Sarasota Memorial Hospital – Venice — Pricing
794 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 794 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 794 procedures
Procedures with negotiated rates only
These 794 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 |
|---|---|---|---|
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,764 – $59,871 · median $39,128 | 11 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,764 – $31,904 · median $20,851 | 11 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,764 – $47,526 · median $31,060 | 11 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,764 – $21,633 · median $14,138 | 11 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,974 – $93,953 · median $61,402 | 11 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,764 – $22,919 · median $14,979 | 11 plans |
| 881 | DEPRESSIVE NEUROSES | $1,764 – $21,855 · median $14,283 | 11 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,764 – $23,000 · median $15,032 | 11 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,764 – $44,325 · median $28,968 | 11 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,764 – $39,933 · median $26,098 | 11 plans |
| 885 | PSYCHOSES | $1,764 – $33,702 · median $22,026 | 11 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,764 – $42,953 · median $28,071 | 11 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,764 – $28,437 · median $18,585 | 11 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $1,764 – $14,922 · median $9,752 | 11 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $1,764 – $34,618 · median $22,624 | 11 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $1,764 – $42,577 · median $27,826 | 11 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $1,764 – $21,093 · median $13,785 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,974 – $512,408 · median $352,507 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $2,974 – $337,834 · median $232,410 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 10 plans |
| 007 | LUNG TRANSPLANT | — | 10 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | — | 10 plans |
| 010 | PANCREAS TRANSPLANT | $2,974 – $190,626 · median $118,024 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $2,974 – $129,011 · median $88,752 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $2,974 – $98,115 · median $67,498 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $2,974 – $63,359 · median $43,587 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $2,974 – $144,312 · median $89,349 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | — | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $2,974 – $189,534 · median $117,348 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $2,974 – $192,733 · median $132,589 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | — | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $2,974 – $84,408 · median $58,068 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $2,974 – $136,403 · median $93,837 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $2,974 – $90,895 · median $62,530 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $2,974 – $106,928 · median $73,560 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $2,974 – $73,128 · median $50,308 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,974 – $59,003 · median $40,590 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $2,974 – $145,355 · median $99,996 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $2,974 – $80,255 · median $55,211 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $2,974 – $53,207 · median $36,603 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $2,974 – $100,193 · median $68,927 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $2,974 – $51,060 · median $35,126 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,974 – $38,147 · median $26,243 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $2,974 – $92,975 · median $63,961 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $2,974 – $54,388 · median $37,416 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $2,974 – $43,828 · median $30,151 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $2,974 – $79,399 · median $54,622 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,974 – $38,525 · median $26,503 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,974 – $27,213 · median $18,721 | 10 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $2,974 – $90,187 · median $62,044 | 10 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $2,974 – $53,991 · median $37,143 | 10 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $2,974 – $42,022 · median $28,909 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $1,764 – $48,117 · median $33,102 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,764 – $22,030 · median $15,155 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $1,764 – $35,842 · median $24,657 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,764 – $26,085 · median $17,945 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $1,764 – $44,134 · median $30,361 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $1,764 – $29,255 · median $20,126 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,764 – $21,336 · median $14,678 | 10 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $1,764 – $64,636 · median $44,466 | 10 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $1,764 – $42,580 · median $29,292 | 10 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $1,764 – $33,587 · median $23,106 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $1,764 – $47,560 · median $32,718 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $1,764 – $24,313 · median $16,726 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,764 – $16,457 · median $11,321 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $1,764 – $34,785 · median $23,930 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $1,764 – $21,076 · median $14,499 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,764 – $19,130 · median $13,160 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $1,764 – $41,573 · median $28,600 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $1,764 – $25,198 · median $17,335 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,764 – $17,937 · median $12,339 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,764 – $36,954 · median $25,422 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,764 – $24,923 · median $17,145 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,764 – $41,181 · median $28,330 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,764 – $21,922 · median $15,081 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $1,764 – $36,970 · median $25,434 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $1,764 – $23,859 · median $16,413 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $1,764 – $15,940 · median $10,966 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $1,764 – $55,474 · median $38,163 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $1,764 – $33,243 · median $22,869 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,764 – $22,859 · median $15,726 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $1,764 – $54,178 · median $37,271 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $1,764 – $31,359 · median $21,573 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,764 – $21,136 · median $14,540 | 10 plans |
| 088 | CONCUSSION WITH MCC | $1,764 – $33,728 · median $23,203 | 10 plans |
| 089 | CONCUSSION WITH CC | $1,764 – $25,633 · median $17,634 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,764 – $20,497 · median $14,101 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,764 – $43,584 · median $29,983 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,764 – $25,312 · median $17,414 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,764 – $18,871 · median $12,982 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,764 – $87,237 · median $60,014 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,764 – $57,315 · median $39,429 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,764 – $57,315 · median $39,429 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $1,764 – $85,704 · median $58,960 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,764 – $51,866 · median $35,681 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,764 – $33,312 · median $22,917 | 10 plans |
| 100 | SEIZURES WITH MCC | $1,764 – $47,467 · median $32,654 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $1,764 – $22,037 · median $15,160 | 10 plans |
| 102 | HEADACHES WITH MCC | $1,764 – $27,722 · median $19,071 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $1,764 – $20,327 · median $13,984 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $2,974 – $53,953 · median $37,117 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,974 – $28,263 · median $19,443 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,974 – $36,605 · median $25,182 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $2,974 – $39,895 · median $27,445 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $2,974 – $25,788 · median $17,741 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,764 – $27,811 · median $19,132 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,764 – $16,217 · median $11,157 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,764 – $19,204 · median $13,211 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $1,764 – $31,175 · median $21,447 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,764 – $19,742 · median $13,581 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,974 – $57,647 · median $39,658 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,974 – $23,388 · median $16,089 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,974 – $33,439 · median $23,004 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,974 – $19,450 · median $13,380 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,974 – $32,827 · median $22,583 | 10 plans |
| 140 | SIMPLE PNEUMONIA AND PLEURISY AGE 0-17 | $2,974 – $101,116 · median $69,562 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $2,974 – $51,368 · median $35,339 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,974 – $37,595 · median $25,863 | 10 plans |
| 143 | STOMACH ESOPHAGEAL AND DUODENAL PROC AGE 0-17 | $2,974 – $78,945 · median $54,310 | 10 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $2,974 – $42,001 · median $28,894 | 10 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $28,327 · median $19,488 | 10 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $1,764 – $54,850 · median $37,733 | 10 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $1,764 – $29,762 · median $20,474 | 10 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,764 – $19,144 · median $13,170 | 10 plans |
| 149 | DYSEQUILIBRIUM | $1,764 – $17,872 · median $12,295 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $1,764 – $33,047 · median $22,734 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,764 – $18,123 · median $12,468 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,764 – $27,132 · median $18,665 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,764 – $17,016 · median $11,706 | 10 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $1,764 – $38,883 · median $26,749 | 10 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $1,764 – $22,321 · median $15,356 | 10 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,764 – $16,076 · median $11,060 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,764 – $39,151 · median $26,934 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,764 – $22,489 · median $15,471 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,764 – $15,770 · median $10,849 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $2,974 – $110,201 · median $75,812 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $2,974 – $60,179 · median $41,400 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,974 – $44,566 · median $30,659 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $2,974 – $92,057 · median $63,330 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $2,974 – $43,687 · median $30,054 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $32,370 · median $22,269 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,764 – $33,690 · median $23,177 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,764 – $19,474 · median $13,397 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,764 – $38,649 · median $26,588 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,764 – $23,720 · median $16,318 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,764 – $18,403 · median $12,660 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,764 – $41,788 · median $28,748 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,764 – $26,546 · median $18,262 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,764 – $20,024 · median $13,775 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,764 – $37,951 · median $26,108 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,764 – $25,537 · median $17,568 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,764 – $18,594 · median $12,792 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,764 – $37,776 · median $25,988 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,764 – $24,005 · median $16,514 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,764 – $17,554 · median $12,076 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,764 – $29,585 · median $20,353 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,764 – $26,850 · median $18,471 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,764 – $20,540 · median $14,130 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,764 – $15,474 · median $10,645 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,764 – $31,505 · median $21,674 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,764 – $19,605 · median $13,487 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,764 – $14,888 · median $10,242 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,764 – $45,047 · median $30,990 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,764 – $23,670 · median $16,284 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,764 – $16,746 · median $11,520 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,764 – $42,207 · median $29,036 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,764 – $26,479 · median $18,216 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,764 – $16,189 · median $11,137 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,764 – $23,113 · median $15,900 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,764 – $16,655 · median $11,458 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,764 – $19,390 · median $13,339 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,764 – $45,135 · median $31,051 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,764 – $21,657 · median $14,899 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,764 – $154,624 · median $106,373 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,764 – $64,167 · median $44,143 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,974 – $253,311 · median $174,263 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,974 – $230,748 · median $158,741 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,974 – $154,402 · median $106,220 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,974 – $142,242 · median $97,854 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,974 – $184,996 · median $127,266 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,974 – $126,639 · median $87,120 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,974 – $109,804 · median $75,539 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,974 – $119,146 · median $81,965 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,974 – $74,269 · median $54,963 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,974 – $202,602 · median $139,379 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,974 – $146,053 · median $100,476 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $2,974 – $186,882 · median $128,564 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,974 – $127,201 · median $87,507 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,974 – $140,685 · median $96,783 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,974 – $98,316 · median $67,636 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $2,974 – $120,427 · median $82,847 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $2,974 – $69,628 · median $47,900 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,974 – $36,100 · median $24,835 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,974 – $81,099 · median $55,792 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,974 – $53,862 · median $37,054 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,974 – $43,149 · median $29,684 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $2,974 – $116,839 · median $80,378 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $2,974 – $55,292 · median $38,038 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $2,974 – $37,360 · median $27,649 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $2,974 – $82,017 · median $56,423 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $2,974 – $61,040 · median $41,992 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $2,974 – $41,826 · median $28,774 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $2,974 – $62,558 · median $43,036 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $2,974 – $40,495 · median $27,858 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $2,974 – $21,324 · median $14,670 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $2,974 – $67,077 · median $46,145 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $2,974 – $42,025 · median $28,911 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $2,974 – $81,439 · median $56,025 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $2,974 – $45,370 · median $31,212 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,974 – $36,289 · median $24,965 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $2,974 – $64,126 · median $44,115 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $2,974 – $83,564 · median $57,487 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $2,974 – $85,288 · median $58,673 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $10,780 – $143,234 · median $102,269 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $10,780 – $112,485 · median $80,314 | 10 plans |
| 268 | SEPTICEMIA OR SEVERE SEPSIS AGE 0-17 | $10,780 – $159,416 · median $113,823 | 10 plans |
| 269 | TRAUMATIC INJURY AGE 0-17 | $10,780 – $99,478 · median $71,027 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $10,780 – $122,725 · median $87,625 | 10 plans |
| 271 | POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 | $10,780 – $82,352 · median $61,407 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $10,780 – $62,612 · median $44,609 | 10 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $10,780 – $93,491 · median $66,753 | 10 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $10,780 – $74,620 · median $53,279 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $1,764 – $39,244 · median $26,998 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $1,764 – $22,039 · median $15,162 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $1,764 – $17,336 · median $11,926 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $1,764 – $46,752 · median $32,162 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $1,764 – $17,717 · median $12,188 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $1,764 – $13,423 · median $9,234 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $1,764 – $52,918 · median $36,404 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,764 – $26,054 · median $18,339 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $1,764 – $65,307 · median $44,928 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,764 – $37,697 · median $25,934 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,764 – $23,407 · median $16,103 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,764 – $31,196 · median $21,461 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,764 – $20,590 · median $14,165 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,764 – $13,119 · median $9,025 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $1,764 – $29,360 · median $20,198 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,764 – $18,883 · median $12,991 | 10 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $1,764 – $39,173 · median $26,948 | 10 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $1,764 – $16,842 · median $11,586 | 10 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $1,764 – $10,561 · median $7,265 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,764 – $38,675 · median $26,606 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,764 – $25,597 · median $17,609 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,764 – $17,057 · median $11,734 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,764 – $27,813 · median $19,134 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,764 – $16,076 · median $11,060 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $1,764 – $28,088 · median $19,323 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,764 – $17,948 · median $12,348 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,764 – $35,801 · median $24,629 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,764 – $22,149 · median $15,237 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $1,764 – $28,832 · median $19,835 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,764 – $17,676 · median $12,160 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,764 – $13,377 · median $9,203 | 10 plans |
| 311 | ANGINA PECTORIS | $1,764 – $16,696 · median $11,486 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,764 – $20,832 · median $14,331 | 10 plans |
| 313 | CHEST PAIN | $1,764 – $17,057 · median $11,734 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,764 – $51,488 · median $35,421 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,764 – $23,008 · median $15,828 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,764 – $16,323 · median $11,229 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $3,490 – $105,027 · median $74,989 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $3,490 – $55,345 · median $39,516 | 10 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $2,974 – $121,434 · median $83,539 | 10 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $2,974 – $58,053 · median $39,937 | 10 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,974 – $38,099 · median $26,210 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,974 – $109,788 · median $75,528 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,974 – $56,514 · median $38,878 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,974 – $39,474 · median $27,156 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $2,974 – $82,933 · median $57,053 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $2,974 – $50,814 · median $34,957 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,974 – $39,655 · median $27,281 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $2,974 – $86,632 · median $59,598 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $2,974 – $50,503 · median $34,743 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,974 – $36,703 · median $25,249 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $2,974 – $64,423 · median $44,319 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,974 – $35,593 · median $24,486 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,974 – $29,774 · median $20,483 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $2,974 – $56,588 · median $38,929 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,974 – $30,099 · median $20,706 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $2,974 – $21,061 · median $14,489 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $2,974 – $57,829 · median $39,783 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,974 – $35,971 · median $24,746 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,974 – $26,362 · median $18,136 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $2,974 – $70,125 · median $45,830 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,974 – $40,672 · median $26,581 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,974 – $31,875 · median $20,832 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $2,974 – $101,989 · median $70,162 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $2,974 – $53,843 · median $37,041 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $32,399 · median $22,289 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,764 – $39,928 · median $27,468 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,764 – $24,330 · median $16,737 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,764 – $16,688 · median $11,481 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,764 – $41,793 · median $28,751 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,764 – $24,610 · median $16,930 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,764 – $17,344 · median $11,931 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,764 – $50,481 · median $34,728 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,764 – $29,377 · median $20,210 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,764 – $21,112 · median $14,524 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,764 – $43,471 · median $29,906 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,764 – $23,572 · median $16,216 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,764 – $15,223 · median $10,472 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,764 – $46,008 · median $31,651 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,764 – $26,039 · median $17,914 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,764 – $17,915 · median $12,324 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,764 – $30,226 · median $20,794 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,764 – $20,791 · median $14,303 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,764 – $38,847 · median $26,725 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,764 – $23,730 · median $16,325 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,764 – $16,026 · median $11,025 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,764 – $35,144 · median $24,177 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,764 – $19,165 · median $13,185 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,764 – $13,083 · median $9,000 | 10 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $1,764 – $30,711 · median $21,127 | 10 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,764 – $18,656 · median $12,834 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,764 – $39,593 · median $27,238 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,764 – $22,506 · median $15,483 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,764 – $15,216 · median $10,468 | 10 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $2,974 – $129,795 · median $89,291 | 10 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $2,974 – $67,146 · median $46,193 | 10 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $2,974 – $51,065 · median $35,130 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $2,974 – $83,713 · median $57,589 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $2,974 – $50,125 · median $34,483 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,974 – $37,085 · median $25,512 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $2,974 – $65,425 · median $45,008 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $2,974 – $50,964 · median $35,061 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,974 – $39,749 · median $27,345 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $2,974 – $83,772 · median $57,631 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $2,974 – $47,294 · median $32,536 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,974 – $32,760 · median $22,537 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,974 – $56,820 · median $39,089 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,974 – $39,651 · median $27,277 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,974 – $31,503 · median $21,672 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $2,974 – $84,387 · median $58,053 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $2,974 – $39,153 · median $26,935 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,974 – $35,132 · median $24,169 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $2,974 – $97,247 · median $66,901 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $2,974 – $54,591 · median $37,556 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $36,959 · median $25,425 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,764 – $46,840 · median $32,223 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,764 – $25,578 · median $17,596 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,764 – $16,653 · median $11,456 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $1,764 – $43,624 · median $30,011 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $1,764 – $26,962 · median $18,548 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,764 – $18,773 · median $12,915 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,764 – $39,777 · median $27,365 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,764 – $20,567 · median $14,149 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,764 – $14,706 · median $10,117 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $1,764 – $45,198 · median $31,093 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,764 – $23,101 · median $15,892 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,764 – $16,801 · median $11,558 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,764 – $40,272 · median $27,705 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,764 – $25,929 · median $17,838 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,764 – $19,063 · median $13,114 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | — | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $2,974 – $137,223 · median $94,402 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $2,974 – $103,239 · median $71,022 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $2,974 – $146,722 · median $100,936 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $2,974 – $68,471 · median $47,104 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,974 – $129,133 · median $88,836 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,974 – $70,498 · median $48,499 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,974 – $41,508 · median $28,555 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $2,974 – $121,807 · median $83,796 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $2,974 – $81,893 · median $56,338 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $2,974 – $62,720 · median $43,148 | 10 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $2,974 – $78,151 · median $53,764 | 10 plans |
| 470 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $2,974 – $45,080 · median $31,013 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $2,974 – $116,133 · median $79,893 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $2,974 – $69,269 · median $47,653 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $2,974 – $56,602 · median $38,939 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $2,974 – $107,225 · median $73,764 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $2,974 – $51,579 · median $35,483 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,974 – $27,809 · median $19,131 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,974 – $82,223 · median $56,565 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,974 – $55,914 · median $38,465 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,974 – $42,458 · median $29,208 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $2,974 – $70,316 · median $48,374 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $2,974 – $49,609 · median $34,128 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,974 – $37,929 · median $26,093 | 10 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $2,974 – $60,925 · median $41,913 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $2,974 – $76,970 · median $52,951 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $2,974 – $50,709 · median $34,885 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,974 – $37,781 · median $25,991 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $2,974 – $46,991 · median $32,327 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,974 – $29,609 · median $20,369 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $2,974 – $84,906 · median $58,410 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $2,974 – $57,406 · median $39,492 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $2,974 – $45,078 · median $31,011 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $2,974 – $84,174 · median $57,907 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $2,974 – $47,172 · median $32,452 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,974 – $32,100 · median $22,083 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $2,974 – $60,368 · median $41,530 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $2,974 – $27,754 · median $19,093 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,974 – $75,760 · median $52,119 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $2,974 – $42,670 · median $29,355 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,974 – $33,406 · median $22,981 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $2,974 – $63,278 · median $43,531 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $2,974 – $41,960 · median $28,866 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $2,974 – $41,960 · median $28,866 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,974 – $35,842 · median $24,657 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $2,974 – $46,340 · median $31,880 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,974 – $30,857 · median $21,228 | 10 plans |
| 509 | ARTHROSCOPY | $2,974 – $42,001 · median $28,894 | 10 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $2,974 – $68,334 · median $47,010 | 10 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $2,974 – $46,890 · median $32,258 | 10 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $2,974 – $38,441 · median $26,445 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,974 – $35,997 · median $24,764 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $2,974 – $24,378 · median $16,770 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $2,974 – $73,936 · median $50,864 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $2,974 – $48,098 · median $33,088 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $35,689 · median $24,552 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,490 – $85,690 · median $61,182 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,490 – $47,146 · median $33,662 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $3,490 – $34,266 · median $24,466 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $2,974 – $69,688 · median $47,941 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $2,974 – $50,403 · median $34,674 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,764 – $36,459 · median $25,082 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,764 – $19,462 · median $13,389 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,764 – $31,797 · median $21,874 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,764 – $19,388 · median $13,338 | 10 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $1,764 – $21,972 · median $15,116 | 10 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $1,764 – $16,055 · median $11,045 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,764 – $48,354 · median $33,264 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,764 – $30,941 · median $21,285 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,764 – $20,918 · median $14,390 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $1,764 – $44,593 · median $30,677 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,764 – $25,365 · median $17,450 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,764 – $18,068 · median $12,430 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,764 – $60,416 · median $41,562 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,764 – $27,679 · median $19,042 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,764 – $17,841 · median $12,274 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,764 – $48,167 · median $33,136 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,764 – $28,813 · median $19,821 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,764 – $20,612 · median $14,180 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,764 – $40,798 · median $28,067 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,764 – $23,043 · median $15,853 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,764 – $31,225 · median $21,481 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,764 – $19,954 · median $13,728 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,764 – $32,196 · median $22,149 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,764 – $19,522 · median $13,430 | 10 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $1,764 – $37,052 · median $25,489 | 10 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $1,764 – $20,653 · median $14,208 | 10 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,764 – $44,382 · median $30,532 | 10 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,764 – $27,225 · median $18,729 | 10 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,764 – $19,548 · median $13,448 | 10 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $1,764 – $34,991 · median $24,072 | 10 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $1,764 – $21,370 · median $14,701 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $1,764 – $37,518 · median $25,810 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,764 – $24,380 · median $16,772 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,764 – $17,886 · median $12,305 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $2,974 – $71,971 · median $49,512 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $2,974 – $40,031 · median $27,539 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,974 – $27,314 · median $18,790 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,974 – $147,236 · median $101,290 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,974 – $82,842 · median $56,991 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,974 – $47,739 · median $32,842 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $2,974 – $128,996 · median $88,742 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $2,974 – $63,665 · median $43,798 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,974 – $40,416 · median $27,804 | 10 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $2,974 – $77,929 · median $53,611 | 10 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $2,974 – $42,391 · median $29,162 | 10 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,974 – $34,410 · median $23,672 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $2,974 – $41,869 · median $28,804 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $2,974 – $39,275 · median $27,019 | 10 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $2,974 – $48,951 · median $33,676 | 10 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $2,974 – $47,462 · median $32,651 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $1,764 – $49,164 · median $33,822 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $1,764 – $29,234 · median $20,111 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,764 – $20,292 · median $13,959 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,764 – $50,570 · median $34,789 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,764 – $25,848 · median $17,782 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,764 – $42,001 · median $28,894 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,764 – $25,795 · median $17,746 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,764 – $20,440 · median $14,061 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,764 – $22,871 · median $15,734 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,764 – $14,333 · median $9,861 | 10 plans |
| 602 | CELLULITIS WITH MCC | $1,764 – $35,127 · median $24,165 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,764 – $21,059 · median $14,487 | 10 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,764 – $35,522 · median $24,437 | 10 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,764 – $22,085 · median $15,193 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,764 – $38,501 · median $26,486 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,764 – $20,662 · median $14,214 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,974 – $54,489 · median $37,485 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,974 – $34,262 · median $23,570 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,974 – $92,408 · median $63,572 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,974 – $46,183 · median $31,771 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,974 – $29,769 · median $20,479 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $2,974 – $65,188 · median $36,666 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,974 – $38,183 · median $26,267 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,974 – $36,666 · median $24,044 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $2,974 – $89,467 · median $61,548 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $2,974 – $45,733 · median $31,462 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,974 – $23,983 · median $16,499 | 10 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $2,974 – $68,549 · median $47,158 | 10 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,974 – $36,086 · median $24,825 | 10 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,974 – $30,290 · median $20,838 | 10 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $2,974 – $94,338 · median $64,899 | 10 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $2,974 – $53,774 · median $36,993 | 10 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $33,504 · median $23,049 | 10 plans |
| 637 | DIABETES WITH MCC | $1,764 – $34,819 · median $23,953 | 10 plans |
| 638 | DIABETES WITH CC | $1,764 – $21,929 · median $15,086 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,764 – $14,981 · median $10,306 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $1,764 – $31,751 · median $21,843 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,764 – $18,682 · median $12,852 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,764 – $29,673 · median $20,414 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,764 – $39,624 · median $27,259 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,764 – $24,708 · median $16,997 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,764 – $18,618 · median $12,808 | 10 plans |
| 650 | NEONATE BIRTHWT 1500-1999G WITHOUT SIGNIF O.R. PROC WITH OTHER PROB | $2,974 – $110,156 · median $68,202 | 10 plans |
| 651 | NEONATE BIRTHWT 2000-2499G WITH SIGNIF O.R. PROC WITH MULT MAJOR PROB | $2,974 – $83,024 · median $51,403 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $2,974 – $73,434 · median $45,466 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $2,974 – $133,283 · median $91,691 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $2,974 – $67,474 · median $46,418 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,974 – $49,666 · median $34,167 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $2,974 – $77,896 · median $53,588 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $2,974 – $43,708 · median $30,069 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,974 – $35,959 · median $24,738 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $2,974 – $61,788 · median $42,507 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,974 – $32,038 · median $22,040 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $2,974 – $24,545 · median $16,886 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $2,974 – $74,587 · median $51,311 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,974 – $36,519 · median $25,123 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $2,974 – $25,817 · median $17,761 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $2,974 – $82,094 · median $56,476 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $2,974 – $39,385 · median $27,095 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,974 – $24,574 · median $16,905 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $2,974 – $69,726 · median $47,967 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,974 – $36,999 · median $25,453 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $2,974 – $22,850 · median $15,719 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $2,974 – $41,212 · median $28,351 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $2,974 – $26,166 · median $18,001 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $2,974 – $100,169 · median $68,911 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $2,974 – $55,192 · median $37,969 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,974 – $37,425 · median $25,746 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $1,764 – $35,909 · median $24,703 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $1,764 – $21,253 · median $14,621 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,764 – $14,522 · median $9,991 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,764 – $45,085 · median $31,016 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,764 – $25,169 · median $17,315 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,764 – $17,315 · median $11,912 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,764 – $27,981 · median $19,249 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,764 – $19,189 · median $13,201 | 10 plans |
| 693 | URINARY STONES WITH MCC | $1,764 – $35,156 · median $24,185 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,764 – $18,682 · median $12,852 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,764 – $26,965 · median $18,550 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,764 – $16,540 · median $11,379 | 10 plans |
| 697 | URETHRAL STRICTURE | $1,764 – $23,952 · median $16,478 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,764 – $40,189 · median $27,647 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,764 – $24,385 · median $16,775 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,764 – $16,598 · median $11,418 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,974 – $46,398 · median $31,919 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,974 – $35,445 · median $24,384 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $2,974 – $53,726 · median $36,960 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,974 – $35,897 · median $24,695 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $2,974 – $45,681 · median $31,426 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $2,974 – $25,573 · median $17,593 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,974 – $34,572 · median $23,784 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,974 – $22,467 · median $15,456 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $2,974 – $53,994 · median $37,145 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,974 – $33,934 · median $23,345 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $2,974 – $44,363 · median $30,519 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,974 – $29,454 · median $20,262 | 10 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $1,764 – $41,336 · median $28,437 | 10 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $1,764 – $26,847 · median $18,469 | 10 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,764 – $17,420 · median $11,984 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,764 – $30,188 · median $20,767 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,764 – $17,798 · median $12,244 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,764 – $35,132 · median $24,169 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,764 – $19,536 · median $13,440 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,764 – $26,321 · median $18,108 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,764 – $14,510 · median $9,982 | 10 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,974 – $50,276 · median $34,587 | 10 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,974 – $29,023 · median $19,966 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,974 – $94,144 · median $64,766 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $2,974 – $47,780 · median $32,870 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,974 – $36,268 · median $24,950 | 10 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $2,974 – $95,179 · median $65,478 | 10 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $2,974 – $43,474 · median $29,907 | 10 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $2,974 – $32,841 · median $22,593 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,974 – $43,675 · median $30,046 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,974 – $28,660 · median $19,716 | 10 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,974 – $46,718 · median $32,139 | 10 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,974 – $24,502 · median $16,856 | 10 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,974 – $40,038 · median $27,544 | 10 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $2,974 – $22,838 · median $15,711 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,974 – $32,571 · median $22,407 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,974 – $61,891 · median $42,577 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $30,831 · median $21,210 | 10 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,764 – $43,259 · median $29,759 | 10 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,764 – $26,541 · median $18,259 | 10 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,764 – $22,833 · median $15,708 | 10 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,764 – $33,838 · median $23,279 | 10 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,764 – $24,370 · median $16,765 | 10 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,764 – $15,302 · median $10,527 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,764 – $23,565 · median $16,211 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,764 – $15,156 · median $10,426 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,764 – $26,211 · median $12,360 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,974 – $33,222 · median $22,855 | 10 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,974 – $25,726 · median $17,698 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,764 – $17,059 · median $11,736 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $1,764 – $22,350 · median $15,376 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,860 – $44,043 · median $17,888 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,860 – $25,893 · median $16,975 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,811 – $20,885 · median $15,257 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,860 – $38,635 · median $17,888 | 10 plans |
| 787 | NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB | $6,860 – $25,387 · median $16,948 | 10 plans |
| 788 | NEONATE BIRTHWT >2499G W MINOR ABDOM PROCEDURE | $6,019 – $21,630 · median $15,533 | 10 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,764 – $43,098 · median $29,649 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $1,764 – $142,134 · median $97,780 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,764 – $97,068 · median $66,777 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,764 – $58,570 · median $40,293 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,764 – $99,712 · median $68,596 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,764 – $35,294 · median $24,281 | 10 plans |
| 795 | NORMAL NEWBORN | $1,329 – $6,860 · median $3,562 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,860 – $30,522 · median $12,701 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,441 – $23,149 · median $12,701 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,441 – $23,149 · median $12,701 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $2,974 – $113,683 · median $78,207 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $2,974 – $69,666 · median $47,926 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $2,974 – $39,251 · median $27,003 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,974 – $85,709 · median $58,963 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,974 – $42,558 · median $29,277 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,974 – $26,434 · median $18,185 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,639 – $23,861 · median $12,701 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,814 – $17,301 · median $11,820 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,240 – $15,237 · median $11,362 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,764 – $54,759 · median $37,671 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $1,764 – $29,611 · median $20,371 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,764 – $22,757 · median $15,655 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,764 – $33,638 · median $23,141 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,764 – $22,066 · median $15,180 | 10 plans |
| 813 | COAGULATION DISORDERS | $1,764 – $37,011 · median $25,462 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,764 – $49,982 · median $34,385 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,764 – $24,294 · median $16,713 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,764 – $15,766 · median $10,846 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,490 – $60,612 · median $43,277 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,490 – $30,795 · median $21,987 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,490 – $19,522 · median $13,938 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $2,974 – $139,205 · median $95,765 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,974 – $53,374 · median $36,719 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $27,345 · median $18,812 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,974 – $111,882 · median $76,968 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,974 – $52,585 · median $36,176 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,974 – $29,427 · median $20,244 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,974 – $114,177 · median $78,547 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,974 – $56,423 · median $38,816 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $38,324 · median $26,365 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,974 – $73,731 · median $50,722 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,974 – $34,967 · median $24,055 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,490 – $27,519 · median $19,649 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,490 – $17,870 · median $12,759 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,458 – $12,428 · median $8,874 | 10 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $1,764 – $132,152 · median $90,913 | 10 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $1,764 – $51,067 · median $35,131 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,764 – $30,381 · median $20,900 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,764 – $119,717 · median $82,358 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,764 – $48,492 · median $33,360 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,764 – $32,765 · median $22,540 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,764 – $76,246 · median $52,453 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,764 – $37,489 · median $25,790 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,764 – $25,150 · median $17,302 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,764 – $45,267 · median $31,141 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,764 – $28,576 · median $19,659 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,764 – $20,007 · median $13,764 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,764 – $61,059 · median $42,005 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,764 – $30,381 · median $20,900 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,764 – $19,579 · median $13,469 | 10 plans |
| 849 | RADIOTHERAPY | $1,764 – $63,863 · median $43,934 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,974 – $119,576 · median $82,261 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,974 – $47,773 · median $32,865 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $38,866 · median $26,738 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,974 – $107,868 · median $74,207 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,974 – $52,095 · median $35,839 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,974 – $30,804 · median $21,192 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $1,764 – $43,961 · median $30,243 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,764 – $23,907 · median $16,446 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,764 – $21,470 · median $14,770 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,764 – $35,287 · median $24,276 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,764 – $21,155 · median $14,553 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $1,764 – $51,268 · median $35,269 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,764 – $25,107 · median $17,272 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,764 – $17,205 · median $11,836 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,764 – $166,323 · median $114,421 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,764 – $46,912 · median $32,273 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,764 – $24,650 · median $16,958 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,974 – $105,929 · median $72,873 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $2,974 – $45,370 · median $31,212 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,974 – $29,147 · median $20,052 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $2,974 – $92,315 · median $63,507 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,974 – $39,407 · median $27,110 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $2,974 – $52,181 · median $35,898 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $2,974 – $95,246 · median $65,524 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $2,974 – $48,227 · median $33,177 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,974 – $30,324 · median $20,861 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,764 – $38,692 · median $26,618 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,764 – $21,910 · median $15,073 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,764 – $41,551 · median $28,585 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,764 – $15,878 · median $10,923 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,764 – $39,204 · median $26,970 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,764 – $21,150 · median $14,550 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,764 – $43,600 · median $29,995 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,764 – $24,289 · median $16,710 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,764 – $16,442 · median $11,311 | 10 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $1,764 – $40,392 · median $27,787 | 10 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,764 – $24,385 · median $16,775 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,974 – $567,188 · median $390,193 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,974 – $159,686 · median $109,855 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,974 – $76,040 · median $52,311 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,764 – $103,452 · median $71,169 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,764 – $51,304 · median $35,294 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $1,764 – $52,514 · median $36,126 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,974 – $75,887 · median $52,206 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $2,974 – $50,481 · median $34,728 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $2,974 – $46,725 · median $32,144 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,764 – $36,497 · median $11,171 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,764 – $26,694 · median $8,170 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,764 – $30,752 · median $21,155 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,764 – $18,996 · median $13,068 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,764 – $25,798 · median $17,747 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,764 – $14,013 · median $9,640 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,764 – $13,556 · median $9,326 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,974 – $163,258 · median $112,312 | 10 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $2,974 – $91,390 · median $62,871 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $2,974 – $178,462 · median $122,771 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,974 – $98,261 · median $67,598 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,974 – $63,213 · median $43,487 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,764 – $64,954 · median $44,684 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,764 – $35,866 · median $24,674 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,764 – $21,819 · median $15,010 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,974 – $151,208 · median $104,022 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $2,974 – $63,438 · median $43,641 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $1,764 – $71,397 · median $49,117 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,764 – $33,984 · median $23,379 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,764 – $23,981 · median $16,497 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,764 – $34,474 · median $23,716 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,974 – $113,661 · median $78,192 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,974 – $58,536 · median $40,270 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,974 – $39,885 · median $27,439 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,764 – $83,746 · median $57,612 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,764 – $41,028 · median $28,225 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,764 – $27,627 · median $19,006 | 10 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $3,490 – $73,367 · median $54,296 | 8 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $3,490 – $260,462 · median $192,757 | 8 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $47,014 – $168,965 · median $125,044 | 8 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $41,209 – $148,102 · median $109,604 | 8 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,947 – $111,222 · median $82,311 | 8 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $3,490 – $119,624 · median $88,528 | 8 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $3,490 – $76,614 · median $56,699 | 8 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC | — | 8 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,939 – $68,064 · median $50,371 | 8 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,036 – $43,256 · median $32,012 | 8 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $3,490 – $101,838 · median $75,366 | 8 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,490 – $76,392 · median $56,534 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $3,490 – $68,430 · median $50,642 | 8 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,490 – $59,242 · median $43,842 | 8 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $3,490 – $36,179 · median $26,775 | 8 plans |
| 399 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $3,490 – $26,869 · median $19,885 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $3,490 – $93,537 · median $69,222 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $3,490 – $250,456 · median $185,352 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $3,490 – $169,818 · median $125,675 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | — | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | — | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | — | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,490 – $97,632 · median $72,253 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | — | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,490 – $73,783 · median $54,604 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | — | 8 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $2,974 – $210,946 · median $172,570 | 6 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $2,974 – $145,599 · median $119,111 | 6 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $2,974 – $109,636 · median $89,691 | 6 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $2,974 – $157,882 · median $122,914 | 6 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $2,974 – $87,076 · median $67,791 | 6 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $2,974 – $182,265 · median $135,476 | 5 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $2,974 – $124,231 · median $92,340 | 5 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $2,974 – $168,758 · median $125,436 | 5 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $2,974 – $120,399 · median $89,491 | 5 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,974 – $152,373 · median $113,258 | 5 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,974 – $119,518 · median $88,836 | 5 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $2,974 – $71,306 · median $53,001 | 5 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $2,974 – $45,456 · median $33,787 | 5 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $2,974 – $71,648 · median $53,255 | 5 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $2,974 – $43,247 · median $32,145 | 5 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $2,974 – $63,238 · median $47,004 | 5 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $2,974 – $38,764 · median $28,813 | 5 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,974 – $28,564 · median $21,231 | 5 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $2,974 – $53,776 · median $39,971 | 5 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $2,974 – $34,593 · median $25,713 | 5 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,974 – $26,012 · median $19,334 | 5 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,764 – $6,860 · median $3,490 | 4 plans |
| 999 | UNGROUPABLE | $1,764 – $6,860 · median $3,490 | 4 plans |
No procedures match that keyword.