Shands Jacksonville — Pricing
789 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 789 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 789 procedures
Procedures with negotiated rates only
These 789 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $120,580 – $447,846 · median $287,065 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $47,175 – $175,213 · median $114,402 | 22 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $91,743 – $340,740 · median $218,150 | 22 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $60,487 – $224,653 · median $144,997 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $45,587 – $169,313 · median $110,674 | 22 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $20,758 – $77,098 · median $50,593 | 22 plans |
| 007 | LUNG TRANSPLANT | $55,944 – $207,780 · median $135,034 | 22 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $23,292 – $86,509 · median $56,769 | 22 plans |
| 010 | PANCREAS TRANSPLANT | $34,131 – $126,764 · median $82,988 | 22 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $23,099 – $85,790 · median $56,231 | 22 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $17,567 – $65,244 · median $42,764 | 22 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $11,344 – $42,132 · median $27,994 | 22 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $56,085 – $208,304 · median $135,366 | 22 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $25,838 – $95,964 · median $62,974 | 22 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $25,838 – $95,964 · median $62,974 | 22 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $161,437 – $599,592 · median $381,268 | 22 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $33,934 – $126,035 · median $82,510 | 22 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $34,507 – $128,162 · median $83,839 | 22 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $23,662 – $87,884 · median $57,603 | 22 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $15,114 – $56,133 · median $36,792 | 22 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $24,422 – $90,705 · median $59,452 | 22 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $16,274 – $60,442 · median $39,617 | 22 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $19,145 – $186,670 · median $48,479 | 22 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $13,093 – $127,664 · median $34,923 | 22 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,564 – $103,003 · median $28,857 | 22 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $26,025 – $96,658 · median $63,354 | 22 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $14,369 – $53,368 · median $35,028 | 22 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $9,526 – $35,381 · median $23,769 | 22 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,939 – $66,626 · median $43,669 | 22 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $9,142 – $33,954 · median $22,824 | 22 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $6,830 – $25,367 · median $17,052 | 22 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $16,647 – $61,827 · median $40,524 | 22 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $9,738 – $36,166 · median $24,260 | 22 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,847 – $29,145 · median $19,591 | 22 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $14,216 – $52,799 · median $34,671 | 22 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $6,897 – $25,616 · median $17,219 | 22 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,873 – $18,097 · median $12,165 | 22 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $16,147 – $59,972 · median $39,308 | 22 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $9,669 – $35,912 · median $24,098 | 22 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,524 – $27,944 · median $18,784 | 22 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,615 – $31,997 · median $21,509 | 22 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,944 – $14,742 · median $9,847 | 22 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,418 – $23,836 · median $16,022 | 22 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,670 – $17,345 · median $11,660 | 22 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $10,720 – $39,814 · median $26,543 | 22 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,714 – $21,222 · median $14,265 | 22 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $7,901 – $29,347 · median $19,727 | 22 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,238 – $19,454 · median $13,077 | 22 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,820 – $14,404 · median $9,538 | 22 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $11,572 – $42,981 · median $28,526 | 22 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $7,624 – $28,315 · median $19,033 | 22 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $6,014 – $22,335 · median $15,013 | 22 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $8,515 – $45,867 · median $23,245 | 22 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,354 – $28,102 · median $13,552 | 22 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,947 – $28,102 · median $10,277 | 22 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,232 – $23,147 · median $15,560 | 22 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,774 – $14,277 · median $9,423 | 22 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,426 – $13,328 · median $8,553 | 22 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $7,443 – $27,645 · median $18,583 | 22 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $4,511 – $16,755 · median $11,263 | 22 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,211 – $12,746 · median $8,017 | 22 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $6,616 – $24,573 · median $16,518 | 22 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,463 – $16,574 · median $11,141 | 22 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $7,374 – $27,386 · median $18,409 | 22 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,925 – $14,690 · median $9,800 | 22 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $6,619 – $24,585 · median $16,526 | 22 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,272 – $15,865 · median $10,664 | 22 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,854 – $11,772 · median $7,126 | 22 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,510 – $31,606 · median $21,246 | 22 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,873 – $14,549 · median $9,671 | 22 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,932 – $36,890 · median $24,713 | 22 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,952 – $22,106 · median $14,860 | 22 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,093 – $15,200 · median $10,218 | 22 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $9,700 – $36,028 · median $24,173 | 22 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,615 – $20,854 · median $14,018 | 22 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,784 – $14,306 · median $9,448 | 22 plans |
| 088 | CONCUSSION WITH MCC | $6,039 – $22,429 · median $15,077 | 22 plans |
| 089 | CONCUSSION WITH CC | $4,590 – $17,046 · median $11,459 | 22 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,670 – $13,995 · median $9,162 | 22 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $7,803 – $28,983 · median $19,482 | 22 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,533 – $16,835 · median $11,316 | 22 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,379 – $13,202 · median $8,436 | 22 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $15,619 – $58,010 · median $38,022 | 22 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $10,262 – $38,112 · median $25,479 | 22 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $10,262 – $38,112 · median $25,479 | 22 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $15,347 – $56,998 · median $37,359 | 22 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,286 – $34,489 · median $23,183 | 22 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,964 – $22,152 · median $14,891 | 22 plans |
| 100 | SEIZURES WITH MCC | $8,499 – $31,565 · median $21,218 | 22 plans |
| 101 | SEIZURES WITHOUT MCC | $3,945 – $14,746 · median $11,272 | 22 plans |
| 102 | HEADACHES WITH MCC | $4,963 – $18,434 · median $12,392 | 22 plans |
| 103 | HEADACHES WITHOUT MCC | $3,640 – $13,912 · median $9,087 | 22 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,661 – $35,880 · median $24,080 | 22 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,061 – $18,795 · median $12,634 | 22 plans |
| 115 | Extraocular procedures except orbit | $6,554 – $24,341 · median $16,362 | 22 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,143 – $26,529 · median $17,833 | 22 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,617 – $17,150 · median $11,528 | 22 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,979 – $18,493 · median $12,431 | 22 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,904 – $11,907 · median $7,250 | 22 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,439 – $13,364 · median $8,585 | 22 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $5,582 – $20,730 · median $13,935 | 22 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,535 – $13,626 · median $8,825 | 22 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,321 – $38,333 · median $25,617 | 22 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,188 – $15,553 · median $10,455 | 22 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,987 – $22,236 · median $14,947 | 22 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,483 – $13,484 · median $8,695 | 22 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,877 – $21,829 · median $14,674 | 22 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $18,104 – $67,241 · median $44,073 | 22 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,197 – $34,158 · median $22,961 | 22 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,731 – $25,000 · median $16,805 | 22 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $14,135 – $52,497 · median $34,482 | 22 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,520 – $27,930 · median $18,775 | 22 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,072 – $18,837 · median $12,662 | 22 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,820 – $36,473 · median $24,452 | 22 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,329 – $19,791 · median $13,303 | 22 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,428 – $13,335 · median $8,558 | 22 plans |
| 149 | DYSEQUILIBRIUM | $3,200 – $12,714 · median $7,989 | 22 plans |
| 150 | EPISTAXIS WITH MCC | $5,917 – $21,975 · median $14,772 | 22 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,245 – $12,837 · median $8,102 | 22 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,858 – $18,042 · median $12,128 | 22 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,047 – $12,297 · median $7,607 | 22 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $6,962 – $25,857 · median $17,381 | 22 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,997 – $14,885 · median $9,978 | 22 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,879 – $11,838 · median $7,187 | 22 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $7,010 – $26,035 · median $17,501 | 22 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,026 – $14,966 · median $10,052 | 22 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,824 – $11,689 · median $7,050 | 22 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $19,731 – $73,282 · median $48,032 | 22 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $10,774 – $40,017 · median $26,671 | 22 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,979 – $29,636 · median $19,921 | 22 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $16,486 – $61,231 · median $40,133 | 22 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,822 – $29,051 · median $19,528 | 22 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,796 – $21,525 · median $14,469 | 22 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $13,136 – $48,788 · median $32,161 | 22 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $6,032 – $22,405 · median $15,060 | 22 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,487 – $13,496 · median $8,705 | 22 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,920 – $44,609 · median $20,116 | 22 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,247 – $15,774 · median $10,604 | 22 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,295 – $12,973 · median $8,227 | 22 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,482 – $53,889 · median $21,464 | 22 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,753 – $17,652 · median $11,866 | 22 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,585 – $13,764 · median $8,951 | 22 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $6,795 – $25,236 · median $16,964 | 22 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,572 – $16,981 · median $11,415 | 22 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,329 – $13,066 · median $8,311 | 22 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $6,764 – $25,122 · median $16,887 | 22 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,298 – $15,962 · median $10,730 | 22 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,143 – $12,559 · median $7,846 | 22 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,298 – $19,676 · median $13,226 | 22 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,809 – $17,860 · median $12,006 | 22 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,678 – $14,016 · median $9,182 | 22 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,771 – $11,544 · median $6,917 | 22 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,642 – $22,877 · median $16,717 | 22 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,510 – $13,560 · median $8,764 | 22 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,666 – $11,258 · median $6,656 | 22 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $8,066 – $29,959 · median $20,138 | 22 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,238 – $15,739 · median $10,580 | 22 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,998 – $12,165 · median $7,486 | 22 plans |
| 199 | PNEUMOTHORAX WITH MCC | $7,557 – $28,067 · median $18,866 | 22 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,741 – $17,608 · median $11,836 | 22 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,898 – $11,893 · median $7,235 | 22 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,138 – $15,371 · median $10,332 | 22 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,981 – $12,120 · median $7,442 | 22 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,471 – $13,455 · median $8,667 | 22 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $8,081 – $30,014 · median $20,176 | 22 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,878 – $14,560 · median $9,681 | 22 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $27,688 – $102,836 · median $67,404 | 22 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $11,491 – $42,677 · median $28,333 | 22 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $46,633 – $173,200 · median $112,576 | 22 plans |
| 215 | Other heart assist system implant | $45,354 – $168,448 · median $109,579 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $28,318 – $153,441 · median $98,224 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $27,644 – $102,673 · median $66,001 | 22 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,468 – $94,591 · median $61,999 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $28,318 – $123,018 · median $79,080 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $22,673 – $84,211 · median $54,268 | 22 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $19,660 – $73,018 · median $47,270 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $21,332 – $79,228 · median $51,153 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $13,297 – $49,387 · median $32,370 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $28,318 – $134,727 · median $86,452 | 22 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $26,150 – $97,122 · median $62,433 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $33,459 – $124,271 · median $81,346 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $22,774 – $84,586 · median $55,442 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $25,189 – $93,552 · median $61,318 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,603 – $65,378 · median $42,851 | 22 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $21,561 – $80,080 · median $52,488 | 22 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $12,466 – $46,301 · median $30,604 | 22 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,463 – $24,006 · median $16,137 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $14,521 – $53,933 · median $35,380 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $9,644 – $35,818 · median $24,042 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,726 – $28,695 · median $19,289 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $20,919 – $77,695 · median $50,925 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $9,734 – $36,772 · median $24,102 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $6,689 – $24,844 · median $16,700 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $14,685 – $54,540 · median $35,761 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $10,929 – $40,591 · median $27,030 | 22 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,489 – $27,814 · median $18,697 | 22 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $11,200 – $41,599 · median $27,661 | 22 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,250 – $26,928 · median $18,101 | 22 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,818 – $14,398 · median $9,533 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $12,010 – $44,606 · median $29,543 | 22 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,524 – $27,946 · median $18,785 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,585 – $54,168 · median $35,525 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,123 – $30,169 · median $20,279 | 22 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,497 – $24,131 · median $16,221 | 22 plans |
| 263 | VEIN LIGATION AND STRIPPING | $11,481 – $42,642 · median $28,314 | 22 plans |
| 264 | Other circulatory system O.R. procedures | $14,962 – $55,569 · median $36,422 | 22 plans |
| 265 | AICD LEAD PROCEDURES | $15,270 – $56,714 · median $37,173 | 22 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $25,645 – $95,247 · median $62,429 | 22 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $20,140 – $74,800 · median $49,027 | 22 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $28,542 – $106,008 · median $69,483 | 22 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $17,811 – $66,150 · median $43,358 | 22 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $21,974 – $81,612 · median $53,492 | 22 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $14,745 – $54,766 · median $35,902 | 22 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $10,711 – $39,782 · median $26,524 | 22 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $16,739 – $62,169 · median $40,748 | 22 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $13,360 – $49,621 · median $32,682 | 22 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $30,252 – $112,357 · median $73,644 | 22 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $26,517 – $98,485 · median $64,551 | 22 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $19,916 – $73,970 · median $48,483 | 22 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $21,417 – $79,546 · median $52,138 | 22 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $13,717 – $50,947 · median $33,512 | 22 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $7,027 – $26,100 · median $17,107 | 22 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,946 – $14,747 · median $9,607 | 22 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,104 – $12,453 · median $7,557 | 22 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $8,371 – $31,091 · median $20,899 | 22 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,172 – $12,638 · median $7,919 | 22 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,403 – $10,543 · median $5,999 | 22 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $6,165 – $51,900 · median $24,218 | 22 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,665 – $17,325 · median $11,998 | 22 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $11,693 – $43,428 · median $28,806 | 22 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,749 – $25,068 · median $16,851 | 22 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,191 – $15,566 · median $10,464 | 22 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,586 – $20,748 · median $13,947 | 22 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,687 – $14,040 · median $9,206 | 22 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,350 – $10,395 · median $5,868 | 22 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $5,257 – $19,524 · median $13,124 | 22 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,381 – $13,207 · median $8,441 | 22 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,014 – $26,049 · median $17,510 | 22 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,016 – $12,211 · median $7,529 | 22 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,890 – $9,147 · median $4,720 | 22 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,925 – $25,721 · median $17,290 | 22 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,583 – $17,021 · median $11,442 | 22 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,054 – $12,316 · median $7,624 | 22 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,980 – $18,495 · median $12,432 | 22 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,879 – $11,838 · median $7,187 | 22 plans |
| 304 | HYPERTENSION WITH MCC | $5,029 – $18,679 · median $12,556 | 22 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,214 – $12,751 · median $8,023 | 22 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $6,410 – $23,809 · median $16,004 | 22 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,965 – $14,801 · median $9,900 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,163 – $19,175 · median $12,890 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,165 – $12,618 · median $7,902 | 22 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,395 – $10,521 · median $5,980 | 22 plans |
| 311 | ANGINA PECTORIS | $2,990 – $12,140 · median $7,466 | 22 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,730 – $14,158 · median $9,312 | 22 plans |
| 313 | CHEST PAIN | $3,054 – $12,316 · median $7,624 | 22 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,219 – $41,289 · median $23,563 | 22 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,120 – $15,301 · median $10,285 | 22 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,922 – $11,958 · median $7,296 | 22 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $26,482 – $98,357 · median $64,468 | 22 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $18,804 – $69,841 · median $45,777 | 22 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,909 – $36,802 · median $24,659 | 22 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $12,187 – $45,263 · median $29,954 | 22 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $7,745 – $28,765 · median $19,336 | 22 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $18,234 – $67,721 · median $44,388 | 22 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $13,678 – $50,801 · median $33,420 | 22 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $12,252 – $45,506 · median $30,106 | 22 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $21,742 – $80,751 · median $52,928 | 22 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $10,395 – $38,607 · median $25,787 | 22 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,821 – $25,335 · median $17,030 | 22 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,657 – $73,008 · median $47,853 | 22 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,119 – $37,583 · median $25,146 | 22 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,068 – $26,251 · median $17,646 | 22 plans |
| 332 | RECTAL RESECTION WITH MCC | $14,849 – $55,149 · median $36,147 | 22 plans |
| 333 | RECTAL RESECTION WITH CC | $9,098 – $33,789 · median $22,713 | 22 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,100 – $26,369 · median $17,725 | 22 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $15,514 – $57,620 · median $37,767 | 22 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $9,043 – $33,587 · median $22,577 | 22 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $6,571 – $24,407 · median $16,406 | 22 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $11,535 – $42,841 · median $28,438 | 22 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,375 – $23,678 · median $15,917 | 22 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,331 – $19,799 · median $13,309 | 22 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,131 – $37,629 · median $25,176 | 22 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,389 – $20,015 · median $13,454 | 22 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,771 – $14,270 · median $9,415 | 22 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,359 – $38,475 · median $25,699 | 22 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $6,442 – $23,925 · median $16,082 | 22 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,720 – $17,530 · median $11,784 | 22 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $12,555 – $46,632 · median $30,811 | 22 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,282 – $27,047 · median $18,181 | 22 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $5,707 – $21,196 · median $14,248 | 22 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $18,260 – $67,820 · median $44,452 | 22 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $9,640 – $35,805 · median $24,034 | 22 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,801 – $21,545 · median $14,482 | 22 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,149 – $26,551 · median $17,848 | 22 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,356 – $16,180 · median $10,876 | 22 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,988 – $12,137 · median $7,459 | 22 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,484 – $43,940 · median $21,466 | 22 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,406 – $16,366 · median $11,001 | 22 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,105 – $12,456 · median $7,752 | 22 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,039 – $33,573 · median $22,568 | 22 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,260 – $19,536 · median $13,132 | 22 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,780 – $14,294 · median $9,436 | 22 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $7,783 – $28,908 · median $19,432 | 22 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,221 – $15,676 · median $10,537 | 22 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,725 – $11,422 · median $6,804 | 22 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,238 – $30,596 · median $20,567 | 22 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,662 – $17,317 · median $11,640 | 22 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,208 – $12,735 · median $8,009 | 22 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,412 – $20,101 · median $13,512 | 22 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,723 – $14,138 · median $9,294 | 22 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $6,955 – $25,833 · median $17,365 | 22 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,248 – $15,779 · median $10,607 | 22 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,870 – $11,814 · median $7,164 | 22 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $6,293 – $23,373 · median $15,711 | 22 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,432 – $13,345 · median $8,569 | 22 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,342 – $10,378 · median $5,847 | 22 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,501 – $20,430 · median $13,733 | 22 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,340 – $13,097 · median $9,777 | 22 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,089 – $26,329 · median $17,698 | 22 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,030 – $14,974 · median $10,061 | 22 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,724 – $11,418 · median $6,802 | 22 plans |
| 397 | Appendix Procedures with MCC | $10,607 – $39,394 · median $26,281 | 22 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $6,478 – $24,061 · median $16,174 | 22 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,812 – $17,873 · median $12,014 | 22 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $16,821 – $62,474 · median $40,948 | 22 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $23,239 – $86,312 · median $56,572 | 22 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $12,022 – $44,650 · median $29,571 | 22 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $9,143 – $33,956 · median $22,825 | 22 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $14,988 – $55,667 · median $36,487 | 22 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $8,974 – $33,331 · median $22,405 | 22 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,640 – $24,661 · median $16,577 | 22 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $11,715 – $43,509 · median $28,855 | 22 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $9,125 – $33,891 · median $22,781 | 22 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,117 – $26,432 · median $17,768 | 22 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $14,999 – $55,707 · median $36,513 | 22 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,468 – $31,450 · median $21,141 | 22 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $5,866 – $21,786 · median $14,645 | 22 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,174 – $37,786 · median $25,274 | 22 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,100 – $26,370 · median $17,726 | 22 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,641 – $20,950 · median $14,083 | 22 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $15,109 – $56,114 · median $36,780 | 22 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,010 – $26,036 · median $17,502 | 22 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $6,290 – $23,362 · median $15,704 | 22 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $17,411 – $64,667 · median $42,386 | 22 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $9,774 – $36,301 · median $24,345 | 22 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $6,617 – $24,577 · median $16,520 | 22 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,872 – $166,657 · median $108,383 | 22 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $30,390 – $112,869 · median $73,980 | 22 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $23,568 – $87,533 · median $57,373 | 22 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $35,704 – $132,606 · median $86,687 | 22 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $23,418 – $86,975 · median $57,007 | 22 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $8,387 – $41,372 · median $22,945 | 22 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,579 – $17,008 · median $11,433 | 22 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,981 – $12,119 · median $7,443 | 22 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $7,811 – $29,010 · median $19,500 | 22 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,827 – $17,929 · median $12,052 | 22 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,361 – $13,154 · median $8,391 | 22 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,123 – $26,454 · median $17,783 | 22 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,683 – $16,421 · median $11,590 | 22 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,633 – $11,170 · median $6,574 | 22 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,092 – $33,061 · median $21,263 | 22 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,136 – $15,363 · median $10,327 | 22 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,008 – $12,192 · median $7,509 | 22 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,211 – $26,784 · median $20,409 | 22 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,642 – $17,242 · median $11,590 | 22 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,413 – $13,295 · median $8,520 | 22 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $28,701 – $106,597 · median $69,868 | 22 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $17,480 – $64,923 · median $42,553 | 22 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $22,046 – $81,880 · median $53,668 | 22 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $13,210 – $49,064 · median $32,334 | 22 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $36,254 – $179,932 · median $88,722 | 22 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $24,569 – $449,071 · median $62,796 | 22 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $18,484 – $337,856 · median $47,855 | 22 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $26,271 – $97,574 · median $63,954 | 22 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $12,259 – $45,531 · median $30,122 | 22 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,120 – $85,871 · median $56,284 | 22 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,623 – $46,883 · median $30,967 | 22 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,431 – $27,601 · median $18,553 | 22 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $21,809 – $181,490 · median $53,027 | 22 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $14,662 – $122,015 · median $37,561 | 22 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $11,230 – $82,919 · median $30,453 | 22 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $13,992 – $91,034 · median $34,200 | 22 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $8,072 – $49,832 · median $22,878 | 22 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $20,793 – $206,393 · median $51,787 | 22 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $12,402 – $97,580 · median $32,763 | 22 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,134 – $65,829 · median $27,050 | 22 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,198 – $71,302 · median $46,734 | 22 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,235 – $34,298 · median $23,055 | 22 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,979 – $18,492 · median $12,430 | 22 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,722 – $54,677 · median $35,847 | 22 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,011 – $37,181 · median $24,895 | 22 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,602 – $28,234 · median $18,979 | 22 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $12,590 – $84,204 · median $32,734 | 22 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $8,883 – $51,881 · median $24,340 | 22 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $6,791 – $38,843 · median $19,807 | 22 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $10,908 – $68,332 · median $28,818 | 22 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $13,800 – $51,255 · median $33,684 | 22 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $9,079 – $33,719 · median $22,666 | 22 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,764 – $25,124 · median $16,888 | 22 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,413 – $31,248 · median $21,005 | 22 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,302 – $19,694 · median $13,238 | 22 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $15,202 – $84,187 · median $36,963 | 22 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $10,279 – $59,410 · median $27,350 | 22 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $8,072 – $36,992 · median $22,210 | 22 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $15,070 – $55,973 · median $36,687 | 22 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $8,446 – $31,369 · median $21,086 | 22 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,749 – $21,354 · median $14,354 | 22 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $10,808 – $40,143 · median $26,749 | 22 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,969 – $18,457 · median $12,407 | 22 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $13,564 – $50,379 · median $33,157 | 22 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,641 – $28,380 · median $19,077 | 22 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,981 – $22,214 · median $14,932 | 22 plans |
| 503 | FOOT PROCEDURES WITH MCC | $11,330 – $42,079 · median $27,961 | 22 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,516 – $27,914 · median $18,764 | 22 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,516 – $27,914 · median $18,764 | 22 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,417 – $23,834 · median $16,021 | 22 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,297 – $30,816 · median $20,714 | 22 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,525 – $20,521 · median $13,794 | 22 plans |
| 509 | Arthroscopy | $7,520 – $27,928 · median $18,773 | 22 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $12,235 – $45,442 · median $30,066 | 22 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $8,397 – $31,186 · median $20,963 | 22 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $6,883 – $25,562 · median $17,183 | 22 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,445 – $23,937 · median $16,091 | 22 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,365 – $16,212 · median $10,897 | 22 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $13,238 – $49,166 · median $32,397 | 22 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $8,612 – $31,984 · median $21,500 | 22 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,390 – $23,732 · median $15,953 | 22 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $15,342 – $56,982 · median $37,349 | 22 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,441 – $31,350 · median $21,074 | 22 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $6,135 – $22,786 · median $15,317 | 22 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $12,477 – $81,177 · median $32,471 | 22 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $9,025 – $55,718 · median $25,163 | 22 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,528 – $24,244 · median $16,297 | 22 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,484 – $13,490 · median $8,699 | 22 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,693 – $21,145 · median $14,214 | 22 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,471 – $13,454 · median $8,667 | 22 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,934 – $14,714 · median $9,821 | 22 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,875 – $11,828 · median $7,177 | 22 plans |
| 539 | OSTEOMYELITIS WITH MCC | $8,659 – $32,161 · median $21,619 | 22 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,541 – $20,581 · median $13,835 | 22 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,745 – $14,200 · median $9,350 | 22 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $7,984 – $29,652 · median $19,932 | 22 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,541 – $16,867 · median $11,338 | 22 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,235 – $12,810 · median $8,077 | 22 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $10,817 – $40,175 · median $26,769 | 22 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,956 – $18,407 · median $12,373 | 22 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,194 – $12,699 · median $7,975 | 22 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $8,624 – $32,031 · median $21,531 | 22 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,159 – $19,160 · median $12,879 | 22 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,691 – $14,051 · median $9,214 | 22 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,305 – $27,130 · median $18,237 | 22 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,126 – $15,324 · median $10,301 | 22 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,592 – $20,770 · median $13,962 | 22 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,573 – $13,730 · median $8,920 | 22 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,764 – $21,409 · median $14,391 | 22 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,495 – $13,519 · median $8,727 | 22 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,634 – $24,640 · median $16,563 | 22 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,698 – $14,071 · median $9,232 | 22 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,946 – $29,512 · median $19,838 | 22 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,875 – $18,107 · median $12,171 | 22 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,500 – $13,532 · median $8,739 | 22 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $6,266 – $23,273 · median $15,644 | 22 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $3,826 – $14,420 · median $9,552 | 22 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,718 – $24,950 · median $16,772 | 22 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,365 – $16,212 · median $10,897 | 22 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,202 – $12,721 · median $7,995 | 22 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $12,888 – $47,865 · median $31,581 | 22 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,170 – $26,629 · median $17,900 | 22 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,891 – $18,164 · median $12,210 | 22 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,362 – $97,909 · median $64,174 | 22 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,832 – $55,089 · median $36,108 | 22 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,547 – $31,744 · median $21,339 | 22 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,096 – $85,779 · median $56,223 | 22 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,399 – $42,335 · median $28,122 | 22 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,236 – $26,876 · median $18,066 | 22 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,952 – $51,820 · median $34,059 | 22 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,590 – $28,189 · median $18,949 | 22 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,161 – $22,882 · median $15,381 | 22 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,496 – $27,842 · median $18,716 | 22 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,032 – $26,116 · median $17,555 | 22 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $8,764 – $32,552 · median $21,882 | 22 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,498 – $31,562 · median $21,216 | 22 plans |
| 592 | SKIN ULCERS WITH MCC | $8,803 – $32,694 · median $21,977 | 22 plans |
| 593 | SKIN ULCERS WITH CC | $5,234 – $19,439 · median $13,067 | 22 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,633 – $13,894 · median $9,070 | 22 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $9,054 – $33,629 · median $22,605 | 22 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,628 – $17,188 · median $11,554 | 22 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,520 – $27,928 · median $18,773 | 22 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,619 – $17,155 · median $11,531 | 22 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,660 – $13,967 · median $9,137 | 22 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,098 – $15,219 · median $10,231 | 22 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,566 – $10,988 · median $6,407 | 22 plans |
| 602 | CELLULITIS WITH MCC | $6,291 – $23,363 · median $15,705 | 22 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,771 – $14,269 · median $9,415 | 22 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,360 – $23,623 · median $15,879 | 22 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,954 – $14,769 · median $9,873 | 22 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,893 – $25,601 · median $17,209 | 22 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,700 – $14,075 · median $9,238 | 22 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $9,756 – $36,233 · median $24,302 | 22 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $6,134 – $22,783 · median $15,315 | 22 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,546 – $61,452 · median $40,278 | 22 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,272 – $30,722 · median $20,651 | 22 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,330 – $19,796 · median $13,307 | 22 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $11,672 – $43,350 · median $28,756 | 22 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $6,836 – $25,391 · median $17,068 | 22 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $6,258 – $23,241 · median $15,623 | 22 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,028 – $59,530 · median $39,018 | 22 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,194 – $30,433 · median $20,457 | 22 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,294 – $15,949 · median $10,721 | 22 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $12,273 – $45,584 · median $30,155 | 22 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,461 – $23,996 · median $16,130 | 22 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,423 – $20,142 · median $13,540 | 22 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $16,894 – $62,746 · median $41,127 | 22 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $9,633 – $35,777 · median $24,011 | 22 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,999 – $22,279 · median $14,976 | 22 plans |
| 637 | DIABETES WITH MCC | $6,234 – $23,155 · median $15,565 | 22 plans |
| 638 | DIABETES WITH CC | $3,927 – $14,693 · median $9,803 | 22 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,682 – $11,304 · median $6,697 | 22 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $5,686 – $21,117 · median $14,195 | 22 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $3,346 – $13,109 · median $9,792 | 22 plans |
| 642 | Inborn errors of metabolism | $5,313 – $19,733 · median $13,265 | 22 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,095 – $26,351 · median $17,713 | 22 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,424 – $16,433 · median $11,046 | 22 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,335 – $13,078 · median $8,326 | 22 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $19,723 – $73,251 · median $48,069 | 22 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $14,864 – $55,208 · median $36,229 | 22 plans |
| 652 | KIDNEY TRANSPLANT | $13,148 – $48,832 · median $32,332 | 22 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $23,863 – $88,630 · median $58,092 | 22 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $12,081 – $44,868 · median $29,707 | 22 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,892 – $33,027 · median $22,201 | 22 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $13,946 – $51,797 · median $34,045 | 22 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,826 – $29,065 · median $19,538 | 22 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $6,438 – $23,912 · median $16,074 | 22 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $11,063 – $41,089 · median $27,341 | 22 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $5,736 – $21,304 · median $14,321 | 22 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,395 – $16,323 · median $10,972 | 22 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $13,354 – $49,598 · median $32,668 | 22 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $6,538 – $24,284 · median $16,324 | 22 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,623 – $17,169 · median $11,541 | 22 plans |
| 665 | PROSTATECTOMY WITH MCC | $14,698 – $54,591 · median $35,793 | 22 plans |
| 666 | PROSTATECTOMY WITH CC | $7,052 – $26,190 · median $17,605 | 22 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,400 – $16,340 · median $10,984 | 22 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $12,484 – $46,366 · median $30,645 | 22 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $6,625 – $24,605 · median $16,540 | 22 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,091 – $15,194 · median $10,213 | 22 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,379 – $27,405 · median $18,422 | 22 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,685 – $17,399 · median $11,696 | 22 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $17,937 – $66,621 · median $43,666 | 22 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $9,882 – $36,702 · median $24,595 | 22 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $6,701 – $24,887 · median $16,729 | 22 plans |
| 682 | RENAL FAILURE WITH MCC | $6,430 – $23,882 · median $16,053 | 22 plans |
| 683 | RENAL FAILURE WITH CC | $3,805 – $14,363 · median $9,501 | 22 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,601 – $11,080 · median $6,493 | 22 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $8,072 – $29,981 · median $20,153 | 22 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,506 – $16,736 · median $11,250 | 22 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,100 – $12,442 · median $7,740 | 22 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,010 – $18,609 · median $12,509 | 22 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,436 – $13,357 · median $8,578 | 22 plans |
| 693 | URINARY STONES WITH MCC | $6,294 – $23,378 · median $15,715 | 22 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,345 – $13,109 · median $8,352 | 22 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,828 – $17,930 · median $12,053 | 22 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,961 – $12,064 · median $7,393 | 22 plans |
| 697 | URETHRAL STRICTURE | $4,289 – $15,929 · median $10,707 | 22 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,196 – $26,726 · median $17,965 | 22 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,366 – $16,215 · median $10,900 | 22 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,971 – $12,092 · median $7,419 | 22 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $8,307 – $44,752 · median $22,761 | 22 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $6,346 – $34,187 · median $18,574 | 22 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $9,619 – $35,727 · median $23,985 | 22 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $6,427 – $23,871 · median $16,046 | 22 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $8,179 – $30,379 · median $20,421 | 22 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,579 – $17,007 · median $11,432 | 22 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $6,190 – $22,990 · median $15,454 | 22 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,022 – $14,956 · median $10,042 | 22 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $9,667 – $35,905 · median $24,097 | 22 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,076 – $22,565 · median $15,168 | 22 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,943 – $29,501 · median $19,831 | 22 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,273 – $19,586 · median $13,165 | 22 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,401 – $27,488 · median $18,477 | 22 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,807 – $17,854 · median $12,002 | 22 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,119 – $12,494 · median $7,787 | 22 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,407 – $20,083 · median $13,500 | 22 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,186 – $12,678 · median $7,955 | 22 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $6,290 – $23,362 · median $15,704 | 22 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,498 – $13,526 · median $8,733 | 22 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,713 – $17,503 · median $11,765 | 22 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,598 – $11,074 · median $6,487 | 22 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $9,002 – $33,433 · median $22,474 | 22 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $5,196 – $19,299 · median $12,973 | 22 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $16,856 – $62,603 · median $41,033 | 22 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $8,555 – $31,773 · median $21,358 | 22 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,493 – $24,117 · median $16,212 | 22 plans |
| 739 | UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $17,041 – $63,293 · median $41,485 | 22 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $7,784 – $28,909 · median $19,433 | 22 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $5,880 – $21,839 · median $14,680 | 22 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,820 – $35,080 · median $21,625 | 22 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $5,131 – $23,406 · median $15,518 | 22 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $8,365 – $31,067 · median $20,883 | 22 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,387 – $16,294 · median $10,953 | 22 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,169 – $26,625 · median $17,897 | 22 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,089 – $15,186 · median $10,208 | 22 plans |
| 748 | Female reproductive system reconstructive procedures | $5,832 – $21,659 · median $14,559 | 22 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $11,081 – $41,156 · median $27,383 | 22 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,520 – $20,503 · median $13,782 | 22 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,745 – $28,766 · median $19,337 | 22 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,752 – $17,651 · median $11,865 | 22 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,088 – $15,183 · median $10,206 | 22 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,058 – $22,502 · median $15,126 | 22 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,364 – $16,207 · median $10,894 | 22 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,739 – $11,460 · median $6,839 | 22 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,219 – $15,669 · median $10,533 | 22 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,714 – $11,389 · median $6,775 | 22 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,893 – $17,431 · median $11,425 | 22 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,948 – $22,093 · median $14,851 | 22 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,606 – $17,107 · median $11,499 | 22 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,054 – $12,318 · median $7,625 | 22 plans |
| 779 | ABORTION WITHOUT D&C | $4,001 – $14,899 · median $9,990 | 22 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,886 – $29,288 · median $18,675 | 22 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,636 – $18,675 · median $14,211 | 22 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,745 – $18,675 · median $12,187 | 22 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,917 – $25,691 · median $18,548 | 22 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,546 – $18,675 · median $14,022 | 22 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,874 – $18,675 · median $12,434 | 22 plans |
| 795 | NORMAL NEWBORN | $855 – $6,326 · median $2,135 | 22 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,465 – $20,298 · median $13,048 | 22 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,145 – $15,394 · median $9,896 | 22 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,145 – $15,394 · median $9,896 | 22 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $20,354 – $75,597 · median $49,549 | 22 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $12,473 – $46,326 · median $30,620 | 22 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,028 – $26,103 · median $17,546 | 22 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $15,346 – $56,995 · median $37,357 | 22 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,620 – $28,300 · median $19,024 | 22 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,733 – $17,577 · median $11,816 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,272 – $15,867 · median $10,387 | 22 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,097 – $12,435 · median $9,555 | 22 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,728 – $11,429 · median $8,416 | 22 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $9,805 – $41,836 · median $24,934 | 22 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,302 – $19,692 · median $13,237 | 22 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,074 – $15,132 · median $10,172 | 22 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $6,023 – $22,368 · median $15,036 | 22 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,951 – $14,760 · median $9,790 | 22 plans |
| 813 | Coagulation disorders | $6,627 – $24,612 · median $16,544 | 22 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,949 – $33,236 · median $22,341 | 22 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,350 – $16,156 · median $10,860 | 22 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,823 – $11,687 · median $7,048 | 22 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,081 – $40,308 · median $26,388 | 22 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,514 – $20,479 · median $13,766 | 22 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,495 – $13,519 · median $8,755 | 22 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $24,924 – $92,568 · median $60,673 | 22 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $9,556 – $35,492 · median $23,838 | 22 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,896 – $18,183 · median $12,223 | 22 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $20,032 – $74,399 · median $48,765 | 22 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $9,415 – $34,969 · median $23,506 | 22 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,269 – $19,568 · median $13,154 | 22 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $20,443 – $75,926 · median $49,765 | 22 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $10,102 – $37,519 · median $25,107 | 22 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,862 – $25,485 · median $17,131 | 22 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $13,201 – $49,029 · median $32,312 | 22 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,261 – $23,252 · median $15,630 | 22 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,927 – $18,299 · median $12,599 | 22 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,199 – $12,713 · median $10,081 | 22 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,225 – $10,058 · median $6,988 | 22 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $23,661 – $87,878 · median $57,599 | 22 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $9,143 – $33,959 · median $22,827 | 22 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,440 – $20,204 · median $13,581 | 22 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $21,434 – $79,608 · median $52,179 | 22 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $8,682 – $32,247 · median $21,676 | 22 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,866 – $21,788 · median $14,646 | 22 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $13,654 – $50,711 · median $33,362 | 22 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $6,712 – $36,970 · median $19,618 | 22 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,503 – $16,724 · median $11,242 | 22 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $8,104 – $30,100 · median $20,233 | 22 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,116 – $19,002 · median $12,773 | 22 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,582 – $13,756 · median $8,943 | 22 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,932 – $71,123 · median $28,874 | 22 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,439 – $20,203 · median $15,921 | 22 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,506 – $16,260 · median $11,000 | 22 plans |
| 849 | RADIOTHERAPY | $11,434 – $42,467 · median $28,204 | 22 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $39,434 – $146,460 · median $95,565 | 22 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $21,411 – $79,524 · median $52,123 | 22 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $8,554 – $31,771 · median $21,357 | 22 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,959 – $25,845 · median $17,373 | 22 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $19,313 – $71,730 · median $47,015 | 22 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $9,328 – $34,645 · median $23,288 | 22 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,516 – $20,486 · median $13,770 | 22 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $7,871 – $29,234 · median $19,651 | 22 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,281 – $15,898 · median $10,687 | 22 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,844 – $14,469 · median $9,597 | 22 plans |
| 865 | VIRAL ILLNESS WITH MCC | $6,318 – $23,467 · median $15,774 | 22 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,787 – $14,315 · median $9,456 | 22 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $9,179 – $34,093 · median $22,917 | 22 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,495 – $16,695 · median $11,222 | 22 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,080 – $12,389 · median $7,690 | 22 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $29,781 – $110,608 · median $72,498 | 22 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $8,401 – $43,724 · median $22,975 | 22 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,414 – $16,393 · median $11,019 | 22 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $16,822 – $62,477 · median $40,951 | 22 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,104 – $15,242 · median $10,246 | 22 plans |
| 881 | Depressive neuroses | $3,913 – $14,657 · median $9,770 | 22 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,118 – $15,294 · median $10,281 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,947 – $29,517 · median $19,841 | 22 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,150 – $26,555 · median $17,850 | 22 plans |
| 885 | Psychoses | $6,034 – $22,411 · median $15,065 | 22 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,690 – $28,563 · median $19,200 | 22 plans |
| 887 | Other mental disorder diagnoses | $5,091 – $18,910 · median $12,711 | 22 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $2,672 – $11,275 · median $6,670 | 22 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $6,198 – $23,022 · median $15,475 | 22 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $7,624 – $28,315 · median $19,033 | 22 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $3,777 – $14,285 · median $9,429 | 22 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $18,966 – $70,440 · median $46,170 | 22 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $8,123 – $30,169 · median $20,279 | 22 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,219 – $19,382 · median $13,029 | 22 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $16,529 – $61,388 · median $40,237 | 22 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,056 – $26,205 · median $17,615 | 22 plans |
| 906 | Hand procedures for injuries | $9,343 – $34,700 · median $23,325 | 22 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $17,053 – $63,338 · median $41,514 | 22 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,635 – $32,070 · median $21,558 | 22 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,429 – $20,164 · median $13,555 | 22 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $6,928 – $25,729 · median $17,295 | 22 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,923 – $14,684 · median $9,793 | 22 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,440 – $27,631 · median $18,574 | 22 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,843 – $11,741 · median $7,097 | 22 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,019 – $26,070 · median $17,524 | 22 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,786 – $14,313 · median $9,452 | 22 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $7,806 – $28,992 · median $19,489 | 22 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,349 – $16,151 · median $10,857 | 22 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,944 – $12,017 · median $7,349 | 22 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,231 – $26,858 · median $18,054 | 22 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,366 – $16,215 · median $10,900 | 22 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $101,557 – $377,193 · median $241,105 | 22 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $28,591 – $106,188 · median $69,600 | 22 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,614 – $50,565 · median $33,273 | 22 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $18,523 – $68,795 · median $45,091 | 22 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $9,186 – $34,117 · median $22,933 | 22 plans |
| 935 | Non-extensive burns | $9,402 – $34,921 · median $23,474 | 22 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $13,587 – $50,463 · median $33,209 | 22 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $9,038 – $33,570 · median $22,566 | 22 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $8,366 – $31,072 · median $20,886 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $6,535 – $24,270 · median $16,314 | 22 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,779 – $17,751 · median $11,932 | 22 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,506 – $20,449 · median $13,746 | 22 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,401 – $13,262 · median $8,492 | 22 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,619 – $17,155 · median $11,531 | 22 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,509 – $10,832 · median $6,264 | 22 plans |
| 951 | Other factors influencing health status | $2,427 – $10,609 · median $6,059 | 22 plans |
| 955 | Craniotomy for multiple significant trauma | $29,230 – $108,564 · median $71,157 | 22 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $16,363 – $60,773 · median $39,833 | 22 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $31,952 – $118,673 · median $77,758 | 22 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,593 – $65,341 · median $42,827 | 22 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,318 – $42,035 · median $27,934 | 22 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $11,630 – $43,194 · median $28,659 | 22 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $6,422 – $23,853 · median $16,034 | 22 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,906 – $14,640 · median $9,753 | 22 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $27,073 – $100,550 · median $65,905 | 22 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $11,358 – $42,186 · median $28,028 | 22 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $12,783 – $47,477 · median $31,340 | 22 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,085 – $22,599 · median $15,191 | 22 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,293 – $15,946 · median $10,719 | 22 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,172 – $22,925 · median $15,410 | 22 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $20,353 – $75,593 · median $49,547 | 22 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,482 – $38,931 · median $25,989 | 22 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,141 – $26,523 · median $17,829 | 22 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $14,996 – $55,698 · median $36,507 | 22 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,346 – $27,284 · median $18,341 | 22 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,946 – $18,371 · median $12,349 | 22 plans |
| 789 | Neonates, died or transferred to another acute care facility | $7,717 – $28,663 · median $20,850 | 21 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $25,451 – $94,526 · median $62,992 | 21 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,381 – $64,556 · median $44,107 | 21 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,488 – $38,952 · median $27,321 | 21 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,854 – $66,313 · median $45,215 | 21 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,320 – $23,472 · median $17,678 | 21 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $11,303 – $73,734 · median $58,989 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $9,248 – $66,785 · median $43,430 | 2 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $26,716 – $28,318 · median $27,517 | 1 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,716 – $28,318 · median $27,517 | 1 plans |
| 230 | Other cardiothoracic procedures w/o CC/MCC | $28,318 – $28,716 · median $28,517 | 1 plans |
| 237 | Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair | $28,318 – $28,716 · median $28,517 | 1 plans |
| 238 | Major cardiovasc procedures w/o MCC | $9,248 – $9,803 · median $9,526 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $32,384 – $40,577 · median $36,511 | 1 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $25,197 – $33,556 · median $30,128 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $24,944 – $33,218 · median $29,825 | 1 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $19,879 – $26,475 · median $23,769 | 1 plans |
| 490 | Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim | $8,220 – $8,713 · median $8,467 | 1 plans |
| 491 | Back & neck proc exc spinal fusion w/o CC/MCC | $6,165 – $6,535 · median $6,350 | 1 plans |
| 765 | Cesarean section w CC/MCC | $2,466 – $2,614 · median $2,540 | 1 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $2,466 – $2,614 · median $2,540 | 1 plans |
| 767 | Vaginal delivery w sterilization &/or D&C | $1,893 – $2,006 · median $1,950 | 1 plans |
| 774 | Vaginal delivery w complicating diagnoses | $1,893 – $2,006 · median $1,950 | 1 plans |
| 775 | Vaginal delivery w/o complicating diagnoses | $1,893 – $2,006 · median $1,950 | 1 plans |
No procedures match that keyword.