North Okaloosa Medical Center — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766 procedures
Procedures with negotiated rates only
These 766 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $156,944 – $490,005 · median $168,949 | 29 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $94,196 – $320,105 · median $109,831 | 29 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $25,576 – $127,253 · median $42,418 | 29 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,576 – $98,819 · median $33,598 | 29 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,306 – $68,178 · median $25,576 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,544 – $182,709 · median $62,704 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,401 – $123,571 · median $56,544 | 29 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,524 – $89,137 · median $34,994 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $34,910 – $133,596 · median $45,423 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,034 – $91,835 · median $34,910 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,845 – $106,414 · median $36,535 | 29 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,012 – $73,400 · median $29,845 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,614 – $59,935 · median $27,886 | 29 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $23,925 – $139,981 · median $46,660 | 29 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,925 – $80,345 · median $27,593 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,341 – $52,409 · median $17,669 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,642 – $104,893 · median $34,964 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,673 – $50,935 · median $18,341 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,411 – $40,184 · median $13,555 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $13,974 – $90,889 · median $30,296 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,974 – $56,894 · median $19,344 | 29 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,974 – $46,613 · median $16,023 | 29 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $13,061 – $77,601 · median $25,867 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,859 – $39,259 · median $14,060 | 29 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,417 – $28,991 · median $9,979 | 29 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $10,858 – $90,670 · median $30,223 | 29 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $10,858 – $52,490 · median $17,497 | 29 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $5,845 – $41,673 · median $13,891 | 29 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $5,759 – $43,593 · median $14,531 | 29 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,759 – $24,483 · median $8,739 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,759 – $37,061 · median $12,275 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,759 – $25,410 · median $8,585 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,759 – $55,347 · median $18,115 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,759 – $31,749 · median $10,583 | 29 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,759 – $41,255 · median $13,511 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,759 – $30,493 · median $10,164 | 29 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,759 – $23,118 · median $7,964 | 29 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $5,759 – $65,314 · median $22,011 | 29 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $5,759 – $42,350 · median $15,256 | 29 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,759 – $34,234 · median $12,340 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $5,759 – $48,179 · median $15,773 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,759 – $25,197 · median $9,017 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,759 – $17,712 · median $6,289 | 29 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $4,887 – $35,724 · median $11,705 | 29 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,887 – $21,846 · median $7,171 | 29 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,668 – $20,340 · median $6,878 | 29 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $5,759 – $40,228 · median $13,176 | 29 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,759 – $25,557 · median $8,634 | 29 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,327 – $19,361 · median $6,549 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,759 – $38,839 · median $12,722 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,129 – $25,668 · median $8,420 | 29 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $5,759 – $46,032 · median $15,072 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,759 – $20,946 · median $7,365 | 29 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $5,759 – $43,563 · median $14,265 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,759 – $22,563 · median $7,993 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $5,759 – $54,485 · median $17,833 | 29 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,759 – $34,050 · median $12,252 | 29 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,759 – $23,945 · median $8,531 | 29 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $5,759 – $54,171 · median $17,730 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,759 – $31,912 · median $10,459 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,060 – $23,001 · median $7,549 | 29 plans |
| 088 | CONCUSSION WITH MCC | $4,214 – $33,040 · median $10,828 | 29 plans |
| 089 | CONCUSSION WITH CC | $4,214 – $27,225 · median $8,928 | 29 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,183 – $20,900 · median $6,862 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,759 – $42,327 · median $13,862 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,759 – $25,489 · median $8,611 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,759 – $20,282 · median $6,859 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $5,759 – $82,821 · median $27,089 | 29 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $5,759 – $61,228 · median $20,036 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,759 – $61,228 · median $20,036 | 29 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $5,759 – $84,943 · median $27,783 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $5,759 – $54,699 · median $17,903 | 29 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,759 – $33,283 · median $11,451 | 29 plans |
| 100 | SEIZURES WITH MCC | $5,759 – $46,475 · median $15,216 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $4,898 – $22,723 · median $7,458 | 29 plans |
| 102 | HEADACHES WITH MCC | $4,898 – $27,737 · median $9,095 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $4,323 – $21,201 · median $6,960 | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $5,237 – $55,990 · median $18,663 | 29 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,237 – $33,067 · median $11,022 | 29 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $3,237 – $37,245 · median $12,415 | 29 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $5,561 – $43,519 · median $14,506 | 29 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,123 – $26,910 · median $8,970 | 29 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,008 – $28,711 · median $9,414 | 29 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,008 – $20,041 · median $6,680 | 29 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,234 – $20,335 · median $6,677 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $4,706 – $32,381 · median $10,612 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,279 – $19,628 · median $6,446 | 29 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $5,395 – $51,830 · median $17,277 | 29 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,836 – $25,312 · median $8,437 | 29 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,190 – $36,287 · median $12,096 | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,153 – $22,347 · median $7,554 | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,508 – $30,373 · median $10,124 | 29 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,508 – $99,951 · median $33,665 | 29 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,049 – $52,085 · median $22,508 | 29 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,663 – $38,657 · median $18,857 | 29 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $9,098 – $88,039 · median $29,346 | 29 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,098 – $41,792 · median $14,096 | 29 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,043 – $29,606 · median $9,869 | 29 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $5,759 – $50,622 · median $16,571 | 29 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,759 – $31,196 · median $10,399 | 29 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,759 – $20,301 · median $7,114 | 29 plans |
| 149 | DYSEQUILIBRIUM | $3,524 – $19,256 · median $6,325 | 29 plans |
| 150 | EPISTAXIS WITH MCC | $3,245 – $32,574 · median $10,675 | 29 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,245 – $18,851 · median $6,193 | 29 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,759 – $29,145 · median $9,715 | 29 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,154 – $18,948 · median $6,410 | 29 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $4,734 – $37,902 · median $12,416 | 29 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,734 – $23,043 · median $7,562 | 29 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,085 – $17,866 · median $5,955 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,597 – $41,422 · median $13,566 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,597 – $22,889 · median $7,630 | 29 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,296 – $18,266 · median $6,002 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,318 – $104,923 · median $35,338 | 29 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,622 – $59,960 · median $23,318 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,047 – $45,956 · median $22,101 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,097 – $87,834 · median $29,588 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,216 – $43,411 · median $20,097 | 29 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,937 – $33,375 · median $13,104 | 29 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,016 – $70,350 · median $25,317 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,759 – $33,540 · median $11,588 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,759 – $20,482 · median $7,185 | 29 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $5,759 – $37,883 · median $13,651 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,759 – $24,409 · median $8,711 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,759 – $19,334 · median $6,738 | 29 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $5,759 – $42,552 · median $13,935 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,759 – $26,591 · median $9,155 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,759 – $19,306 · median $6,728 | 29 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,759 – $37,130 · median $12,164 | 29 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,759 – $26,432 · median $8,811 | 29 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,636 – $20,057 · median $6,587 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,759 – $37,787 · median $12,378 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,759 – $24,710 · median $8,768 | 29 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,759 – $18,466 · median $6,401 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,759 – $30,367 · median $10,950 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,759 – $27,434 · median $9,265 | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,759 – $21,355 · median $7,524 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,503 – $16,739 · median $6,053 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,759 – $32,181 · median $10,863 | 29 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,759 – $20,503 · median $7,193 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,401 – $16,429 · median $5,942 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,759 – $45,336 · median $14,844 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,759 – $23,791 · median $8,471 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,759 – $18,443 · median $6,392 | 29 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,759 – $42,509 · median $14,142 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,759 – $27,241 · median $9,811 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,759 – $18,417 · median $6,382 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,759 – $24,299 · median $8,211 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,639 – $17,382 · median $5,997 | 29 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,759 – $20,537 · median $6,945 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $5,759 – $44,045 · median $14,423 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,357 – $23,608 · median $7,747 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $5,759 – $149,773 · median $48,961 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $5,759 – $65,121 · median $23,438 | 29 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $82,266 – $251,728 · median $90,493 | 29 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,386 – $230,666 · median $91,215 | 29 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $57,285 – $226,665 · median $77,066 | 29 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,015 – $153,002 · median $57,285 | 29 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,015 – $153,002 · median $57,285 | 29 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,639 – $178,334 · median $61,203 | 29 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,694 – $124,467 · median $49,639 | 29 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,499 – $117,747 · median $49,639 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,435 – $115,616 · median $40,298 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,314 – $74,326 · median $34,710 | 29 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $57,707 – $195,595 · median $67,124 | 29 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,169 – $141,228 · median $57,707 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,511 – $177,573 · median $60,942 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,961 – $127,450 · median $43,750 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,922 – $136,772 · median $46,948 | 29 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,310 – $98,194 · median $33,715 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $19,848 – $115,026 · median $38,342 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,848 – $67,459 · median $23,173 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,072 – $33,788 · median $16,693 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,282 – $75,320 · median $26,139 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,673 – $50,933 · median $24,282 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,246 – $43,505 · median $16,442 | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | $24,282 – $106,774 · median $35,961 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,898 – $36,317 · median $13,304 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,242 – $82,106 · median $28,197 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,159 – $61,605 · median $24,242 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,053 – $42,913 · median $16,227 | 29 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $14,815 – $63,943 · median $21,549 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,424 – $40,988 · median $14,815 | 29 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,880 – $27,078 · median $13,711 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,054 – $74,156 · median $24,719 | 29 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,054 – $48,434 · median $16,648 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $10,172 – $76,698 · median $25,566 | 29 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,172 – $45,411 · median $15,314 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,172 – $39,427 · median $13,405 | 29 plans |
| 263 | VEIN LIGATION AND STRIPPING | $7,176 – $72,210 · median $24,070 | 29 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,680 – $78,714 · median $26,519 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $24,282 – $85,090 · median $29,220 | 29 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,663 – $142,739 · median $65,115 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,403 – $111,331 · median $51,156 | 29 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $19,224 – $98,984 · median $32,995 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $25,935 – $123,169 · median $41,056 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,935 – $83,668 · median $28,733 | 29 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,224 – $60,626 · median $20,830 | 29 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $13,304 – $77,591 · median $25,864 | 29 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,180 – $165,751 · median $59,312 | 29 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $39,081 – $139,942 · median $48,035 | 29 plans |
| 277 | CELLULITIS AGE >17 W CC | $35,335 – $108,063 · median $39,081 | 29 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $34,929 – $129,827 · median $44,566 | 29 plans |
| 279 | CELLULITIS AGE 0-17 | $25,064 – $84,819 · median $29,128 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,759 – $38,834 · median $13,851 | 29 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,759 – $23,102 · median $8,203 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,759 – $18,601 · median $6,454 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,759 – $47,485 · median $15,547 | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,759 – $17,891 · median $6,289 | 29 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,179 – $16,918 · median $5,759 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $5,759 – $64,145 · median $23,088 | 29 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,759 – $41,195 · median $14,841 | 29 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,759 – $36,833 · median $8,298 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,759 – $31,478 · median $10,493 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,759 – $21,493 · median $7,577 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,933 – $14,993 · median $5,759 | 29 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $5,759 – $37,865 · median $13,469 | 29 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,443 – $21,232 · median $5,987 | 29 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,062 – $21,232 · median $5,759 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,759 – $39,491 · median $12,935 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,759 – $26,510 · median $8,837 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,251 – $18,523 · median $6,289 | 29 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,759 – $29,475 · median $9,663 | 29 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,520 – $17,455 · median $5,942 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $4,983 – $29,324 · median $9,614 | 29 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,983 – $19,336 · median $6,445 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $5,759 – $38,184 · median $12,508 | 29 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,759 – $22,967 · median $7,656 | 29 plans |
| 311 | ANGINA PECTORIS | $5,399 – $18,114 · median $6,159 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,845 – $22,012 · median $7,225 | 29 plans |
| 313 | CHEST PAIN | $4,615 – $18,530 · median $6,269 | 29 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,759 – $49,883 · median $16,330 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,759 – $24,118 · median $8,597 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,759 – $17,659 · median $6,289 | 29 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $13,304 – $104,489 · median $34,830 | 29 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,304 – $57,234 · median $19,292 | 29 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $32,420 – $101,377 · median $34,900 | 29 plans |
| 324 | URINARY STONES W/O CC | $23,247 – $74,360 · median $25,540 | 29 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,708 – $75,724 · median $26,008 | 29 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $21,047 – $116,535 · median $38,845 | 29 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,023 – $58,128 · median $21,047 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,707 – $38,793 · median $14,019 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,024 – $107,557 · median $36,224 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,671 – $57,048 · median $23,024 | 29 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,312 – $40,644 · median $16,499 | 29 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,081 – $85,147 · median $29,240 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $18,258 – $55,785 · median $24,081 | 29 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,974 – $39,610 · median $17,804 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,345 – $84,003 · median $28,299 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,506 – $50,423 · median $18,345 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,202 – $37,247 · median $13,404 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $11,010 – $61,311 · median $20,437 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,010 – $36,551 · median $12,572 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,608 – $29,237 · median $10,063 | 29 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $5,718 – $54,715 · median $18,238 | 29 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,718 – $32,052 · median $10,684 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,316 – $21,989 · median $7,330 | 29 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,555 – $59,223 · median $19,741 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,555 – $37,006 · median $12,335 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,118 – $28,814 · median $9,605 | 29 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $7,829 – $68,642 · median $22,881 | 29 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,829 – $40,632 · median $13,544 | 29 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $5,840 – $32,884 · median $10,961 | 29 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $21,622 – $102,879 · median $34,293 | 29 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,133 – $55,402 · median $21,622 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,174 – $34,098 · median $16,831 | 29 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,759 – $38,554 · median $12,629 | 29 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,759 – $24,965 · median $8,713 | 29 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,759 – $18,089 · median $6,289 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,759 – $42,715 · median $14,238 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,759 – $25,443 · median $9,112 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,759 – $18,700 · median $6,492 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,759 – $51,112 · median $16,731 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,759 – $29,774 · median $10,053 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,759 – $23,222 · median $8,000 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $5,759 – $43,976 · median $14,400 | 29 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,759 – $24,517 · median $8,284 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,416 – $16,472 · median $5,685 | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $5,759 – $47,058 · median $15,407 | 29 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,759 – $26,878 · median $9,078 | 29 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,759 – $20,381 · median $7,145 | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,180 – $33,704 · median $11,045 | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,349 – $21,626 · median $7,099 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,759 – $38,333 · median $12,557 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,759 – $24,416 · median $8,325 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,759 – $17,641 · median $6,289 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,759 – $35,910 · median $11,765 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,759 – $20,133 · median $6,809 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,563 – $14,488 · median $4,926 | 29 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,724 – $31,122 · median $10,201 | 29 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,997 – $19,899 · median $6,535 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,759 – $38,724 · median $12,685 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,759 – $23,484 · median $7,936 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,555 – $16,899 · median $5,831 | 29 plans |
| 397 | COAGULATION DISORDERS | $17,593 – $56,996 · median $19,584 | 29 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,851 – $36,756 · median $12,757 | 29 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,717 – $28,283 · median $9,736 | 29 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,929 – $127,629 · median $43,812 | 29 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,444 – $68,600 · median $32,165 | 29 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,338 – $52,970 · median $25,218 | 29 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,017 – $83,882 · median $28,520 | 29 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,021 – $51,998 · median $22,017 | 29 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,597 – $38,457 · median $16,605 | 29 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,795 – $77,858 · median $26,231 | 29 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,460 – $50,280 · median $18,106 | 29 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,509 – $40,129 · median $13,799 | 29 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $13,356 – $83,813 · median $27,938 | 29 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,356 – $49,458 · median $16,999 | 29 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,927 – $33,304 · median $11,432 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $11,956 – $56,800 · median $18,933 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,956 – $40,844 · median $14,044 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,447 – $33,361 · median $11,120 | 29 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,581 – $80,242 · median $27,282 | 29 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,721 – $41,898 · median $20,297 | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,186 – $34,135 · median $16,847 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $21,242 – $97,372 · median $32,797 | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,100 – $52,242 · median $21,242 | 29 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,942 – $36,450 · median $17,876 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $5,759 – $47,196 · median $15,452 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,759 – $26,251 · median $9,135 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,759 – $18,358 · median $6,359 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $5,759 – $44,176 · median $14,466 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,759 – $27,971 · median $9,446 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,759 – $21,591 · median $7,616 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,759 – $39,434 · median $12,916 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,759 – $21,313 · median $7,508 | 29 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,348 – $16,265 · median $5,883 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $5,759 – $43,211 · median $14,150 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,759 – $24,163 · median $8,393 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,759 – $18,064 · median $6,231 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,759 – $40,368 · median $13,222 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,759 – $27,128 · median $8,897 | 29 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,537 – $20,994 · median $6,893 | 29 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $39,734 – $194,986 · median $64,995 | 29 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $39,734 – $138,942 · median $47,692 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,990 – $97,822 · median $39,734 | 29 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,642 – $63,084 · median $28,968 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $18,087 – $132,889 · median $44,296 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,087 – $73,526 · median $24,999 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,368 – $43,877 · median $18,087 | 29 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,442 – $82,986 · median $27,957 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,206 – $69,654 · median $23,682 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $11,116 – $58,061 · median $19,354 | 29 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $15,466 – $100,585 · median $33,528 | 29 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,466 – $54,258 · median $18,645 | 29 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,540 – $29,099 · median $14,609 | 29 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,189 – $81,333 · median $27,111 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,189 – $58,472 · median $19,491 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,189 – $44,686 · median $15,362 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $15,910 – $68,878 · median $23,210 | 29 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,910 – $50,097 · median $17,218 | 29 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,922 – $39,452 · median $14,215 | 29 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $12,241 – $65,654 · median $21,885 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,094 – $76,108 · median $25,877 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,374 – $50,018 · median $20,094 | 29 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,436 – $37,964 · median $13,491 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,695 – $42,619 · median $14,375 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,065 – $27,643 · median $9,967 | 29 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $10,804 – $86,316 · median $28,772 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $10,804 – $60,238 · median $20,079 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $8,172 – $48,076 · median $16,025 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $14,241 – $85,262 · median $28,421 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,219 – $43,423 · median $15,330 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,768 – $29,744 · median $10,113 | 29 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $7,953 – $71,278 · median $23,759 | 29 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,953 – $48,266 · median $16,089 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $6,878 – $74,677 · median $24,892 | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $6,878 – $42,141 · median $14,047 | 29 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,147 – $32,904 · median $10,968 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $5,131 – $66,095 · median $22,032 | 29 plans |
| 504 | FOOT PROCEDURES WITH CC | $5,131 – $44,922 · median $14,974 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $5,131 – $43,168 · median $14,389 | 29 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,406 – $32,980 · median $10,993 | 29 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,603 – $43,480 · median $14,664 | 29 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,603 – $36,774 · median $12,503 | 29 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $5,399 – $71,363 · median $23,788 | 29 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $5,399 – $49,750 · median $16,583 | 29 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $5,399 – $40,012 · median $13,337 | 29 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $3,912 – $38,150 · median $12,717 | 29 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,912 – $25,472 · median $8,491 | 29 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $10,879 – $75,185 · median $25,062 | 29 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,879 – $49,720 · median $16,764 | 29 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,453 – $37,286 · median $12,429 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,985 – $87,825 · median $30,159 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,896 – $47,931 · median $16,475 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,924 – $36,303 · median $12,343 | 29 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,759 – $37,998 · median $12,820 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,759 – $20,507 · median $7,194 | 29 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,759 – $31,437 · median $10,612 | 29 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,759 – $20,542 · median $7,208 | 29 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,737 – $23,911 · median $7,846 | 29 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,737 – $18,537 · median $6,272 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,759 – $47,230 · median $15,926 | 29 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,759 – $31,765 · median $11,452 | 29 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,759 – $20,333 · median $7,028 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $5,759 – $42,564 · median $13,939 | 29 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,759 – $25,603 · median $8,649 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,759 – $19,325 · median $6,735 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $5,759 – $58,989 · median $19,304 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,759 – $28,483 · median $9,494 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,759 – $21,199 · median $7,167 | 29 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,759 – $46,339 · median $15,446 | 29 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,759 – $29,719 · median $10,717 | 29 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,759 – $22,069 · median $7,801 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,356 – $40,488 · median $13,261 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,356 – $24,072 · median $7,898 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,280 – $31,765 · median $10,411 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,012 – $21,058 · median $6,939 | 29 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,537 – $32,351 · median $10,603 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,537 – $21,070 · median $6,918 | 29 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,614 – $36,142 · median $11,841 | 29 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,614 – $22,508 · median $7,387 | 29 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,759 – $44,824 · median $14,677 | 29 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,759 – $27,856 · median $9,134 | 29 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,759 – $20,457 · median $6,918 | 29 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $4,950 – $34,716 · median $11,375 | 29 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,039 – $22,560 · median $7,404 | 29 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,475 – $37,445 · median $12,267 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,475 – $24,372 · median $7,996 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,475 – $19,203 · median $6,496 | 29 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,930 – $69,539 · median $23,887 | 29 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,361 – $40,795 · median $18,930 | 29 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,286 – $28,320 · median $14,263 | 29 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $18,930 – $152,453 · median $50,818 | 29 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,930 – $81,718 · median $27,530 | 29 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,168 – $43,264 · median $17,070 | 29 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,938 – $114,555 · median $38,185 | 29 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,938 – $62,870 · median $20,957 | 29 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,727 – $38,887 · median $12,962 | 29 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $8,876 – $76,370 · median $25,457 | 29 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $8,876 – $41,680 · median $13,992 | 29 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $5,969 – $35,137 · median $11,712 | 29 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,324 – $46,241 · median $15,414 | 29 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,593 – $41,597 · median $13,866 | 29 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $6,739 – $51,158 · median $17,053 | 29 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $5,215 – $46,298 · median $15,433 | 29 plans |
| 592 | SKIN ULCERS WITH MCC | $5,759 – $46,440 · median $15,205 | 29 plans |
| 593 | SKIN ULCERS WITH CC | $5,759 – $29,239 · median $10,064 | 29 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,759 – $21,901 · median $7,736 | 29 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $5,759 – $50,698 · median $16,596 | 29 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,759 – $26,855 · median $8,807 | 29 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,759 – $40,281 · median $13,193 | 29 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,759 – $27,976 · median $9,448 | 29 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,759 – $19,664 · median $6,867 | 29 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,446 – $25,916 · median $8,501 | 29 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,446 – $15,889 · median $5,402 | 29 plans |
| 602 | CELLULITIS WITH MCC | $5,759 – $34,636 · median $11,349 | 29 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,759 – $21,995 · median $7,435 | 29 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $4,240 – $35,803 · median $11,730 | 29 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,498 – $23,031 · median $7,558 | 29 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,984 – $36,746 · median $12,039 | 29 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,049 – $22,811 · median $7,486 | 29 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,130 – $52,331 · median $20,930 | 29 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,184 – $34,131 · median $16,845 | 29 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,622 – $82,086 · median $28,190 | 29 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,718 – $44,948 · median $21,653 | 29 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,327 – $40,392 · median $17,039 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,545 – $68,306 · median $23,017 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,692 – $38,747 · median $16,545 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,003 – $36,636 · median $16,545 | 29 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $18,619 – $83,735 · median $28,209 | 29 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,144 – $43,193 · median $18,619 | 29 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,078 – $30,745 · median $15,341 | 29 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $10,418 – $71,354 · median $23,785 | 29 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,418 – $36,430 · median $12,530 | 29 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,704 – $32,500 · median $10,833 | 29 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $18,112 – $87,584 · median $29,195 | 29 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,032 – $52,033 · median $18,735 | 29 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,636 – $35,513 · median $14,064 | 29 plans |
| 637 | DIABETES WITH MCC | $5,759 – $34,990 · median $11,465 | 29 plans |
| 638 | DIABETES WITH CC | $5,759 – $22,576 · median $7,631 | 29 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,347 – $16,261 · median $5,837 | 29 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,759 – $32,668 · median $10,706 | 29 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,641 – $19,867 · median $6,719 | 29 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,759 – $34,654 · median $11,355 | 29 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $5,759 – $39,799 · median $13,036 | 29 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,759 – $25,535 · median $8,626 | 29 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,389 – $19,639 · median $6,643 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $26,200 – $121,335 · median $40,860 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,687 – $66,283 · median $26,200 | 29 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,565 – $50,604 · median $24,167 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,618 – $75,113 · median $25,799 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,415 – $44,022 · median $21,241 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,328 – $37,633 · median $18,402 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,914 – $60,349 · median $20,519 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,602 – $32,348 · median $15,914 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,454 – $25,773 · median $11,663 | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $8,995 – $72,305 · median $24,102 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,995 – $36,907 · median $12,454 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,769 – $26,037 · median $8,853 | 29 plans |
| 665 | PROSTATECTOMY WITH MCC | $9,862 – $73,676 · median $24,559 | 29 plans |
| 666 | PROSTATECTOMY WITH CC | $9,862 – $42,169 · median $14,223 | 29 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,506 – $27,399 · median $9,433 | 29 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $5,689 – $69,055 · median $23,018 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,689 – $37,638 · median $12,546 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,357 – $24,439 · median $8,146 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $5,722 – $43,218 · median $14,406 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,545 – $26,786 · median $8,929 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $21,720 – $98,488 · median $33,173 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,231 – $55,703 · median $21,720 | 29 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,000 – $39,691 · median $19,316 | 29 plans |
| 682 | RENAL FAILURE WITH MCC | $5,759 – $36,007 · median $12,150 | 29 plans |
| 683 | RENAL FAILURE WITH CC | $5,759 – $22,108 · median $7,817 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,190 – $16,308 · median $5,759 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $5,759 – $43,418 · median $14,218 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,759 – $26,058 · median $8,802 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,759 – $20,144 · median $6,813 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,759 – $28,642 · median $9,391 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,479 – $20,585 · median $6,961 | 29 plans |
| 693 | URINARY STONES WITH MCC | $3,208 – $32,872 · median $10,773 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,208 – $19,947 · median $6,551 | 29 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,093 – $28,263 · median $9,267 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,316 – $17,818 · median $5,975 | 29 plans |
| 697 | URETHRAL STRICTURE | $4,651 – $26,747 · median $8,772 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,759 – $39,989 · median $13,098 | 29 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,759 – $25,305 · median $8,435 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,759 – $17,839 · median $6,196 | 29 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,123 – $47,933 · median $16,476 | 29 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,467 – $37,229 · median $12,804 | 29 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $7,808 – $55,438 · median $18,479 | 29 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,808 – $34,174 · median $11,533 | 29 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $6,975 – $49,851 · median $16,617 | 29 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,515 – $27,250 · median $9,083 | 29 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,728 – $36,521 · median $12,183 | 29 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,099 – $26,279 · median $8,877 | 29 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $8,782 – $53,376 · median $17,792 | 29 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,782 – $35,777 · median $12,158 | 29 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $6,400 – $45,411 · median $15,137 | 29 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,400 – $32,840 · median $10,947 | 29 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $5,759 – $43,556 · median $14,263 | 29 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,759 – $28,238 · median $9,289 | 29 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,044 – $17,053 · median $5,798 | 29 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,900 – $28,869 · median $9,465 | 29 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,800 – $18,576 · median $6,103 | 29 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,910 – $36,051 · median $11,811 | 29 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,910 – $20,624 · median $6,798 | 29 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,193 – $26,308 · median $8,629 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,610 – $17,428 · median $5,759 | 29 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,666 – $50,912 · median $18,706 | 29 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,780 – $32,895 · median $16,296 | 29 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $16,526 – $84,086 · median $28,029 | 29 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,145 – $49,318 · median $17,760 | 29 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,703 – $35,720 · median $16,526 | 29 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $10,621 – $84,277 · median $28,092 | 29 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,621 – $43,554 · median $14,705 | 29 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,112 – $34,746 · median $11,726 | 29 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,733 – $44,132 · median $14,711 | 29 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,410 – $30,488 · median $10,293 | 29 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $5,164 – $49,054 · median $16,351 | 29 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,821 – $28,118 · median $9,373 | 29 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,963 – $41,889 · median $13,963 | 29 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,963 – $21,738 · median $7,349 | 29 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $6,633 – $33,855 · median $11,285 | 29 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,945 – $60,962 · median $20,692 | 29 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,758 – $35,888 · median $14,945 | 29 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,759 – $44,291 · median $14,503 | 29 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,759 – $26,977 · median $8,992 | 29 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,192 – $24,053 · median $7,892 | 29 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,759 – $34,879 · median $11,429 | 29 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,759 – $24,478 · median $8,159 | 29 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,665 – $17,235 · median $5,959 | 29 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,304 – $25,133 · median $8,245 | 29 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,304 – $15,096 · median $5,133 | 29 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,795 – $26,605 · median $9,160 | 29 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,513 – $40,802 · median $13,601 | 29 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,937 – $25,022 · median $8,341 | 29 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,324 – $17,030 · median $5,677 | 29 plans |
| 779 | ABORTION WITHOUT D&C | $2,562 – $21,316 · median $6,998 | 29 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,470 – $58,378 · median $19,105 | 29 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,470 – $26,341 · median $9,070 | 29 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,100 – $23,991 · median $8,157 | 29 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,490 – $39,877 · median $13,292 | 29 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,490 – $27,643 · median $9,967 | 29 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,879 – $24,014 · median $8,667 | 29 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,759 – $43,384 · median $14,915 | 29 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,759 – $138,492 · median $46,819 | 29 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,759 – $95,213 · median $31,138 | 29 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,466 – $58,243 · median $19,061 | 29 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,394 – $28,796 · median $9,441 | 29 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,394 – $24,970 · median $8,191 | 29 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,394 – $23,975 · median $7,867 | 29 plans |
| 799 | SPLENECTOMY WITH MCC | $25,441 – $106,005 · median $35,702 | 29 plans |
| 800 | SPLENECTOMY WITH CC | $21,763 – $66,515 · median $25,441 | 29 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,908 – $45,834 · median $15,584 | 29 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $8,527 – $93,493 · median $31,164 | 29 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $8,527 – $44,686 · median $14,895 | 29 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,527 – $33,136 · median $11,266 | 29 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,753 – $26,779 · median $8,783 | 29 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,753 – $19,311 · median $6,532 | 29 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,744 – $17,478 · median $6,030 | 29 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $5,759 – $52,701 · median $17,250 | 29 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,759 – $31,067 · median $10,691 | 29 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,759 – $26,031 · median $9,341 | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,602 – $34,245 · median $11,222 | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,312 – $23,082 · median $7,575 | 29 plans |
| 813 | COAGULATION DISORDERS | $5,759 – $37,024 · median $12,129 | 29 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $5,759 – $50,836 · median $16,641 | 29 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,759 – $25,282 · median $8,541 | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,428 – $16,509 · median $5,697 | 29 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,714 – $54,393 · median $18,131 | 29 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,714 – $28,617 · median $9,539 | 29 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,388 – $21,743 · median $7,248 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $26,505 – $136,685 · median $45,562 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,481 – $53,406 · median $25,412 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,719 – $29,645 · median $10,691 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $15,135 – $107,289 · median $35,763 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,135 – $54,026 · median $18,566 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,234 – $32,985 · median $11,215 | 29 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $19,814 – $109,424 · median $36,475 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,025 – $55,073 · median $19,828 | 29 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,410 – $41,124 · median $14,436 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $8,223 – $74,567 · median $24,856 | 29 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,223 – $36,558 · median $12,335 | 29 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,714 – $29,611 · median $9,708 | 29 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,714 – $18,567 · median $6,100 | 29 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,388 – $14,003 · median $4,667 | 29 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $5,759 – $128,075 · median $41,873 | 29 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $5,759 – $49,897 · median $17,968 | 29 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,759 – $30,001 · median $10,129 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $5,759 – $112,330 · median $36,729 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $5,759 – $49,934 · median $17,981 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,759 – $35,155 · median $12,671 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $5,759 – $76,287 · median $24,955 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,759 – $39,461 · median $13,312 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,759 – $25,199 · median $8,513 | 29 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,759 – $47,807 · median $15,652 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,759 – $29,953 · median $10,113 | 29 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,759 – $21,552 · median $7,427 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $3,355 – $61,534 · median $20,136 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,355 – $32,038 · median $10,501 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,355 – $21,502 · median $7,059 | 29 plans |
| 849 | RADIOTHERAPY | $5,759 – $64,221 · median $21,013 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $26,067 – $115,414 · median $38,868 | 29 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,676 – $47,883 · median $22,957 | 29 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,919 – $41,093 · median $17,844 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $26,067 – $106,460 · median $36,090 | 29 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,752 – $51,176 · median $24,421 | 29 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,136 – $41,093 · median $16,780 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $5,759 – $43,877 · median $14,368 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,759 – $24,912 · median $8,449 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,759 – $22,381 · median $7,712 | 29 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,155 – $36,404 · median $11,927 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,442 – $21,966 · median $7,210 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $5,759 – $50,067 · median $16,390 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,759 – $25,675 · median $9,203 | 29 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,759 – $18,753 · median $6,513 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $5,759 – $160,730 · median $52,540 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,759 – $46,606 · median $15,716 | 29 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,759 – $25,495 · median $9,133 | 29 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $15,992 – $98,373 · median $32,791 | 29 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,049 – $45,963 · median $16,554 | 29 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,461 – $28,855 · median $14,501 | 29 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $12,925 – $86,351 · median $28,784 | 29 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,815 – $36,062 · median $12,997 | 29 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $5,719 – $47,106 · median $15,702 | 29 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $14,208 – $90,167 · median $30,056 | 29 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,208 – $47,816 · median $16,436 | 29 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,534 – $32,142 · median $11,622 | 29 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,538 – $39,535 · median $12,949 | 29 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,710 – $22,331 · median $7,329 | 29 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,500 – $40,614 · median $13,302 | 29 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,717 – $17,297 · median $5,759 | 29 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $5,443 – $38,014 · median $12,453 | 29 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,305 – $21,679 · median $7,116 | 29 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,759 – $44,040 · median $14,421 | 29 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,759 – $25,013 · median $8,338 | 29 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,759 – $17,804 · median $6,142 | 29 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $5,759 – $42,171 · median $13,811 | 29 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,700 – $25,367 · median $8,321 | 29 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $110,537 – $492,898 · median $165,687 | 29 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $33,265 – $166,722 · median $55,574 | 29 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,374 – $75,963 · median $25,321 | 29 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $5,759 – $91,428 · median $29,901 | 29 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $5,759 – $52,763 · median $17,271 | 29 plans |
| 935 | NON-EXTENSIVE BURNS | $5,759 – $49,304 · median $16,141 | 29 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $10,609 – $85,326 · median $28,442 | 29 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,609 – $55,663 · median $18,554 | 29 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,609 – $48,562 · median $16,374 | 29 plans |
| 945 | REHABILITATION WITH CC/MCC | $5,759 – $37,559 · median $13,535 | 29 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,759 – $28,332 · median $10,219 | 29 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,759 – $31,147 · median $10,210 | 29 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,444 – $20,379 · median $6,891 | 29 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,251 – $29,317 · median $9,612 | 29 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,256 – $16,410 · median $5,470 | 29 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,857 – $14,764 · median $5,648 | 29 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,184 – $156,580 · median $56,303 | 29 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,546 – $88,415 · median $30,361 | 29 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $38,844 – $176,992 · median $59,587 | 29 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,300 – $98,771 · median $38,844 | 29 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,773 – $69,608 · median $32,613 | 29 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $5,759 – $64,779 · median $21,196 | 29 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,759 – $37,192 · median $13,403 | 29 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,759 – $23,594 · median $8,394 | 29 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $35,301 – $142,576 · median $48,476 | 29 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,473 – $62,565 · median $29,482 | 29 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $5,759 – $68,274 · median $22,415 | 29 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,759 – $31,735 · median $11,442 | 29 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,759 – $25,522 · median $8,057 | 29 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,759 – $31,797 · median $10,733 | 29 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,350 – $109,746 · median $37,314 | 29 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,130 – $58,456 · median $27,656 | 29 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,545 – $44,691 · median $20,057 | 29 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,674 – $80,731 · median $26,910 | 29 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,017 – $39,741 · median $14,319 | 29 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,683 – $29,535 · median $13,674 | 29 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,317 – $90,755 · median $29,967 | 28 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,769 – $24,046 · median $7,890 | 28 plans |
| 881 | DEPRESSIVE NEUROSES | $5,759 – $23,603 · median $7,922 | 28 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,496 – $26,655 · median $8,742 | 28 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $5,759 – $47,152 · median $15,438 | 28 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $5,759 – $38,944 · median $12,757 | 28 plans |
| 885 | PSYCHOSES | $5,759 – $34,073 · median $11,262 | 28 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $5,759 – $49,656 · median $16,256 | 28 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,457 – $26,589 · median $8,720 | 28 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,059 – $16,162 · median $5,351 | 28 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $5,759 – $34,505 · median $11,306 | 28 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $3,130 – $42,072 · median $13,778 | 28 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,130 – $22,269 · median $7,309 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $88,350 – $993,727 · median $327,947 | 26 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $101,087 – $645,589 · median $210,927 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $85,700 – $262,240 · median $101,087 | 22 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $88,350 – $277,997 · median $95,108 | 22 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,440 – $139,278 · median $53,247 | 22 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $45,733 – $165,847 · median $56,112 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $17,060 – $52,118 · median $17,911 | 22 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,286 – $159,952 · median $54,898 | 22 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,637 – $96,740 · median $33,217 | 22 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $5,759 – $52,813 · median $17,881 | 22 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,759 – $26,570 · median $9,004 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,759 – $29,645 · median $10,044 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,759 – $18,890 · median $6,407 | 22 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,933 – $14,995 · median $5,138 | 22 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $21,098 – $64,480 · median $22,151 | 22 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $13,913 – $42,483 · median $14,607 | 22 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,121 – $128,835 · median $44,225 | 22 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,738 – $121,541 · median $41,723 | 22 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,302 – $65,105 · median $22,366 | 22 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,442 – $71,655 · median $24,612 | 22 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,157 – $46,293 · median $15,913 | 22 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,912 – $112,890 · median $38,756 | 22 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,219 – $67,911 · median $23,328 | 22 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,574 – $50,629 · median $17,401 | 22 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,759 – $97,753 · median $33,081 | 22 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,759 – $35,890 · median $12,157 | 22 plans |
| 795 | NORMAL NEWBORN | $1,783 – $6,583 · median $2,271 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,038 – $238,785 · median $89,800 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,474 – $141,563 · median $49,893 | 21 plans |
| 007 | LUNG TRANSPLANT | $74,528 – $530,319 · median $173,272 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,733 – $130,709 · median $47,006 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $45,273 – $166,791 · median $56,709 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,172 – $139,278 · median $63,087 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,957 – $109,966 · median $39,003 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,488 – $87,102 · median $36,232 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $24,915 – $76,163 · median $35,526 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,287 – $37,507 · median $12,578 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,173 – $24,912 · median $8,360 | 16 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,688 – $17,306 · median $5,813 | 16 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,899 – $30,197 · median $10,130 | 16 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,611 – $20,133 · median $6,760 | 16 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $67,166 – $205,505 · median $68,841 | 16 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $46,572 – $142,461 · median $47,728 | 16 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $35,238 – $107,766 · median $36,108 | 16 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $50,443 – $154,311 · median $51,696 | 16 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,129 – $86,001 · median $28,819 | 16 plans |
| 509 | ARTHROSCOPY | $13,865 – $42,339 · median $14,197 | 16 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $5,689 · median $3,682 | 2 plans |
| 999 | UNGROUPABLE | $1,676 – $10,883 · median $6,279 | 2 plans |
No procedures match that keyword.