18,211 | 34 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,916 – $25,609 · median $13,950 | 34 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,156 – $63,638 · median $34,666 | 34 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,845 – $36,893 · median $20,097 | 34 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,269 – $29,495 · median $16,067 | 34 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,459 – $96,330 · median $52,474 | 34 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,755 – $50,996 · median $27,779 | 34 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,673 – $30,655 · median $16,699 | 34 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,154 – $34,909 · median $19,016 | 34 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,636 – $21,933 · median $11,948 | 34 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,350 – $15,368 · median $8,142 | 34 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,537 – $38,882 · median $21,181 | 34 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,795 – $22,390 · median $12,196 | 34 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,554 – $15,951 · median $8,689 | 34 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,328 – $46,900 · median $25,548 | 34 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,235 – $26,525 · median $14,449 | 34 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,057 – $20,269 · median $11,041 | 34 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,956 – $40,086 · median $21,836 | 34 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,487 – $21,506 · median $11,715 | 34 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,813 – $13,824 · median $7,530 | 34 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,981 – $43,029 · median $23,439 | 34 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,272 – $23,760 · median $12,943 | 34 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,112 – $17,556 · median $9,564 | 34 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,541 – $30,277 · median $16,493 | 34 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,526 – $18,745 · median $10,211 | 34 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,080 – $34,698 · median $18,901 | 34 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,454 – $21,409 · median $11,662 | 34 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,202 – $14,940 · median $8,138 | 34 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,275 – $32,385 · median $17,641 | 34 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,030 – $17,320 · median $9,435 | 34 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,153 – $11,929 · median $6,320 | 34 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,683 – $27,813 · median $15,150 | 34 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,952 – $17,096 · median $9,313 | 34 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,210 – $35,071 · median $19,104 | 34 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,144 – $20,519 · median $11,177 | 34 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,955 – $14,232 · median $7,753 | 34 plans |
| 397 | Appendix Procedures with MCC | $18,284 – $52,518 · median $28,608 | 34 plans |
| 398 | Appendix Procedures without MCC/CC | $11,556 – $33,192 · median $18,081 | 34 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,739 – $25,102 · median $13,674 | 34 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,488 – $119,963 · median $65,348 | 34 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,142 – $63,598 · median $34,644 | 34 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,946 – $48,674 · median $26,514 | 34 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,222 – $78,190 · median $42,593 | 34 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,623 – $47,746 · median $26,009 | 34 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,122 – $34,817 · median $18,966 | 34 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,220 – $72,438 · median $38,400 | 34 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,052 – $46,106 · median $25,115 | 34 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,677 – $36,413 · median $19,836 | 34 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,199 – $78,124 · median $42,557 | 34 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,779 – $45,321 · median $24,688 | 34 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,408 – $29,896 · median $16,285 | 34 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,220 – $52,331 · median $28,507 | 34 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,915 – $37,095 · median $20,207 | 34 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,428 – $29,951 · median $16,315 | 34 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,012 – $74,714 · median $40,700 | 34 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,265 – $38,102 · median $20,755 | 34 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,685 – $30,690 · median $16,718 | 34 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,672 – $91,071 · median $49,610 | 34 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,704 – $47,978 · median $26,136 | 34 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,454 – $32,900 · median $17,922 | 34 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,027 – $43,161 · median $23,511 | 34 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,064 – $23,161 · median $12,617 | 34 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,440 – $15,624 · median $8,511 | 34 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,023 – $40,277 · median $21,940 | 34 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,636 – $24,804 · median $13,512 | 34 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,515 – $18,712 · median $10,193 | 34 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,446 – $35,749 · median $19,474 | 34 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,422 – $18,447 · median $10,049 | 34 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,744 – $13,627 · median $7,423 | 34 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,702 – $39,356 · median $21,439 | 34 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,370 – $21,168 · median $11,531 | 34 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,342 – $15,344 · median $8,358 | 34 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,757 – $36,641 · median $19,960 | 34 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,355 – $23,999 · median $13,073 | 34 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,316 – $18,142 · median $9,883 | 34 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $63,340 – $184,278 · median $100,383 | 34 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,158 – $130,765 · median $71,232 | 34 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,818 – $91,501 · median $49,844 | 34 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $41,879 – $121,114 · median $65,975 | 34 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,308 – $58,331 · median $31,775 | 34 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,194 – $124,984 · median $68,083 | 34 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,780 – $68,302 · median $37,207 | 34 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,923 – $39,992 · median $21,785 | 34 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $23,424 – $114,149 · median $43,069 | 34 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,946 – $77,335 · median $29,436 | 34 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,946 – $60,261 · median $26,622 | 34 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,946 – $66,515 · median $26,916 | 34 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,727 – $42,299 · median $22,409 | 34 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $12,531 – $105,889 · median $40,010 | 34 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $12,531 – $64,605 · median $24,721 | 34 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $11,206 – $53,535 · median $20,622 | 34 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,715 – $94,139 · median $51,281 | 34 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,374 – $49,904 · median $27,184 | 34 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,011 – $25,881 · median $14,098 | 34 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,375 – $75,756 · median $41,267 | 34 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,775 – $53,928 · median $29,376 | 34 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,192 – $40,764 · median $22,205 | 34 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,946 – $63,864 · median $26,622 | 34 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,991 – $45,930 · median $24,333 | 34 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,452 – $35,766 · median $20,124 | 34 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $21,163 – $60,785 · median $33,112 | 34 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,424 – $70,767 · median $27,711 | 34 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,965 – $45,856 · median $24,293 | 34 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,958 – $34,345 · median $19,324 | 34 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,505 – $38,790 · median $20,813 | 34 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,526 – $28,171 · median $13,779 | 34 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,032 – $80,515 · median $42,655 | 34 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,362 – $55,614 · median $29,463 | 34 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,319 – $44,001 · median $23,311 | 34 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,681 – $79,508 · median $42,122 | 34 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,772 – $39,558 · median $20,957 | 34 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,225 – $26,497 · median $14,037 | 34 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,032 – $66,155 · median $35,028 | 34 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,382 – $44,183 · median $22,895 | 34 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,162 – $69,401 · median $37,805 | 34 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,346 – $38,334 · median $20,309 | 34 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,276 – $29,514 · median $15,636 | 34 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,309 – $61,206 · median $32,426 | 34 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,271 – $40,990 · median $21,715 | 34 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,688 – $39,314 · median $20,828 | 34 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,301 – $29,587 · median $15,674 | 34 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,791 – $39,613 · median $20,986 | 34 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,562 – $33,209 · median $17,594 | 34 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $23,061 – $66,237 · median $35,091 | 34 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $15,876 – $45,599 · median $24,157 | 34 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $12,639 – $36,301 · median $19,232 | 34 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,019 – $34,523 · median $18,289 | 34 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,805 – $22,418 · median $12,212 | 34 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,331 – $69,886 · median $32,686 | 34 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,866 – $45,571 · median $25,006 | 34 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,732 – $34,588 · median $18,960 | 34 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $7,311 – $81,955 · median $31,147 | 34 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $7,311 – $43,862 · median $17,040 | 34 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,311 – $32,760 · median $12,928 | 34 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,946 – $62,941 · median $26,622 | 34 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,168 – $46,439 · median $24,602 | 34 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,969 – $34,378 · median $18,213 | 34 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,154 – $17,677 · median $9,365 | 34 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,788 – $28,113 · median $14,894 | 34 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,166 – $17,710 · median $9,382 | 34 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,286 – $20,927 · median $11,087 | 34 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,499 – $15,795 · median $8,368 | 34 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,038 – $43,194 · median $22,883 | 34 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,897 – $28,427 · median $15,485 | 34 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,012 – $17,267 · median $9,406 | 34 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,487 – $38,738 · median $21,102 | 34 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,849 – $22,543 · median $12,280 | 34 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,761 – $16,548 · median $9,014 | 34 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,947 – $54,421 · median $29,645 | 34 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,806 – $25,293 · median $13,778 | 34 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,384 – $18,337 · median $9,989 | 34 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,742 – $42,343 · median $23,066 | 34 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,217 – $26,473 · median $14,421 | 34 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,674 – $19,168 · median $10,442 | 34 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,797 – $36,755 · median $20,022 | 34 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,339 – $21,080 · median $11,483 | 34 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,897 – $28,427 · median $15,485 | 34 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,338 – $18,203 · median $9,916 | 34 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,092 – $28,986 · median $15,790 | 34 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,341 – $18,214 · median $9,922 | 34 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,352 – $32,606 · median $17,762 | 34 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,819 – $19,587 · median $10,670 | 34 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,238 – $40,895 · median $22,277 | 34 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,597 – $24,694 · median $13,452 | 34 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,138 – $17,629 · median $9,603 | 34 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $10,878 – $31,244 · median $17,020 | 34 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $6,837 – $19,637 · median $10,697 | 34 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,785 – $33,850 · median $18,439 | 34 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,439 – $21,368 · median $11,640 | 34 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,721 – $16,431 · median $8,951 | 34 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,455 – $64,495 · median $35,133 | 34 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,899 – $37,049 · median $20,182 | 34 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,752 – $25,137 · median $13,693 | 34 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,542 – $143,666 · median $78,260 | 34 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,503 – $76,124 · median $41,468 | 34 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,720 – $39,406 · median $20,877 | 34 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,247 – $107,478 · median $56,940 | 34 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,237 – $58,127 · median $30,795 | 34 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,264 – $35,227 · median $18,662 | 34 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,725 – $71,017 · median $37,623 | 34 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,193 – $37,893 · median $20,075 | 34 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,018 – $31,646 · median $16,765 | 34 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,709 – $42,248 · median $22,382 | 34 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,165 – $37,814 · median $20,033 | 34 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,344 – $46,943 · median $24,870 | 34 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,728 – $42,303 · median $22,411 | 34 plans |
| 592 | SKIN ULCERS WITH MCC | $14,775 – $42,439 · median $22,483 | 34 plans |
| 593 | SKIN ULCERS WITH CC | $9,057 – $26,014 · median $13,782 | 34 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,618 – $19,008 · median $10,070 | 34 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,191 – $46,505 · median $24,637 | 34 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,265 – $23,738 · median $12,576 | 34 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,728 – $36,558 · median $19,368 | 34 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,637 – $24,808 · median $13,143 | 34 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,874 – $16,872 · median $8,939 | 34 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,952 – $22,841 · median $12,101 | 34 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,619 – $13,267 · median $7,029 | 34 plans |
| 602 | CELLULITIS WITH MCC | $10,851 – $31,168 · median $16,512 | 34 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,649 – $19,098 · median $10,118 | 34 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,239 – $32,282 · median $17,102 | 34 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,993 – $20,087 · median $10,642 | 34 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,553 – $33,183 · median $17,580 | 34 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,920 – $19,876 · median $10,530 | 34 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,734 – $48,064 · median $25,463 | 34 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,683 – $30,685 · median $16,256 | 34 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,625 – $76,475 · median $40,515 | 34 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,279 – $41,014 · median $21,728 | 34 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,828 – $31,102 · median $16,477 | 34 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,045 – $63,318 · median $27,170 | 34 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,218 – $35,093 · median $19,745 | 34 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,516 – $33,078 · median $18,611 | 34 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,174 – $78,050 · median $41,349 | 34 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,696 – $39,338 · median $20,841 | 34 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,558 – $27,453 · median $14,226 | 34 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,058 – $66,228 · median $36,077 | 34 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,448 – $32,880 · median $17,911 | 34 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,141 – $29,128 · median $15,432 | 34 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,453 – $81,725 · median $43,296 | 34 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,635 – $47,779 · median $26,027 | 34 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,143 – $32,005 · median $16,956 | 34 plans |
| 637 | DIABETES WITH MCC | $10,969 – $31,505 · median $16,691 | 34 plans |
| 638 | DIABETES WITH CC | $6,842 – $19,653 · median $10,412 | 34 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,743 – $13,622 · median $7,217 | 34 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $10,197 – $29,288 · median $15,516 | 34 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,941 – $17,065 · median $9,296 | 34 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,857 – $31,185 · median $16,521 | 34 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,568 – $36,097 · median $19,663 | 34 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,826 – $22,477 · median $11,908 | 34 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,866 – $16,848 · median $8,926 | 34 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,446 – $113,952 · median $60,369 | 34 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,372 – $61,386 · median $32,521 | 34 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,160 – $46,415 · median $24,590 | 34 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,307 – $69,818 · median $36,988 | 34 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,972 – $40,130 · median $21,260 | 34 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,848 – $34,029 · median $18,028 | 34 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,399 – $55,719 · median $30,352 | 34 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,091 – $28,984 · median $15,788 | 34 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,905 – $22,705 · median $12,368 | 34 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,374 – $67,136 · median $36,571 | 34 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,606 – $33,336 · median $18,160 | 34 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,993 – $22,957 · median $12,506 | 34 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,830 – $68,445 · median $37,284 | 34 plans |
| 666 | PROSTATECTOMY WITH CC | $13,355 – $38,360 · median $20,896 | 34 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,446 – $24,258 · median $13,214 | 34 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,293 – $64,033 · median $33,923 | 34 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,849 – $34,034 · median $18,030 | 34 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,461 – $21,431 · median $11,674 | 34 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,704 – $39,363 · median $20,853 | 34 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,242 – $23,672 · median $12,541 | 34 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,034 – $92,137 · median $48,812 | 34 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,855 – $51,283 · median $27,169 | 34 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,532 – $35,994 · median $19,069 | 34 plans |
| 682 | RENAL FAILURE WITH MCC | $11,307 – $32,477 · median $17,691 | 34 plans |
| 683 | RENAL FAILURE WITH CC | $6,687 – $19,205 · median $10,175 | 34 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,583 – $13,164 · median $6,974 | 34 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,771 – $39,553 · median $20,954 | 34 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,000 – $22,977 · median $12,173 | 34 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,034 – $17,330 · median $9,181 | 34 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,859 – $25,444 · median $13,480 | 34 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,180 – $17,752 · median $9,670 | 34 plans |
| 693 | URINARY STONES WITH MCC | $10,265 – $29,484 · median $15,620 | 34 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,968 – $17,142 · median $9,081 | 34 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,733 – $25,082 · median $13,288 | 34 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,260 – $15,109 · median $8,004 | 34 plans |
| 697 | Urethral stricture | $8,229 – $23,635 · median $12,521 | 34 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,631 – $36,279 · median $19,763 | 34 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,749 – $22,258 · median $11,792 | 34 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,267 – $15,129 · median $8,241 | 34 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,272 – $43,865 · median $23,238 | 34 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,713 – $33,643 · median $17,824 | 34 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,767 – $51,031 · median $27,035 | 34 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,698 – $30,727 · median $16,738 | 34 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,909 – $45,696 · median $24,209 | 34 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,396 – $24,115 · median $12,776 | 34 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,478 – $32,968 · median $17,466 | 34 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,073 – $23,188 · median $12,284 | 34 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,081 – $49,062 · median $25,992 | 34 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,231 – $32,258 · median $17,089 | 34 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,433 – $41,457 · median $21,963 | 34 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,254 – $29,453 · median $15,603 | 34 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,817 – $39,685 · median $21,618 | 34 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,724 – $25,058 · median $13,275 | 34 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,006 – $14,379 · median $7,618 | 34 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,934 – $25,661 · median $13,595 | 34 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,512 – $15,833 · median $8,388 | 34 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,322 – $32,519 · median $17,714 | 34 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,193 – $17,789 · median $9,690 | 34 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,083 – $23,216 · median $12,647 | 34 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,131 – $14,736 · median $8,027 | 34 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,262 – $46,709 · median $19,472 | 34 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,273 – $29,505 · median $16,334 | 34 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $12,533 – $78,385 · median $29,825 | 34 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,732 – $45,187 · median $19,472 | 34 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,212 – $32,203 · median $17,150 | 34 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $17,132 – $78,567 · median $29,892 | 34 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $13,816 – $39,683 · median $19,472 | 34 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,888 – $31,273 · median $16,902 | 34 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,008 – $40,235 · median $19,472 | 34 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,472 – $27,207 · median $15,308 | 34 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,644 – $44,935 · median $24,478 | 34 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,685 – $24,944 · median $13,588 | 34 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,262 – $38,093 · median $20,751 | 34 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,564 – $18,852 · median $10,270 | 34 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,592 – $30,422 · median $16,675 | 34 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,603 – $56,305 · median $30,671 | 34 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,267 – $32,363 · median $17,623 | 34 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,061 – $40,387 · median $22,000 | 34 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,305 – $23,854 · median $12,994 | 34 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,333 – $21,063 · median $11,474 | 34 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,932 – $31,400 · median $17,105 | 34 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,474 – $21,468 · median $11,695 | 34 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,066 – $14,552 · median $7,927 | 34 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,692 – $22,093 · median $12,035 | 34 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,356 – $12,510 · median $6,815 | 34 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,263 – $23,499 · median $9,498 | 34 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,901 – $37,056 · median $19,631 | 34 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,655 – $21,988 · median $11,978 | 34 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,998 – $14,357 · median $7,821 | 34 plans |
| 779 | ABORTION WITHOUT D&C | $6,423 – $18,449 · median $10,050 | 34 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,635 – $53,838 · median $19,973 | 34 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,635 – $23,247 · median $12,046 | 34 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,635 – $21,004 · median $11,127 | 34 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,635 – $36,172 · median $13,737 | 34 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,635 – $24,490 · median $12,765 | 34 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,635 – $21,026 · median $11,139 | 34 plans |
| 789 | Neonates, died or transferred to another acute care facility | $13,759 – $39,520 · median $21,528 | 34 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $45,012 – $130,335 · median $69,049 | 34 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,972 – $89,010 · median $47,155 | 34 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,699 – $53,709 · median $28,454 | 34 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,796 – $91,435 · median $48,440 | 34 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,268 – $32,365 · median $17,146 | 34 plans |
| 795 | Normal newborn | $1,525 – $4,381 · median $2,417 | 34 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,263 – $25,591 · median $10,273 | 34 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,263 – $21,938 · median $8,920 | 34 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,263 – $20,988 · median $8,637 | 34 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,473 – $99,314 · median $54,100 | 34 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,449 – $61,607 · median $32,638 | 34 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,574 – $41,860 · median $22,612 | 34 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,414 – $87,367 · median $47,592 | 34 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,192 – $40,764 · median $22,205 | 34 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,353 – $29,736 · median $15,753 | 34 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,263 – $23,666 · median $9,560 | 34 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,263 – $16,534 · median $8,262 | 34 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,753 – $14,785 · median $7,833 | 34 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,857 – $48,417 · median $26,374 | 34 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,665 – $27,760 · median $14,707 | 34 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,991 – $22,951 · median $12,159 | 34 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,721 – $30,795 · median $16,314 | 34 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,010 – $20,135 · median $10,667 | 34 plans |
| 813 | Coagulation disorders | $11,645 – $33,448 · median $17,720 | 34 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,237 – $46,636 · median $24,707 | 34 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,742 – $22,236 · median $11,780 | 34 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,825 – $13,859 · median $7,342 | 34 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,419 – $50,033 · median $26,506 | 34 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,850 – $25,420 · median $13,467 | 34 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,565 – $18,857 · median $9,990 | 34 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,426 – $128,609 · median $68,134 | 34 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,091 – $49,090 · median $26,007 | 34 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,192 – $26,403 · median $13,987 | 34 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,889 – $100,540 · median $53,264 | 34 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,297 – $49,682 · median $26,321 | 34 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,302 – $29,591 · median $15,677 | 34 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,582 – $102,579 · median $54,344 | 34 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,645 – $50,682 · median $26,850 | 34 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,008 – $37,363 · median $19,794 | 34 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,126 – $69,296 · median $37,748 | 34 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,490 – $33,003 · median $17,484 | 34 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,181 – $26,370 · median $13,970 | 34 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,509 – $15,824 · median $8,383 | 34 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,992 – $11,467 · median $6,075 | 34 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $41,633 – $120,388 · median $63,779 | 34 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,925 – $45,740 · median $24,232 | 34 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,311 – $26,742 · median $14,168 | 34 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,525 – $105,353 · median $55,814 | 34 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,937 – $45,775 · median $24,250 | 34 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,024 – $31,663 · median $17,248 | 34 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,698 – $70,938 · median $38,643 | 34 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,455 – $35,775 · median $19,488 | 34 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,714 – $22,157 · median $12,070 | 34 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,230 – $43,744 · median $23,829 | 34 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,295 – $26,696 · median $14,542 | 34 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,502 – $18,675 · median $10,173 | 34 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,793 – $56,851 · median $30,969 | 34 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,988 – $28,688 · median $15,627 | 34 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,485 – $18,626 · median $10,147 | 34 plans |
| 849 | RADIOTHERAPY | $20,686 – $59,417 · median $32,366 | 34 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,525 – $108,299 · median $58,994 | 34 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,255 – $43,816 · median $23,213 | 34 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,431 – $32,832 · median $17,885 | 34 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,620 – $99,748 · median $54,336 | 34 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,350 – $46,961 · median $25,581 | 34 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,634 – $30,545 · median $16,639 | 34 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,923 – $39,992 · median $21,785 | 34 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,619 – $21,883 · median $11,593 | 34 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,777 – $19,466 · median $10,313 | 34 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,439 – $32,856 · median $17,407 | 34 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,639 – $19,069 · median $10,103 | 34 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,981 – $45,902 · median $24,318 | 34 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,872 – $22,611 · median $11,979 | 34 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,571 – $16,002 · median $8,477 | 34 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,227 – $151,569 · median $80,298 | 34 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,830 – $42,597 · median $23,204 | 34 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,813 – $22,440 · median $11,888 | 34 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,507 – $84,753 · median $46,168 | 34 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,331 – $21,056 · median $11,155 | 34 plans |
| 881 | Depressive neuroses | $7,184 – $20,633 · median $11,240 | 34 plans |
| 882 | Neuroses except depressive | $8,198 – $23,547 · median $12,475 | 34 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,012 – $43,119 · median $23,488 | 34 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,284 – $35,282 · median $19,219 | 34 plans |
| 885 | Psychoses | $10,664 – $30,630 · median $16,685 | 34 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,844 – $45,509 · median $24,110 | 34 plans |
| 887 | Other mental disorder diagnoses | $8,176 – $23,484 · median $12,792 | 34 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $4,710 – $13,528 · median $7,369 | 34 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $10,808 – $31,043 · median $16,910 | 34 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $13,323 – $38,268 · median $20,846 | 34 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $6,740 – $19,359 · median $10,545 | 34 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,997 – $92,027 · median $50,130 | 34 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,617 – $41,983 · median $22,870 | 34 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,930 – $25,648 · median $13,971 | 34 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,043 – $80,547 · median $43,877 | 34 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,325 – $32,529 · median $17,720 | 34 plans |
| 906 | Hand procedures for injuries | $14,997 – $43,075 · median $23,465 | 34 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,312 – $84,192 · median $45,862 | 34 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,233 – $43,753 · median $23,834 | 34 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,022 – $28,786 · median $15,681 | 34 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,480 – $35,845 · median $19,526 | 34 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,761 – $19,418 · median $10,578 | 34 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,839 – $36,876 · median $19,536 | 34 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,087 – $14,611 · median $7,741 | 34 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,974 – $34,393 · median $18,221 | 34 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,544 – $18,795 · median $9,957 | 34 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,978 – $40,148 · median $21,269 | 34 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,652 – $21,979 · median $11,973 | 34 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,256 – $15,096 · median $8,223 | 34 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,356 – $38,363 · median $20,897 | 34 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,770 – $22,317 · median $12,157 | 34 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $159,803 – $468,195 · median $255,042 | 34 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,171 – $157,290 · median $85,681 | 34 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,590 – $70,629 · median $38,474 | 34 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,731 – $85,396 · median $46,518 | 34 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,877 – $48,476 · median $26,407 | 34 plans |
| 935 | NON-EXTENSIVE BURNS | $15,728 – $45,174 · median $24,608 | 34 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,703 – $79,569 · median $43,344 | 34 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,842 – $51,246 · median $27,915 | 34 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,481 – $44,465 · median $24,222 | 34 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,823 – $33,959 · median $18,499 | 34 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,756 – $25,148 · median $13,699 | 34 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,692 – $27,837 · median $15,164 | 34 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,112 – $17,554 · median $9,562 | 34 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,083 – $26,089 · median $14,212 | 34 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,792 – $13,765 · median $7,498 | 34 plans |
| 951 | Other factors influencing health status | $4,245 – $12,193 · median $6,459 | 34 plans |
| 955 | Craniotomy for multiple significant trauma | $50,880 – $147,606 · median $78,199 | 34 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,729 – $82,519 · median $43,717 | 34 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,502 – $167,097 · median $88,524 | 34 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,126 – $92,407 · median $48,955 | 34 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,477 – $64,561 · median $34,203 | 34 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,872 – $59,950 · median $32,657 | 34 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,701 – $33,608 · median $17,805 | 34 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,180 – $20,624 · median $10,926 | 34 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,337 – $134,234 · median $71,114 | 34 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,136 – $57,836 · median $30,640 | 34 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,034 – $63,287 · median $33,528 | 34 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,887 – $28,398 · median $15,045 | 34 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,892 – $19,795 · median $10,487 | 34 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,908 – $28,457 · median $15,076 | 34 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,687 – $102,886 · median $54,507 | 34 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,770 – $53,912 · median $28,562 | 34 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,086 – $37,586 · median $19,912 | 34 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,175 – $75,181 · median $39,829 | 34 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,548 – $36,043 · median $19,095 | 34 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,156 – $26,297 · median $13,932 | 34 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $50,548 – $146,628 · median $75,982 | 32 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,685 – $88,166 · median $40,083 | 32 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $26,111 – $241,684 · median $90,300 | 32 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $26,111 – $158,297 · median $59,419 | 32 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $26,111 – $123,285 · median $46,453 | 32 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $26,111 – $197,572 · median $73,964 | 32 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $26,111 – $126,467 · median $47,631 | 32 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $19,799 – $146,521 · median $55,058 | 32 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,799 – $92,997 · median $35,236 | 32 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $19,799 – $116,873 · median $44,078 | 32 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,799 – $70,839 · median $27,030 | 32 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,248 – $189,894 · median $98,402 | 32 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $85,061 – $248,210 · median $89,314 | 24 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $43,250 – $125,147 · median $45,412 | 24 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,493 – $53,116 · median $19,716 | 24 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $26,253 – $75,405 · median $27,667 | 24 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,433 – $52,943 · median $19,654 | 24 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $21,576 – $21,576 · median $21,576 | 1 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $13,924 – $13,924 · median $13,924 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $9,302 – $9,302 · median $9,302 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $17,134 – $17,134 · median $17,134 | 1 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $11,020 – $11,020 · median $11,020 | 1 plans |
| 509 | Arthroscopy | $24,511 – $24,511 · median $24,511 | 1 plans |
No procedures match that keyword.