Morton Plant Hospital — Pricing
884 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 884 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 884 procedures
Procedures with negotiated rates only
These 884 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $190,021 – $954,258 · median $292,919 | 33 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $76,837 – $373,314 · median $112,310 | 33 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $143,921 – $726,038 · median $201,490 | 33 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $93,922 – $478,682 · median $131,491 | 33 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $69,912 – $360,770 · median $109,315 | 33 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,442 – $164,276 · median $51,642 | 33 plans |
| 007 | LUNG TRANSPLANT | $87,811 – $442,732 · median $114,335 | 33 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $38,003 – $184,328 · median $55,454 | 33 plans |
| 010 | PANCREAS TRANSPLANT | $42,147 – $270,101 · median $68,119 | 33 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $36,983 – $182,797 · median $52,404 | 33 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $28,587 – $139,021 · median $40,022 | 33 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $18,793 – $89,774 · median $25,712 | 33 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $81,490 – $443,850 · median $114,085 | 33 plans |
| 016 | AUTOLOUS BONE MARROW TRANSPLANT WITH CC/MCC | $40,207 – $204,478 · median $56,290 | 33 plans |
| 017 | AUTOLOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,835 – $204,478 · median $51,569 | 33 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $53,356 – $273,086 · median $114,703 | 33 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,896 – $187,248 · median $50,254 | 33 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,545 – $93,568 · median $35,375 | 33 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $38,855 – $193,272 · median $58,116 | 33 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,525 – $128,790 · median $37,136 | 33 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,740 – $205,955 · median $57,037 | 33 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,133 – $113,715 · median $32,386 | 33 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,885 – $75,390 · median $20,839 | 33 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,246 – $131,737 · median $39,633 | 33 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,132 – $77,063 · median $24,403 | 33 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,000 – $62,100 · median $18,561 | 33 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,323 – $112,502 · median $34,379 | 33 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,002 – $54,586 · median $17,757 | 33 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,971 – $38,559 · median $11,992 | 33 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,282 – $68,177 · median $17,195 | 33 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,534 – $31,214 · median $9,796 | 33 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,353 – $50,785 · median $14,205 | 33 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,914 – $36,960 · median $9,679 | 33 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,752 – $84,831 · median $22,216 | 33 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,785 – $45,205 · median $12,834 | 33 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,592 – $62,534 · median $20,720 | 33 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,414 – $41,452 · median $11,780 | 33 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,237 – $30,232 · median $9,346 | 33 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,695 – $91,583 · median $26,173 | 33 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,915 – $60,332 · median $16,681 | 33 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,519 – $47,590 · median $13,326 | 33 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,636 – $67,388 · median $19,713 | 33 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,851 – $34,450 · median $9,915 | 33 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,641 – $23,318 · median $7,600 | 33 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,959 – $49,288 · median $14,828 | 33 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,861 – $29,863 · median $9,353 | 33 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,416 – $27,105 · median $7,930 | 33 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,288 – $58,905 · median $17,733 | 33 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,957 – $35,703 · median $9,740 | 33 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,128 – $25,415 · median $7,828 | 33 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,878 – $52,360 · median $15,005 | 33 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,990 – $35,313 · median $9,785 | 33 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,218 – $58,350 · median $17,047 | 33 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,940 – $31,062 · median $7,834 | 33 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,273 – $67,341 · median $17,182 | 33 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,073 – $30,652 · median $8,502 | 33 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,498 – $78,601 · median $21,697 | 33 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,464 – $47,103 · median $13,250 | 33 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,481 – $32,390 · median $9,073 | 33 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,405 – $76,765 · median $23,805 | 33 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,833 – $44,433 · median $12,366 | 33 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,202 – $29,947 · median $8,683 | 33 plans |
| 088 | CONCUSSION WITH MCC | $9,166 – $47,790 · median $14,378 | 33 plans |
| 089 | CONCUSSION WITH CC | $7,449 – $36,320 · median $10,455 | 33 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,582 – $29,043 · median $8,992 | 33 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,908 – $61,754 · median $16,672 | 33 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,937 – $35,866 · median $9,711 | 33 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,399 – $26,739 · median $8,069 | 33 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,864 – $123,607 · median $33,410 | 33 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,000 – $81,210 · median $24,484 | 33 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,000 – $81,210 · median $23,978 | 33 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,191 – $121,435 · median $34,287 | 33 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,552 – $73,489 · median $20,723 | 33 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,238 – $47,201 · median $12,933 | 33 plans |
| 100 | SEIZURES WITH MCC | $13,133 – $67,256 · median $18,386 | 33 plans |
| 101 | SEIZURES WITHOUT MCC | $6,120 – $31,224 · median $8,568 | 33 plans |
| 102 | HEADACHES WITH MCC | $7,600 – $39,280 · median $10,641 | 33 plans |
| 103 | HEADACHES WITHOUT MCC | $5,671 – $28,802 · median $8,058 | 33 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,419 – $76,447 · median $22,319 | 33 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,383 – $40,046 · median $12,622 | 33 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,408 – $51,866 · median $15,752 | 33 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,833 – $56,527 · median $17,164 | 33 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,356 – $36,540 · median $10,992 | 33 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,433 – $39,406 · median $11,043 | 33 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,843 – $22,979 · median $7,460 | 33 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,415 – $27,210 · median $8,194 | 33 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,972 – $44,172 · median $13,289 | 33 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,206 – $27,972 · median $7,289 | 33 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,714 – $81,681 · median $24,217 | 33 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,884 – $33,138 · median $9,969 | 33 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,918 – $47,380 · median $14,133 | 33 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,769 – $27,559 · median $8,413 | 33 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,379 – $46,513 · median $13,084 | 33 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $13,088 – $77,717 · median $20,100 | 33 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $8,622 – $42,170 · median $12,070 | 33 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,405 – $27,125 · median $8,060 | 33 plans |
| 149 | DYSEQUILIBRIUM | $5,096 – $25,323 · median $7,135 | 33 plans |
| 150 | EPISTAXIS WITH MCC | $9,028 – $46,825 · median $13,690 | 33 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,572 – $25,679 · median $6,968 | 33 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,016 – $38,444 · median $11,013 | 33 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,379 – $24,110 · median $7,008 | 33 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $10,602 – $55,094 · median $14,842 | 33 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $6,215 – $31,628 · median $8,700 | 33 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,125 – $22,779 · median $6,561 | 33 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,613 – $55,474 · median $16,298 | 33 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,169 – $31,865 · median $8,637 | 33 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,678 – $22,345 · median $6,726 | 33 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $30,390 – $156,146 · median $42,546 | 33 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,114 – $85,268 · median $24,663 | 33 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,980 – $63,147 · median $18,171 | 33 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,344 – $130,437 · median $35,482 | 33 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,228 – $61,900 · median $17,120 | 33 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,265 – $45,866 · median $12,971 | 33 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,314 – $47,736 · median $13,040 | 33 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,458 – $27,593 · median $7,642 | 33 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,596 – $54,762 · median $14,835 | 33 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,618 – $33,609 · median $9,265 | 33 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,119 – $26,075 · median $7,331 | 33 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,975 – $59,210 · median $18,284 | 33 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,262 – $37,614 · median $10,167 | 33 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,111 – $28,372 · median $8,535 | 33 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,374 – $53,773 · median $14,523 | 33 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,215 – $36,184 · median $10,101 | 33 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,333 – $26,346 · median $7,466 | 33 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,568 – $53,526 · median $14,795 | 33 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,707 – $34,013 · median $9,389 | 33 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,863 – $24,872 · median $7,483 | 33 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,183 – $41,919 · median $11,728 | 33 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,511 – $38,044 · median $10,515 | 33 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,716 – $29,104 · median $8,003 | 33 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,353 – $21,925 · median $6,094 | 33 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,913 – $44,640 · median $12,478 | 33 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,465 – $27,779 · median $7,650 | 33 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,262 – $21,095 · median $5,966 | 33 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,797 – $63,828 · median $17,759 | 33 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,436 – $33,538 · median $9,010 | 33 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,856 – $23,727 · median $7,138 | 33 plans |
| 199 | PNEUMOTHORAX WITH MCC | $7,678 – $59,803 · median $16,747 | 33 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,257 – $37,519 · median $10,436 | 33 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,088 – $22,938 · median $6,788 | 33 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,585 – $32,749 · median $9,220 | 33 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,341 – $23,599 · median $6,360 | 33 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,251 – $27,474 · median $7,665 | 33 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,443 – $63,953 · median $17,323 | 33 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,031 – $30,686 · median $8,934 | 33 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $43,632 – $219,089 · median $61,084 | 33 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,638 – $90,919 · median $26,093 | 33 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,936 – $165,550 · median $49,804 | 33 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,653 – $116,212 · median $33,114 | 33 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,600 – $86,488 · median $27,161 | 33 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,081 – $59,264 · median $19,293 | 33 plans |
| 265 | AICD LEAD PROCEDURES | $24,534 – $120,846 · median $34,347 | 33 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $38,568 – $202,950 · median $58,177 | 33 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $3,716 – $159,381 · median $45,194 | 33 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $13,854 – $225,878 · median $65,292 | 33 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $6,298 – $140,952 · median $40,091 | 33 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,353 – $173,891 · median $50,088 | 33 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,205 – $116,686 · median $33,760 | 33 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,311 – $84,767 · median $27,470 | 33 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $27,731 – $132,469 · median $39,329 | 33 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $22,133 – $105,730 · median $33,494 | 33 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,350 – $92,535 · median $27,453 | 33 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,071 – $53,414 · median $16,204 | 33 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,304 – $33,166 · median $9,978 | 33 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,705 – $44,203 · median $12,187 | 33 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,757 – $29,175 · median $8,060 | 33 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,838 – $18,588 · median $5,373 | 33 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $10,591 – $55,504 · median $16,646 | 33 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,299 – $23,863 · median $7,179 | 33 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,086 – $14,963 · median $4,502 | 33 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,713 – $54,799 · median $15,367 | 33 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,238 – $36,269 · median $10,134 | 33 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,880 – $24,168 · median $6,832 | 33 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,114 – $39,409 · median $11,684 | 33 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,565 – $22,779 · median $6,391 | 33 plans |
| 304 | HYPERTENSION WITH MCC | $8,069 – $39,799 · median $11,297 | 33 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,120 – $25,431 · median $7,168 | 33 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,619 – $50,727 · median $14,994 | 33 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,192 – $31,384 · median $8,669 | 33 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,164 – $40,852 · median $11,430 | 33 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,875 – $25,045 · median $6,984 | 33 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,839 – $18,954 · median $5,374 | 33 plans |
| 311 | ANGINA PECTORIS | $4,759 – $23,656 · median $6,663 | 33 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,910 – $29,517 · median $8,274 | 33 plans |
| 313 | CHEST PAIN | $4,882 – $24,168 · median $6,835 | 33 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,139 – $72,954 · median $19,795 | 33 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,532 – $32,600 · median $9,145 | 33 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,625 – $23,128 · median $6,475 | 33 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,262 – $148,815 · median $43,467 | 33 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,310 – $78,418 · median $23,591 | 33 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $33,818 – $172,061 · median $47,345 | 33 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,573 – $82,257 · median $23,412 | 33 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,865 – $53,983 · median $16,695 | 33 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $31,167 – $155,560 · median $43,634 | 33 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,255 – $80,075 · median $22,757 | 33 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,411 – $55,931 · median $17,769 | 33 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,551 – $117,509 · median $35,352 | 33 plans |
| 333 | RECTAL RESECTION WITH CC | $15,072 – $71,999 · median $23,990 | 33 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,106 – $56,188 · median $16,327 | 33 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,213 – $122,750 · median $33,898 | 33 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,298 – $71,558 · median $20,018 | 33 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,408 – $52,005 · median $14,572 | 33 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,505 – $91,282 · median $24,518 | 33 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,203 – $50,433 · median $14,284 | 33 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,043 – $42,187 · median $11,261 | 33 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,566 – $80,180 · median $24,121 | 33 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,875 – $42,648 · median $12,424 | 33 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,903 – $29,842 · median $8,265 | 33 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,897 – $81,938 · median $24,651 | 33 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,337 – $50,968 · median $15,333 | 33 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,819 – $37,353 · median $11,414 | 33 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,678 – $99,361 · median $28,924 | 33 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,408 – $57,628 · median $15,971 | 33 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,120 – $45,165 · median $13,102 | 33 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $29,786 – $144,509 · median $41,701 | 33 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,768 – $76,291 · median $22,076 | 33 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,479 – $45,907 · median $13,270 | 33 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,379 – $56,575 · median $15,112 | 33 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,782 – $34,473 · median $9,495 | 33 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,752 – $23,646 · median $6,653 | 33 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,023 – $59,217 · median $16,832 | 33 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,923 – $34,870 · median $9,692 | 33 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,932 – $24,574 · median $6,905 | 33 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,502 – $71,528 · median $20,303 | 33 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,202 – $41,625 · median $11,483 | 33 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,262 – $29,913 · median $8,774 | 33 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,395 – $61,595 · median $17,353 | 33 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,650 – $33,399 · median $9,310 | 33 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,275 – $21,569 · median $6,265 | 33 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,305 – $65,190 · median $18,627 | 33 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,347 – $36,895 · median $10,286 | 33 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,314 – $25,384 · median $7,600 | 33 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,965 – $42,827 · median $13,107 | 33 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,796 – $29,459 · median $8,115 | 33 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,729 – $55,043 · median $15,021 | 33 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,620 – $33,623 · median $9,268 | 33 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,620 – $22,708 · median $6,468 | 33 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,014 – $49,796 · median $14,019 | 33 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,302 – $27,156 · median $7,498 | 33 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,689 – $18,537 · median $5,164 | 33 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,600 – $43,515 · median $12,040 | 33 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,286 – $26,434 · median $7,401 | 33 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,844 – $56,100 · median $15,182 | 33 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,345 – $31,888 · median $8,883 | 33 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,401 – $21,559 · median $6,161 | 33 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $37,094 – $183,908 · median $51,931 | 33 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $19,665 – $95,140 · median $29,584 | 33 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,050 – $72,355 · median $21,886 | 33 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,177 – $118,614 · median $37,774 | 33 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,764 – $71,023 · median $24,876 | 33 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,766 – $52,547 · median $17,596 | 33 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,406 – $92,701 · median $31,358 | 33 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,256 – $72,212 · median $21,725 | 33 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,259 – $56,321 · median $16,944 | 33 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,157 – $118,698 · median $35,709 | 33 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,014 – $67,012 · median $20,615 | 33 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,244 – $46,418 · median $14,313 | 33 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,181 – $80,509 · median $22,654 | 33 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,470 – $56,182 · median $17,014 | 33 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,261 – $44,636 · median $13,852 | 33 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,102 – $119,569 · median $36,409 | 33 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,613 – $55,477 · median $16,494 | 33 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,490 – $49,779 · median $14,888 | 33 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,160 – $137,791 · median $44,925 | 33 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,835 – $77,351 · median $23,865 | 33 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,173 – $52,367 · median $15,492 | 33 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,346 – $66,368 · median $18,684 | 33 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,162 – $36,242 · median $10,026 | 33 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,831 – $23,595 · median $6,764 | 33 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,454 – $61,812 · median $17,436 | 33 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,670 – $38,203 · median $10,737 | 33 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,568 – $26,600 · median $8,100 | 33 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,054 – $56,361 · median $15,475 | 33 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,704 – $29,141 · median $7,985 | 33 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,214 – $20,838 · median $5,899 | 33 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,169 – $64,041 · median $17,037 | 33 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,545 – $32,732 · median $9,164 | 33 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,744 – $23,805 · median $6,642 | 33 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,330 – $57,062 · median $15,862 | 33 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,421 – $36,740 · median $10,389 | 33 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,610 – $27,010 · median $7,854 | 33 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $56,981 – $286,911 · median $79,773 | 33 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,434 – $194,434 · median $58,298 | 33 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,293 – $146,281 · median $44,876 | 33 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $37,450 – $207,893 · median $57,015 | 33 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $18,037 – $97,017 · median $25,251 | 33 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,302 – $182,970 · median $54,105 | 33 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,911 – $99,890 · median $29,568 | 33 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,312 – $58,814 · median $17,312 | 33 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $35,296 – $172,590 · median $49,415 | 33 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $23,913 – $116,036 · median $33,478 | 33 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,604 – $88,870 · median $26,087 | 33 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $20,567 – $110,734 · median $31,232 | 33 plans |
| 470 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $13,079 – $63,875 · median $19,918 | 33 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,742 – $164,551 · median $45,839 | 33 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,977 – $98,148 · median $27,967 | 33 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,554 – $80,200 · median $23,175 | 33 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,109 – $151,928 · median $41,074 | 33 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,299 – $73,083 · median $21,603 | 33 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,900 – $39,402 · median $11,204 | 33 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,425 – $116,503 · median $34,506 | 33 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,585 – $79,225 · median $23,345 | 33 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,593 – $60,159 · median $17,646 | 33 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,747 – $99,632 · median $31,996 | 33 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,202 – $70,291 · median $22,131 | 33 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,059 – $53,742 · median $17,440 | 33 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,071 – $86,325 · median $25,356 | 33 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $21,882 – $109,060 · median $32,810 | 33 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,179 – $71,850 · median $19,851 | 33 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,620 – $53,532 · median $15,391 | 33 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,994 – $66,582 · median $20,874 | 33 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,573 – $41,953 · median $12,877 | 33 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $24,896 – $120,304 · median $34,854 | 33 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $17,027 – $81,339 · median $24,401 | 33 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $13,371 – $63,872 · median $19,048 | 33 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $20,538 – $119,267 · median $34,419 | 33 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,232 – $66,839 · median $21,629 | 33 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,193 – $45,483 · median $13,640 | 33 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,906 – $85,536 · median $25,950 | 33 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,232 – $39,324 · median $15,711 | 33 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,460 – $107,346 · median $31,697 | 33 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,853 – $60,460 · median $16,595 | 33 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,126 – $47,333 · median $12,777 | 33 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,769 – $89,659 · median $26,973 | 33 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,446 – $59,454 · median $17,744 | 33 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,156 – $59,454 · median $17,019 | 33 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,149 – $50,785 · median $14,189 | 33 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,249 – $65,660 · median $19,754 | 33 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,153 – $43,722 · median $14,376 | 33 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $20,269 – $96,824 · median $29,553 | 33 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $13,908 – $66,440 · median $19,973 | 33 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $11,225 – $54,467 · median $15,715 | 33 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,675 – $51,005 · median $14,945 | 33 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,932 – $34,541 · median $9,705 | 33 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,609 – $104,761 · median $33,432 | 33 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,091 – $68,150 · median $20,554 | 33 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,420 – $50,568 · median $15,002 | 33 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,341 – $121,415 · median $35,478 | 33 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,563 – $66,802 · median $20,232 | 33 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,130 – $48,553 · median $14,183 | 33 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,630 – $51,659 · median $15,470 | 33 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,767 – $27,576 · median $7,652 | 33 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,693 – $45,053 · median $13,007 | 33 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,476 – $27,471 · median $7,667 | 33 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $6,471 – $31,133 · median $9,366 | 33 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $4,762 – $22,748 · median $6,844 | 33 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,356 – $68,513 · median $19,983 | 33 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,309 – $43,840 · median $12,306 | 33 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,059 – $29,639 · median $7,475 | 33 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,978 – $63,184 · median $19,343 | 33 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,971 – $35,940 · median $10,824 | 33 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,117 – $25,601 · median $8,039 | 33 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,828 – $85,604 · median $23,559 | 33 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,821 – $39,219 · median $11,540 | 33 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,292 – $25,279 · median $7,938 | 33 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,093 – $68,249 · median $20,532 | 33 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,186 – $40,825 · median $11,460 | 33 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,927 – $29,205 · median $8,298 | 33 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,531 – $57,808 · median $15,911 | 33 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,518 – $32,651 · median $9,126 | 33 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,790 – $44,243 · median $13,311 | 33 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,107 – $28,274 · median $7,880 | 33 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,963 – $45,619 · median $13,724 | 33 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,632 – $27,661 · median $7,885 | 33 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $9,560 – $52,499 · median $14,115 | 33 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $4,618 – $29,263 · median $8,479 | 33 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,645 – $62,886 · median $18,919 | 33 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,636 – $38,576 · median $11,061 | 33 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,451 – $27,698 · median $7,922 | 33 plans |
| 562 | FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC | $9,661 – $49,579 · median $13,526 | 33 plans |
| 563 | FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC | $6,072 – $30,279 · median $8,501 | 33 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,467 – $53,160 · median $16,027 | 33 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,607 – $34,544 · median $9,250 | 33 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,081 – $25,343 · median $8,032 | 33 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,943 – $101,977 · median $30,456 | 33 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,456 – $56,720 · median $16,399 | 33 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,773 – $38,701 · median $10,882 | 33 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,672 – $208,621 · median $62,192 | 33 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,808 – $117,380 · median $32,954 | 33 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,185 – $67,642 · median $18,624 | 33 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,234 – $182,777 · median $51,402 | 33 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,974 – $90,208 · median $25,605 | 33 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,893 – $57,266 · median $17,250 | 33 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $21,959 – $110,419 · median $31,213 | 33 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,717 – $60,064 · median $17,052 | 33 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,785 – $48,756 · median $13,699 | 33 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,419 – $59,325 · median $18,289 | 33 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,649 – $55,650 · median $16,370 | 33 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,515 – $69,360 · median $20,322 | 33 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,081 – $67,249 · median $18,313 | 33 plans |
| 592 | SKIN ULCERS WITH MCC | $13,123 – $69,661 · median $18,914 | 33 plans |
| 593 | SKIN ULCERS WITH CC | $6,059 – $41,421 · median $11,262 | 33 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,878 – $28,751 · median $8,583 | 33 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,380 – $71,653 · median $21,546 | 33 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,057 – $36,624 · median $10,276 | 33 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,304 – $59,512 · median $17,945 | 33 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,651 – $36,550 · median $10,739 | 33 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,217 – $28,961 · median $7,371 | 33 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,164 – $32,407 · median $9,888 | 33 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,102 – $20,309 · median $5,743 | 33 plans |
| 602 | CELLULITIS WITH MCC | $9,637 – $49,772 · median $13,492 | 33 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,245 – $29,839 · median $8,267 | 33 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,982 – $50,331 · median $15,142 | 33 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,976 – $31,292 · median $8,696 | 33 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,754 – $54,552 · median $14,365 | 33 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,973 – $29,277 · median $8,604 | 33 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,862 – $77,206 · median $24,962 | 33 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,488 – $48,546 · median $15,138 | 33 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,544 – $130,935 · median $33,106 | 33 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,682 – $65,437 · median $17,755 | 33 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,830 – $42,180 · median $13,298 | 33 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,335 – $92,366 · median $30,397 | 33 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,851 – $54,102 · median $15,643 | 33 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,228 – $49,521 · median $16,020 | 33 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,134 – $126,768 · median $38,137 | 33 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,164 – $64,800 · median $17,029 | 33 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,114 – $33,982 · median $11,681 | 33 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,333 – $97,129 · median $29,221 | 33 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,167 – $51,131 · median $17,838 | 33 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,984 – $42,919 · median $12,610 | 33 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,270 – $133,668 · median $39,107 | 33 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,716 – $76,193 · median $20,683 | 33 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,896 – $47,472 · median $15,357 | 33 plans |
| 637 | DIABETES WITH MCC | $9,742 – $49,335 · median $13,639 | 33 plans |
| 638 | DIABETES WITH CC | $5,815 – $31,072 · median $8,508 | 33 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,211 – $21,227 · median $5,897 | 33 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $9,056 – $44,989 · median $12,679 | 33 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,277 – $26,471 · median $7,387 | 33 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,801 – $42,045 · median $12,887 | 33 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,162 – $56,144 · median $15,626 | 33 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,950 – $35,008 · median $9,730 | 33 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,729 – $26,380 · median $7,293 | 33 plans |
| 652 | KIDNEY TRANSPLANT | $21,781 – $104,050 · median $34,756 | 33 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,543 – $188,851 · median $49,329 | 33 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,981 – $95,604 · median $26,574 | 33 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,352 – $70,373 · median $21,861 | 33 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,588 – $110,371 · median $30,224 | 33 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,409 – $61,931 · median $20,028 | 33 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,522 – $50,951 · median $16,641 | 33 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,229 – $87,548 · median $24,121 | 33 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,962 – $45,395 · median $12,547 | 33 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,021 – $34,778 · median $10,943 | 33 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,759 – $105,683 · median $31,794 | 33 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,308 – $51,744 · median $14,431 | 33 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,099 – $36,580 · median $11,005 | 33 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,164 – $116,320 · median $31,466 | 33 plans |
| 666 | PROSTATECTOMY WITH CC | $11,682 – $55,806 · median $16,789 | 33 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,443 – $34,819 · median $10,475 | 33 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,800 – $98,796 · median $29,556 | 33 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,524 – $52,425 · median $14,733 | 33 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,627 – $32,376 · median $9,740 | 33 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,171 – $58,394 · median $17,567 | 33 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,320 – $37,075 · median $10,952 | 33 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,269 – $141,931 · median $37,891 | 33 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,857 – $78,202 · median $22,200 | 33 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,101 – $53,028 · median $17,299 | 33 plans |
| 682 | RENAL FAILURE WITH MCC | $10,042 – $50,880 · median $14,059 | 33 plans |
| 683 | RENAL FAILURE WITH CC | $5,939 – $30,113 · median $8,314 | 33 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,070 – $20,577 · median $5,699 | 33 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,230 – $63,882 · median $18,615 | 33 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,105 – $35,662 · median $10,535 | 33 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,136 – $24,534 · median $7,502 | 33 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,868 – $39,646 · median $11,015 | 33 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,489 – $27,190 · median $7,685 | 33 plans |
| 693 | URINARY STONES WITH MCC | $9,117 – $49,813 · median $12,763 | 33 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,300 – $26,471 · median $7,421 | 33 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,756 – $38,206 · median $11,495 | 33 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,203 – $23,436 · median $6,541 | 33 plans |
| 697 | URETHRAL STRICTURE | $7,104 – $33,938 · median $10,232 | 33 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,218 – $56,944 · median $15,705 | 33 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,882 – $34,551 · median $9,635 | 33 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,678 – $23,517 · median $7,862 | 33 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,563 – $65,742 · median $19,821 | 33 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,403 – $50,223 · median $15,391 | 33 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,779 – $76,125 · median $22,902 | 33 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,501 – $50,863 · median $14,685 | 33 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,549 – $64,725 · median $19,781 | 33 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,457 – $36,235 · median $10,439 | 33 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,194 – $48,986 · median $14,272 | 33 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,664 – $31,834 · median $9,703 | 33 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,170 – $76,504 · median $22,647 | 33 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,974 – $48,082 · median $14,465 | 33 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,819 – $62,859 · median $17,946 | 33 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,736 – $41,733 · median $12,750 | 33 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $12,261 – $58,570 · median $17,621 | 33 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $7,748 – $38,040 · median $11,444 | 33 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,446 – $24,683 · median $6,258 | 33 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,935 – $42,773 · median $12,868 | 33 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,577 – $25,218 · median $6,854 | 33 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,055 – $49,779 · median $14,975 | 33 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,500 – $27,681 · median $7,701 | 33 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,179 – $37,295 · median $11,220 | 33 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,236 – $20,560 · median $6,379 | 33 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,443 – $71,237 · median $23,234 | 33 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,609 – $41,123 · median $12,773 | 33 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,238 – $133,394 · median $33,933 | 33 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,972 – $67,700 · median $19,561 | 33 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,957 – $51,388 · median $14,193 | 33 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $24,294 – $134,861 · median $39,692 | 33 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $12,270 – $61,599 · median $18,920 | 33 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $9,670 – $46,533 · median $14,093 | 33 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,441 – $61,883 · median $17,418 | 33 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,413 – $40,608 · median $12,117 | 33 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,857 – $66,196 · median $18,449 | 33 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,994 – $34,717 · median $10,798 | 33 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,779 – $56,730 · median $16,490 | 33 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,829 – $32,359 · median $8,991 | 33 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,407 – $46,151 · median $14,010 | 33 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,174 – $87,694 · median $24,374 | 33 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,145 – $43,684 · median $14,111 | 33 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,488 – $61,294 · median $17,483 | 33 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,239 – $37,607 · median $10,326 | 33 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,513 – $32,353 · median $9,294 | 33 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,993 – $47,946 · median $13,593 | 33 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,623 – $34,531 · median $9,294 | 33 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,921 – $21,681 · median $6,300 | 33 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,690 – $33,389 · median $9,564 | 33 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,839 – $21,475 · median $5,416 | 33 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,278 – $30,128 · median $10,173 | 33 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,854 – $47,072 · median $15,296 | 33 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,799 – $36,452 · median $8,335 | 33 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,666 – $24,171 · median $6,215 | 33 plans |
| 779 | ABORTION WITHOUT D&C | $4,212 – $31,668 · median $7,986 | 33 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,064 – $54,884 · median $20,985 | 33 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,188 – $32,267 · median $10,063 | 33 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,195 – $30,964 · median $9,092 | 33 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,530 – $31,635 · median $11,082 | 33 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,416 – $26,955 · median $9,122 | 33 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,913 – $31,611 · median $13,010 | 33 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,783 – $28,847 · median $9,146 | 33 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,709 – $161,078 · median $48,459 | 33 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,050 – $98,711 · median $30,125 | 33 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,642 – $55,616 · median $18,121 | 33 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,422 – $121,442 · median $36,535 | 33 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,605 – $60,301 · median $17,646 | 33 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,841 – $37,454 · median $12,872 | 33 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,305 – $29,734 · median $10,245 | 33 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,408 – $21,559 · median $7,158 | 33 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,856 – $18,988 · median $6,400 | 33 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,971 – $77,588 · median $20,960 | 33 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,584 – $41,957 · median $12,017 | 33 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,750 – $32,244 · median $9,915 | 33 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,522 – $47,662 · median $13,331 | 33 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,226 – $31,265 · median $8,716 | 33 plans |
| 813 | COAGULATION DISORDERS | $10,343 – $52,442 · median $14,480 | 33 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,420 – $70,820 · median $18,540 | 33 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,876 – $34,422 · median $9,626 | 33 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,285 – $22,338 · median $6,000 | 33 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,959 – $85,882 · median $21,659 | 33 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,860 – $43,634 · median $11,046 | 33 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,790 – $27,661 · median $8,163 | 33 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,767 – $197,242 · median $55,674 | 33 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,179 – $75,627 · median $23,662 | 33 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,111 – $38,745 · median $13,403 | 33 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,088 – $158,527 · median $44,840 | 33 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,362 – $74,509 · median $24,210 | 33 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,728 – $41,696 · median $13,089 | 33 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,719 – $161,780 · median $48,021 | 33 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,672 – $79,946 · median $23,754 | 33 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,367 – $54,301 · median $17,503 | 33 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,427 – $104,470 · median $29,998 | 33 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,205 – $49,545 · median $14,287 | 33 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,034 – $38,992 · median $11,415 | 33 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,092 – $25,320 · median $6,850 | 33 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,696 – $17,609 · median $4,964 | 33 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $37,225 – $187,248 · median $61,931 | 33 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,143 – $72,358 · median $19,800 | 33 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,269 – $43,048 · median $12,951 | 33 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $32,576 – $169,629 · median $46,716 | 33 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,154 – $68,709 · median $19,816 | 33 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,443 – $46,425 · median $13,528 | 33 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,935 – $108,034 · median $33,869 | 33 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,062 – $53,119 · median $15,487 | 33 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,851 – $35,635 · median $9,592 | 33 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,291 – $64,139 · median $18,937 | 33 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,255 – $40,490 · median $11,557 | 33 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,774 – $28,348 · median $8,528 | 33 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,318 – $86,515 · median $24,611 | 33 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,298 – $43,048 · median $12,419 | 33 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,760 – $27,742 · median $8,063 | 33 plans |
| 849 | RADIOTHERAPY | $18,372 – $90,489 · median $25,721 | 33 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,487 – $169,429 · median $46,882 | 33 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,548 – $67,690 · median $18,968 | 33 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,152 – $55,070 · median $16,995 | 33 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,843 – $152,839 · median $43,181 | 33 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,521 – $73,815 · median $20,329 | 33 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,137 – $43,647 · median $13,223 | 33 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,132 – $62,290 · median $17,312 | 33 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,401 – $33,874 · median $9,473 | 33 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,799 – $30,422 · median $8,427 | 33 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,098 – $49,999 · median $14,223 | 33 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,387 – $29,974 · median $8,255 | 33 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,193 – $72,642 · median $19,871 | 33 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,992 – $35,574 · median $9,788 | 33 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,948 – $24,378 · median $6,927 | 33 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $46,867 – $235,665 · median $67,038 | 33 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,171 – $66,470 · median $18,440 | 33 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,908 – $34,927 · median $9,714 | 33 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,456 – $150,092 · median $39,838 | 33 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,982 – $64,285 · median $18,174 | 33 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,931 – $41,299 · median $11,459 | 33 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,906 – $130,802 · median $37,496 | 33 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,058 – $55,836 · median $14,082 | 33 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,319 – $73,937 · median $18,454 | 33 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,033 – $134,956 · median $36,446 | 33 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,529 – $68,333 · median $18,940 | 33 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,901 – $42,966 · median $12,461 | 33 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,084 – $54,823 · median $15,649 | 33 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,004 – $31,045 · median $8,406 | 33 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,402 – $58,875 · median $15,963 | 33 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,056 – $22,498 · median $6,325 | 33 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,635 – $55,548 · median $14,889 | 33 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,089 – $29,968 · median $8,136 | 33 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,414 – $61,778 · median $17,380 | 33 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,796 – $34,416 · median $9,515 | 33 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,668 – $23,297 · median $6,535 | 33 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,862 – $57,232 · median $16,607 | 33 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,764 – $34,551 · median $9,174 | 33 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $144,771 – $803,657 · median $211,401 | 33 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $31,589 – $226,261 · median $65,666 | 33 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $15,997 – $107,742 · median $30,575 | 33 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,405 – $146,582 · median $36,967 | 33 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,342 – $72,693 · median $19,184 | 33 plans |
| 935 | NON-EXTENSIVE BURNS | $9,966 – $74,407 · median $19,556 | 33 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,509 – $107,526 · median $34,445 | 33 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,973 – $71,528 · median $23,059 | 33 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,592 – $66,206 · median $19,249 | 33 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,501 – $51,713 · median $15,426 | 33 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,776 – $37,824 · median $11,379 | 33 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,607 – $43,573 · median $12,050 | 33 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,428 – $26,915 · median $7,599 | 33 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,652 – $36,553 · median $11,542 | 33 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,156 – $19,855 · median $7,854 | 33 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,677 – $19,208 · median $5,278 | 33 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,516 – $129,491 · median $41,587 | 33 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $51,668 – $252,865 · median $72,335 | 33 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,573 – $139,228 · median $44,424 | 33 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,927 – $89,567 · median $27,948 | 33 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,537 – $92,034 · median $27,018 | 33 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,392 – $50,819 · median $14,549 | 33 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,377 – $30,916 · median $8,928 | 33 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $41,507 – $214,248 · median $61,509 | 33 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,883 – $89,886 · median $27,042 | 33 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,569 – $101,164 · median $28,343 | 33 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,781 – $48,153 · median $14,225 | 33 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,121 – $33,979 · median $9,691 | 33 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,799 – $48,847 · median $13,785 | 33 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,814 – $161,048 · median $47,601 | 33 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,670 – $82,941 · median $23,338 | 33 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,622 – $56,514 · median $16,271 | 33 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,247 – $118,661 · median $32,546 | 33 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,145 – $58,133 · median $18,214 | 33 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,131 – $39,145 · median $11,384 | 33 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $267,447 – $1,277,597 · median $373,332 | 32 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $48,377 – $268,553 · median $74,261 | 32 plans |
| 140 | SIMPLE PNEUMONIA & PLEURISY AGE 0-17 | $4,786 – $143,273 · median $36,875 | 32 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,654 – $72,785 · median $18,856 | 32 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,825 – $53,268 · median $15,765 | 32 plans |
| 143 | STOMACH-- ESOPHAGEAL & DUODENAL PROC AGE 0-17 | $23,222 – $111,858 · median $32,391 | 32 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,926 – $59,512 · median $14,982 | 32 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,551 – $40,137 · median $10,394 | 32 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $20,182 – $103,955 · median $29,764 | 32 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $73,734 – $369,053 · median $107,127 | 32 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $48,349 – $239,409 · median $63,740 | 32 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $34,592 – $209,848 · median $51,929 | 32 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC | $31,317 – $157,592 · median $46,518 | 32 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $29,963 – $169,497 · median $48,122 | 32 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,725 – $108,555 · median $31,284 | 32 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC | $43,872 – $209,577 · median $64,593 | 32 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,449 – $96,441 · median $27,762 | 32 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,954 – $61,290 · median $19,623 | 32 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $29,343 – $144,296 · median $44,821 | 32 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,366 – $108,240 · median $33,259 | 32 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,297 – $96,959 · median $29,823 | 32 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,239 – $83,940 · median $24,720 | 32 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,263 – $51,263 · median $18,728 | 32 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,762 – $38,071 · median $13,156 | 32 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,462 – $98,741 · median $28,476 | 32 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,359 – $71,416 · median $20,691 | 32 plans |
| 650 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W OTHER PROB | $24,296 – $156,082 · median $40,645 | 32 plans |
| 651 | NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB | $24,626 – $124,258 · median $44,081 | 32 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,185 – $48,144 · median $16,916 | 32 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,490 – $28,847 · median $9,116 | 32 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,207 – $133,123 · median $33,837 | 32 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $30,830 – $151,508 · median $39,228 | 31 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,083 – $103,616 · median $26,078 | 31 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,107 – $83,602 · median $23,950 | 31 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $22,708 – $141,965 · median $34,938 | 31 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,450 – $72,348 · median $16,617 | 31 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,276 – $54,051 · median $15,786 | 31 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,182 – $127,787 · median $36,654 | 31 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,909 – $76,501 · median $20,872 | 31 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,715 – $59,542 · median $15,570 | 31 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $67,515 – $358,920 · median $94,521 | 31 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $66,334 – $326,950 · median $92,868 | 31 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $44,585 – $218,774 · median $51,273 | 31 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,190 – $201,544 · median $57,255 | 31 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $52,064 – $262,123 · median $69,844 | 31 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $36,160 – $179,436 · median $48,126 | 31 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,569 – $155,584 · median $40,063 | 31 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,547 – $168,819 · median $46,965 | 31 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,356 – $105,232 · median $29,898 | 31 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $54,395 – $287,070 · median $65,735 | 31 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $41,109 – $206,944 · median $57,552 | 31 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $51,840 – $264,796 · median $72,053 | 31 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,041 – $180,232 · median $51,857 | 31 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,793 – $199,339 · median $55,525 | 31 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,403 – $139,306 · median $39,764 | 31 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $33,373 – $170,635 · median $38,378 | 31 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,135 – $98,657 · median $22,228 | 31 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,387 – $51,151 · median $13,142 | 31 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,649 – $114,911 · median $30,309 | 31 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,449 – $76,318 · median $20,229 | 31 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,256 – $61,138 · median $16,165 | 31 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,799 – $78,344 · median $20,073 | 31 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,134 – $52,936 · median $14,187 | 31 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,290 – $88,639 · median $25,606 | 31 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,513 – $57,377 · median $16,118 | 31 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,325 – $30,215 · median $9,090 | 31 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,896 – $95,042 · median $28,593 | 31 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,465 – $59,546 · median $17,913 | 31 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,056 – $115,392 · median $30,879 | 31 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,819 – $64,285 · median $17,946 | 31 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,764 – $51,419 · median $15,469 | 31 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,021 – $90,862 · median $25,006 | 31 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,101 – $118,404 · median $26,049 | 31 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $10,877 – $55,606 · median $13,987 | 31 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $6,232 – $31,228 · median $8,725 | 31 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $4,903 – $24,564 · median $6,864 | 31 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $13,431 – $66,243 · median $18,804 | 31 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $4,694 – $25,103 · median $6,571 | 31 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $3,981 – $19,019 · median $5,489 | 31 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $15,004 – $74,980 · median $18,716 | 31 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,256 – $36,916 · median $10,158 | 31 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $45,641 – $231,322 · median $63,898 | 31 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $11,326 – $132,534 · median $31,351 | 30 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $13,977 – $240,618 · median $56,289 | 30 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $10,620 – $186,462 · median $43,839 | 30 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $59,149 – $282,555 · median $77,630 | 30 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,795 – $185,324 · median $48,456 | 30 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $45,306 – $227,135 · median $57,765 | 30 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,756 – $138,337 · median $36,298 | 30 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,138 – $174,470 · median $46,076 | 30 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,885 – $104,544 · median $27,928 | 30 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,220 – $53,707 · median $15,581 | 30 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $6,744 – $177,119 · median $46,346 | 30 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,663 – $120,961 · median $31,651 | 30 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,081 – $72,986 · median $19,098 | 30 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $28,273 – $124,256 · median $36,048 | 30 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,008 – $43,982 · median $12,760 | 30 plans |
| 795 | NORMAL NEWBORN | $1,185 – $5,953 · median $1,558 | 30 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $58,717 – $312,072 · median $74,865 | 30 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $18,645 – $354,875 · median $85,941 | 29 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,031 – $32,474 · median $7,064 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $4,213 – $30,967 · median $6,922 | 26 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,282 – $32,590 · median $7,900 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,256 – $62,805 · median $14,217 | 26 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,909 – $56,581 · median $11,968 | 26 plans |
| 885 | PSYCHOSES | $4,885 – $47,753 · median $10,276 | 26 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,272 – $60,860 · median $14,916 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,261 – $40,293 · median $8,351 | 26 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,542 – $21,143 · median $4,539 | 26 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $6,758 – $49,051 · median $10,415 | 26 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $10,764 – $60,328 · median $12,839 | 26 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $5,986 – $29,886 · median $6,585 | 25 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $11,013 – $48,248 · median $11,564 | 20 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $7,666 – $29,663 · median $8,050 | 20 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $7,154 – $18,242 · median $7,511 | 19 plans |
| 765 | CESAREAN SECTION W CC/MCC | $7,981 – $20,351 · median $8,380 | 19 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $5,676 – $14,474 · median $5,960 | 19 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $6,314 – $16,099 · median $6,629 | 19 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | — | 18 plans |
| 213 | SPLENIC PROCEDURES AGE 0-17 | $16,936 – $98,677 · median $40,167 | 18 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,424 – $41,882 · median $17,245 | 18 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $23,316 – $115,817 · median $24,482 | 18 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,371 – $63,048 · median $17,189 | 18 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,966 – $52,384 · median $32,016 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,077 – $33,806 · median $20,661 | 16 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,728 – $22,586 · median $13,699 | 16 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,709 – $41,601 · median $25,425 | 16 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,601 – $26,756 · median $16,353 | 16 plans |
| 509 | ARTHROSCOPY | $12,458 – $59,512 · median $36,371 | 16 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $99,714 – $264,017 · median $183,480 | 8 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $64,925 – $182,229 · median $126,641 | 8 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $51,021 – $137,219 · median $95,361 | 8 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,990 – $197,603 · median $137,228 | 8 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,489 – $108,983 · median $75,739 | 8 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $88,453 – $259,383 · median $145,603 | 6 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $63,631 – $176,794 · median $93,951 | 6 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $78,400 – $241,784 · median $201,914 | 6 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $59,877 – $177,233 · median $146,524 | 6 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $70,890 – $232,381 · median $188,212 | 6 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $55,430 – $170,086 · median $129,329 | 6 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $33,632 – $101,475 · median $62,523 | 6 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $21,568 – $64,688 · median $41,151 | 6 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $32,823 – $101,963 · median $83,446 | 6 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $20,316 – $76,007 · median $56,870 | 6 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $30,847 – $79,148 · median $66,096 | 4 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $18,191 – $48,517 · median $40,516 | 4 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,118 – $35,750 · median $29,855 | 4 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $27,116 – $67,305 · median $56,206 | 4 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $17,069 – $43,297 · median $36,157 | 4 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,207 – $32,556 · median $27,187 | 4 plans |
| 104 | CRANIOTOMY- VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17 | $27,066 – $27,066 · median $27,066 | 1 plans |
| 105 | TRAUMATIC STUPOR AND COMA <1 HOUR AGE 0-17 | $3,925 – $3,925 · median $3,925 | 1 plans |
| 106 | CONCUSSION AGE 0-17 | $3,588 – $3,588 · median $3,588 | 1 plans |
| 107 | SEIZURES AND HEADACHES AGE 0-17 | $5,011 – $5,011 · median $5,011 | 1 plans |
| 108 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 | $9,728 – $9,728 · median $9,728 | 1 plans |
| 109 | OTHER DISORDERS OF THE EYE AGE 0-17 | $7,534 – $7,534 · median $7,534 | 1 plans |
| 111 | SINUS AND MASTOID PROCEDURES AGE 0-17 | $21,587 – $21,587 · median $21,587 | 1 plans |
| 112 | OTITIS MEDIA AND URI AGE 0-17 | $2,887 – $2,887 · median $2,887 | 1 plans |
| 118 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES AGE 0-17 | $5,211 – $5,211 · median $5,211 | 1 plans |
| 119 | DENTAL AND ORAL DISEASES AGE 0-17 | $6,606 – $6,606 · median $6,606 | 1 plans |
| 120 | RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17 | $8,142 – $8,142 · median $8,142 | 1 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $24,267 – $24,267 · median $24,267 | 1 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $15,323 – $15,323 · median $15,323 | 1 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $28,507 – $28,507 · median $28,507 | 1 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $16,849 – $16,849 · median $16,849 | 1 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $22,757 – $22,757 · median $22,757 | 1 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $12,816 – $12,816 · median $12,816 | 1 plans |
| 160 | OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 | $8,241 – $8,241 · median $8,241 | 1 plans |
| 161 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $17,796 – $17,796 · median $17,796 | 1 plans |
| 162 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17 | $11,008 – $11,008 · median $11,008 | 1 plans |
| 169 | FX-- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH AGE 0-17 | $4,202 – $4,202 · median $4,202 | 1 plans |
| 170 | CELLULITIS AGE 0-17 | $3,238 – $3,238 · median $3,238 | 1 plans |
| 171 | TRAUMA TO THE SKIN-SUBCUT TISS & BREAST AGE 0-17 | $5,021 – $5,021 · median $5,021 | 1 plans |
| 172 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES AGE 0-17 | $5,372 – $5,372 · median $5,372 | 1 plans |
| 174 | KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17 | $3,866 – $3,866 · median $3,866 | 1 plans |
| 210 | URETHRAL STRICTURE AGE 0-17 | $14,583 – $14,583 · median $14,583 | 1 plans |
| 211 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17 | $5,723 – $5,723 · median $5,723 | 1 plans |
| 214 | RED BLOOD CELL DISORDERS AGE 0-17 | $5,572 – $5,572 · median $5,572 | 1 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $43,200 – $43,200 · median $43,200 | 1 plans |
| 361 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,740 – $42,740 · median $42,740 | 1 plans |
| 362 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $39,863 – $39,863 · median $39,863 | 1 plans |
| 363 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $29,641 – $29,641 · median $29,641 | 1 plans |
| 364 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $32,410 – $32,410 · median $32,410 | 1 plans |
| 365 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $88,765 – $88,765 · median $88,765 | 1 plans |
| 366 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $67,557 – $67,557 · median $67,557 | 1 plans |
| 367 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $51,767 – $51,767 · median $51,767 | 1 plans |
| 396 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $39,629 – $39,629 · median $39,629 | 1 plans |
| 400 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE 0-17 | $9,138 – $9,138 · median $9,138 | 1 plans |
| 401 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH CC | $15,948 – $15,948 · median $15,948 | 1 plans |
| 403 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,519 – $49,519 · median $49,519 | 1 plans |
| 404 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $35,914 – $35,914 · median $35,914 | 1 plans |
| 608 | BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD | $33,968 – $33,968 · median $33,968 | 1 plans |
| 609 | OTHER RESPIRATORY PROBLEMS AFTER BIRTH | $26,427 – $26,427 · median $26,427 | 1 plans |
| 610 | NEONATE- DIED WITHIN ONE DAY OF BIRTH | $3,338 – $3,338 · median $3,338 | 1 plans |
| 611 | NEONATE- TRANSFERRED <5 DAYS OLD | $2,159 – $2,159 · median $2,159 | 1 plans |
| 612 | NEONATE- BIRTHWT <750G-- DISCHARGED ALIVE | $286,319 – $286,319 · median $286,319 | 1 plans |
| 613 | NEONATE- BIRTHWT <750G- DIED | $40,142 – $40,142 · median $40,142 | 1 plans |
| 631 | NEONATE- BIRTHWT 750-999G- DISCHARGED ALIVE | $207,613 – $207,613 · median $207,613 | 1 plans |
| 632 | NEONATE- BIRTHWT 750-999G- DIED | $101,892 – $101,892 · median $101,892 | 1 plans |
| 633 | NEONATE- BIRTHWT 1000-1499G- W SIGNIF O.R. PRO- DISCHARGED ALIVE | $312,452 – $312,452 · median $312,452 | 1 plans |
| 634 | NEONATE- BIRTHWT 1000-1499G- W/O SIGNIF O.R. PROC- DISCHARGED ALIVE | $111,993 – $111,993 · median $111,993 | 1 plans |
| 635 | NEONATE- BIRTHWT 1000-1499G- DIED | $62,332 – $62,332 · median $62,332 | 1 plans |
| 636 | NEONATE- BIRTHWT 1500-1999G- W SIGNIF O.R. PROC W MULT MAJOR PROB | $183,592 – $183,592 · median $183,592 | 1 plans |
| 646 | NEONATE- BIRTHWT 1500-1999G- W SIGNIF O.R. PROC- W/O MULT MAJOR PROB | $58,161 – $58,161 · median $58,161 | 1 plans |
| 647 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MULT MAJOR PROB | $62,462 – $62,462 · median $62,462 | 1 plans |
| 648 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MAJOR PROB | $43,541 – $43,541 · median $43,541 | 1 plans |
| 649 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W MINOR PROB | $30,683 – $30,683 · median $30,683 | 1 plans |
| 676 | NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W/O MULT MAJOR PROB | $29,650 – $29,650 · median $29,650 | 1 plans |
| 677 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MULT MAJOR PROB | $41,244 – $41,244 · median $41,244 | 1 plans |
| 678 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MAJOR PROB | $24,721 – $24,721 · median $24,721 | 1 plans |
| 679 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W MINOR PROB | $11,443 – $11,443 · median $11,443 | 1 plans |
| 680 | NEONATE- BIRTHWT 2000-2499G- W/O SIGNIF O.R. PROC- W OTHER PROB | $7,714 – $7,714 · median $7,714 | 1 plans |
| 681 | NEONATE- BIRTHWT >2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB | $125,049 – $125,049 · median $125,049 | 1 plans |
| 762 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,798 – $9,798 · median $9,798 | 1 plans |
| 763 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,473 – $7,473 · median $7,473 | 1 plans |
| 764 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,545 – $6,545 · median $6,545 | 1 plans |
| 771 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,028 – $10,028 · median $10,028 | 1 plans |
| 772 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,139 – $8,139 · median $8,139 | 1 plans |
| 773 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,931 – $6,931 · median $6,931 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $8,802 – $8,802 · median $8,802 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $6,841 – $6,841 · median $6,841 | 1 plans |
| 777 | ECTOPIC PREGNANCY | $9,308 – $9,308 · median $9,308 | 1 plans |
| 778 | THREATENED ABORTION | $6,451 – $6,451 · median $6,451 | 1 plans |
| 780 | FALSE LABOR | $5,172 – $5,172 · median $5,172 | 1 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $9,132 – $9,132 · median $9,132 | 1 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $6,482 – $6,482 · median $6,482 | 1 plans |
| 898 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC | $7,893 – $7,893 · median $7,893 | 1 plans |
| 899 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC | $8,048 – $8,048 · median $8,048 | 1 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $36,156 – $36,156 · median $36,156 | 1 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $19,157 – $19,157 · median $19,157 | 1 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $11,796 – $11,796 · median $11,796 | 1 plans |
No procedures match that keyword.