West Boca Medical Center — Pricing
782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 782
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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 782 procedures
Procedures with negotiated rates only
These 782 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,727 – $16,612 · median $8,866 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,900 – $26,024 · median $12,128 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,900 – $15,042 · median $11,847 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,900 – $14,643 · median $11,643 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,900 – $25,697 · median $12,128 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,900 – $15,439 · median $11,847 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,900 – $14,643 · median $11,643 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,727 – $19,344 · median $8,866 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,727 – $14,643 · median $8,866 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,727 – $14,643 · median $8,396 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,727 – $14,643 · median $8,866 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,727 – $14,643 · median $8,247 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,727 – $14,643 · median $8,247 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $4,900 – $69,233 · median $26,595 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $4,900 – $27,561 · median $16,413 | 12 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $4,900 – $59,601 · median $24,718 | 12 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $4,900 – $26,729 · median $16,242 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $4,900 – $45,166 · median $21,906 | 12 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,900 – $24,290 · median $14,582 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,423 – $15,480 · median $10,777 | 12 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $3,423 – $24,917 · median $15,061 | 12 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,423 – $15,480 · median $9,090 | 12 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $6,000 – $31,661 · median $15,061 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,000 – $15,887 · median $12,313 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $4,900 – $29,975 · median $16,909 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $22,555 · median $15,255 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $11,223 – $38,020 · median $18,008 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,223 – $36,426 · median $17,395 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,223 – $36,426 · median $16,618 | 12 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $4,900 – $191,604 | 11 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 11 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $4,900 – $313,153 · median $123,957 | 11 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $4,900 – $215,914 · median $86,063 | 11 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $4,900 – $152,021 · median $61,163 | 11 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $4,900 – $71,044 · median $29,606 | 11 plans |
| 007 | LUNG TRANSPLANT | $4,900 – $180,169 · median $72,133 | 11 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $4,900 – $77,284 · median $32,038 | 11 plans |
| 010 | PANCREAS TRANSPLANT | $4,900 – $70,702 · median $29,473 | 11 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $4,900 – $75,736 · median $31,435 | 11 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $4,900 – $58,824 · median $24,844 | 11 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $4,900 – $39,448 · median $17,569 | 11 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $4,900 – $168,338 · median $67,522 | 11 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $4,900 – $90,728 · median $37,277 | 11 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $4,900 – $90,728 · median $37,277 | 11 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | — | 11 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $4,900 – $117,409 · median $47,675 | 11 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $4,900 – $124,149 · median $50,301 | 11 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $4,900 – $90,205 · median $37,073 | 11 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $7,217 – $51,066 · median $26,997 | 11 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $7,217 – $83,263 · median $35,000 | 11 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $4,900 – $55,650 · median $23,607 | 11 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $4,900 – $64,862 · median $15,480 | 11 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $7,217 – $43,375 · median $17,569 | 11 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,900 – $35,734 · median $15,846 | 11 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $4,900 – $88,511 · median $36,413 | 11 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $4,900 – $50,353 · median $21,543 | 11 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $4,900 – $34,061 · median $17,569 | 11 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $4,900 – $60,465 · median $25,483 | 11 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $4,900 – $31,635 · median $17,569 | 11 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $4,900 – $23,837 · median $15,817 | 11 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $4,900 – $57,304 · median $24,252 | 11 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $4,900 – $33,775 · median $15,480 | 11 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $4,900 – $26,559 · median $16,935 | 11 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $4,900 – $49,581 · median $21,242 | 11 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $4,900 – $23,499 · median $15,679 | 11 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,900 – $16,759 · median $12,911 | 11 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $4,900 – $56,556 · median $23,960 | 11 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $4,900 – $32,765 · median $15,480 | 11 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $4,900 – $25,554 · median $16,522 | 11 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $4,900 – $28,561 · median $17,569 | 11 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,900 – $17,569 · median $11,963 | 11 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $4,900 – $21,643 · median $15,251 | 11 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,900 – $15,763 · median $12,401 | 11 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $4,900 – $35,163 · median $17,569 | 11 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,900 – $20,023 · median $14,251 | 11 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $4,900 – $25,379 · median $16,451 | 11 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,900 – $17,438 · median $13,190 | 11 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,900 – $17,569 · median $11,442 | 11 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $4,900 – $41,168 · median $17,963 | 11 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $4,900 – $27,492 · median $17,318 | 11 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $4,900 – $21,838 · median $15,388 | 11 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $4,900 – $29,420 · median $17,569 | 11 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,900 – $15,480 · median $12,128 | 11 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,900 – $17,569 · median $10,098 | 11 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $4,900 – $20,811 · median $14,643 | 11 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,900 – $17,569 · median $11,283 | 11 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,900 – $15,480 · median $10,847 | 11 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $4,900 – $26,284 · median $16,822 | 11 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $4,900 – $17,569 · median $12,269 | 11 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,679 | 11 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,900 – $22,223 · median $15,480 | 11 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,900 – $17,569 · median $12,128 | 11 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $4,900 – $28,110 · median $15,480 | 11 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,900 – $17,569 · median $11,594 | 11 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $4,900 – $22,192 · median $15,480 | 11 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,900 – $17,569 · median $12,128 | 11 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,900 – $15,480 · median $10,498 | 11 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $4,900 – $32,441 · median $15,480 | 11 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,900 – $15,480 · median $11,515 | 11 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $4,900 – $33,464 · median $15,480 | 11 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $4,900 – $19,923 · median $14,210 | 11 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,900 – $17,569 · median $11,577 | 11 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $4,900 – $33,383 · median $15,480 | 11 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,900 – $19,346 · median $13,973 | 11 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,900 – $15,480 · median $11,375 | 11 plans |
| 088 | CONCUSSION WITH MCC | $4,900 – $22,528 · median $15,480 | 11 plans |
| 089 | CONCUSSION WITH CC | $4,900 – $16,890 · median $12,965 | 11 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,900 – $15,480 · median $11,668 | 11 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $4,900 – $26,280 · median $15,480 | 11 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,900 – $15,480 · median $10,605 | 11 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $4,900 – $53,210 · median $22,656 | 11 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $4,900 – $35,019 · median $15,567 | 11 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,900 – $32,015 · median $17,569 | 11 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $4,900 – $53,419 · median $22,738 | 11 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,900 – $31,645 · median $15,480 | 11 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $4,900 – $19,391 · median $13,992 | 11 plans |
| 100 | SEIZURES WITH MCC | $4,900 – $29,119 · median $15,480 | 11 plans |
| 101 | SEIZURES WITHOUT MCC | $4,900 – $15,480 · median $11,516 | 11 plans |
| 102 | HEADACHES WITH MCC | $4,900 – $17,723 · median $13,307 | 11 plans |
| 103 | HEADACHES WITHOUT MCC | $4,900 – $15,480 · median $11,111 | 11 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $4,900 – $36,827 · median $16,272 | 11 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,900 – $18,093 · median $13,459 | 11 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,900 – $22,978 · median $15,465 | 11 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $4,900 – $26,891 · median $15,480 | 11 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,900 – $17,602 · median $13,257 | 11 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,900 – $18,818 · median $13,757 | 11 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,520 | 11 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,900 – $15,480 · median $10,879 | 11 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $4,900 – $19,416 · median $14,002 | 11 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,900 – $15,480 · median $10,840 | 11 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $4,900 – $38,954 · median $17,101 | 11 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,694 | 11 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $4,900 – $22,101 · median $15,105 | 11 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,251 | 11 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,900 – $17,445 · median $13,193 | 11 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $4,900 – $55,493 · median $23,546 | 11 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $4,900 – $30,429 · median $15,480 | 11 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $4,900 – $22,693 · median $15,348 | 11 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $4,900 – $48,846 · median $20,956 | 11 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $4,900 – $25,418 · median $15,480 | 11 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $17,936 · median $13,394 | 11 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $4,900 – $31,006 · median $15,480 | 11 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,900 – $18,151 · median $13,483 | 11 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,900 – $15,480 · median $11,396 | 11 plans |
| 149 | DYSEQUILIBRIUM | $4,900 – $15,480 · median $10,521 | 11 plans |
| 150 | EPISTAXIS WITH MCC | $4,900 – $19,307 · median $13,958 | 11 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,900 – $15,480 · median $10,605 | 11 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,900 – $15,480 · median $10,462 | 11 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $4,900 – $22,593 · median $15,307 | 11 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,900 – $15,480 · median $11,739 | 11 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $9,628 | 11 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $4,900 – $25,072 · median $15,480 | 11 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,900 – $15,480 · median $11,690 | 11 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,900 – $15,480 · median $9,917 | 11 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $4,900 – $37,460 · median $16,518 | 11 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $19,913 · median $14,206 | 11 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,900 – $15,480 · median $11,981 | 11 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,605 | 11 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $4,900 – $25,531 · median $15,480 | 11 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,900 – $16,173 · median $12,671 | 11 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,605 | 11 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,900 – $23,126 · median $15,480 | 11 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,900 – $15,480 · median $12,155 | 11 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,900 – $15,480 · median $10,588 | 11 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,900 – $22,797 · median $15,390 | 11 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,900 – $15,480 · median $12,039 | 11 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,900 – $15,480 · median $10,532 | 11 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,900 – $18,096 · median $13,460 | 11 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,900 – $15,480 · median $11,150 | 11 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,900 – $19,485 · median $14,031 | 11 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,900 – $15,480 · median $9,189 | 11 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $4,900 – $27,840 · median $15,480 | 11 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,900 – $15,480 · median $12,046 | 11 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,900 – $15,480 · median $10,613 | 11 plans |
| 199 | PNEUMOTHORAX WITH MCC | $4,900 – $26,058 · median $15,480 | 11 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,900 – $15,819 · median $12,445 | 11 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,900 – $15,480 · median $10,289 | 11 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,900 – $15,480 · median $11,805 | 11 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,900 – $15,480 · median $10,207 | 11 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,900 – $15,480 · median $10,993 | 11 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,900 – $26,590 · median $15,480 | 11 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,900 – $15,480 · median $11,539 | 11 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $4,900 – $101,465 · median $41,461 | 11 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $4,900 – $39,713 · median $17,396 | 11 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES | $4,900 – $158,200 · median $63,571 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $10,605 – $150,035 · median $60,389 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $7,217 – $142,551 · median $35,000 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $7,217 – $93,494 · median $35,000 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $7,217 – $83,673 · median $35,000 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $7,217 – $77,033 · median $35,000 | 11 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $7,217 – $68,279 · median $34,064 | 11 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $7,217 – $35,000 · median $12,128 | 11 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $7,217 – $35,000 · median $12,128 | 11 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $7,217 – $35,000 · median $12,128 | 11 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $7,217 – $35,000 · median $12,128 | 11 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,217 – $35,000 · median $12,128 | 11 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,217 – $35,000 · median $12,128 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $7,217 – $74,008 · median $35,000 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $7,217 – $46,702 · median $25,205 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $7,217 – $119,196 · median $30,000 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $7,217 – $87,373 · median $30,000 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $7,217 – $114,561 · median $30,000 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $7,217 – $76,347 · median $30,000 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,217 – $86,374 · median $30,000 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,217 – $59,357 · median $30,000 | 11 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $4,900 – $70,602 · median $29,434 | 11 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $4,900 – $41,262 · median $18,000 | 11 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $4,900 – $20,413 · median $14,412 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $7,217 – $50,749 · median $15,480 | 11 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $7,217 – $33,453 · median $15,480 | 11 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,217 – $26,872 · median $15,480 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $10,605 – $66,557 · median $27,858 | 11 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $3,500 – $17,569 · median $12,061 | 11 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $3,500 – $17,569 · median $12,061 | 11 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $7,217 – $17,569 · median $12,061 | 11 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $7,217 – $17,569 · median $12,061 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $7,217 – $34,529 · median $15,480 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $7,217 – $23,308 · median $15,480 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $4,900 – $49,261 · median $21,117 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $4,900 – $37,471 · median $16,522 | 11 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,900 – $40,354 · median $17,646 | 11 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $4,900 – $24,084 · median $15,480 | 11 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $12,007 | 11 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $7,217 – $39,784 · median $15,480 | 11 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,217 – $27,417 · median $15,480 | 11 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $7,217 – $48,694 · median $15,480 | 11 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,217 – $27,640 · median $15,480 | 11 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,217 – $24,166 · median $15,480 | 11 plans |
| 263 | VEIN LIGATION AND STRIPPING | $4,900 – $41,497 · median $18,091 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $4,900 – $47,971 · median $20,615 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $4,900 – $51,909 · median $22,149 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $4,900 – $100,682 · median $41,156 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $4,900 – $61,082 · median $25,724 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $4,900 – $74,276 · median $30,866 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,900 – $50,765 · median $21,703 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $4,900 – $35,831 · median $15,884 | 11 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $4,900 – $57,239 · median $24,226 | 11 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $4,900 – $47,601 · median $20,470 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $4,900 – $103,342 · median $42,193 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $4,900 – $91,215 · median $37,467 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $4,900 – $70,244 · median $29,294 | 11 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $4,900 – $65,514 · median $27,451 | 11 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $4,900 – $47,010 · median $20,240 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $4,900 – $23,303 · median $15,480 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,900 – $15,480 · median $11,536 | 11 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $4,900 – $28,956 · median $15,480 | 11 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,900 – $15,480 · median $10,491 | 11 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,717 – $15,480 · median $7,178 | 11 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $4,900 – $38,086 · median $16,762 | 11 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $4,900 – $21,704 · median $14,942 | 11 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,900 – $18,858 · median $13,773 | 11 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,900 – $15,480 · median $11,196 | 11 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,900 – $15,480 · median $8,247 | 11 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,900 – $16,064 · median $12,626 | 11 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,900 – $15,480 · median $9,275 | 11 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $4,900 – $23,548 · median $15,480 | 11 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,900 – $15,480 · median $10,424 | 11 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,432 – $15,480 · median $6,447 | 11 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $4,900 – $23,151 · median $15,480 | 11 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,311 | 11 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,900 – $16,467 · median $12,791 | 11 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,900 – $15,480 · median $9,666 | 11 plans |
| 304 | HYPERTENSION WITH MCC | $4,900 – $16,877 · median $12,960 | 11 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,900 – $15,480 · median $10,574 | 11 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $4,900 – $22,573 · median $15,298 | 11 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,900 – $15,480 · median $11,715 | 11 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,900 – $17,658 · median $13,280 | 11 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,900 – $15,480 · median $10,521 | 11 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $8,122 | 11 plans |
| 311 | ANGINA PECTORIS | $4,900 – $15,480 · median $10,240 | 11 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,900 – $15,480 · median $11,238 | 11 plans |
| 313 | CHEST PAIN | $4,900 – $15,480 · median $10,394 | 11 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $10,174 | 11 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $4,900 – $64,068 · median $26,887 | 11 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $4,900 – $32,695 · median $15,480 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $4,900 – $42,224 · median $18,375 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $4,900 – $26,782 · median $15,480 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $4,900 – $60,808 · median $25,617 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $4,900 – $43,603 · median $18,912 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $4,900 – $38,839 · median $17,056 | 11 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $4,900 – $74,600 · median $30,992 | 11 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $4,900 – $36,682 · median $16,215 | 11 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $4,900 – $23,461 · median $15,480 | 11 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,900 – $66,343 · median $27,774 | 11 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,605 – $34,841 · median $20,335 | 11 plans |
| 332 | RECTAL RESECTION WITH MCC | $4,900 – $53,282 · median $22,684 | 11 plans |
| 333 | RECTAL RESECTION WITH CC | $4,900 – $30,544 · median $15,480 | 11 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $4,900 – $23,576 · median $15,480 | 11 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $4,900 – $52,510 · median $22,383 | 11 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $4,900 – $30,923 · median $15,480 | 11 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $4,900 – $21,979 · median $15,055 | 11 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $4,900 – $17,569 · median $12,061 | 11 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $4,900 – $17,569 · median $12,061 | 11 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $4,900 – $17,569 · median $12,061 | 11 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $4,900 – $17,569 · median $12,061 | 11 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,900 – $17,569 · median $12,061 | 11 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,900 – $40,251 · median $17,606 | 11 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,900 – $22,628 · median $15,321 | 11 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,900 – $18,915 · median $13,797 | 11 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,900 – $37,441 · median $16,511 | 11 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,900 – $19,115 · median $13,879 | 11 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,915 | 11 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $4,900 – $35,251 · median $15,658 | 11 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $4,900 – $21,380 · median $14,809 | 11 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,900 – $16,289 · median $12,718 | 11 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $4,900 – $42,952 · median $18,659 | 11 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,900 – $20,014 · median $14,248 | 11 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $4,900 – $62,846 · median $26,411 | 11 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $4,900 – $32,267 · median $15,480 | 11 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $18,817 · median $13,756 | 11 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $4,900 – $24,265 · median $15,480 | 11 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,900 – $15,480 · median $11,990 | 11 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,515 | 11 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $4,900 – $25,670 · median $15,480 | 11 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,351 | 11 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $4,900 – $30,830 · median $15,480 | 11 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,900 – $17,601 · median $13,257 | 11 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,900 – $15,480 · median $11,406 | 11 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $4,900 – $26,296 · median $15,480 | 11 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,900 – $15,480 · median $11,963 | 11 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,900 – $15,480 · median $9,300 | 11 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $4,900 – $28,620 · median $15,480 | 11 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,900 – $15,760 · median $12,399 | 11 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,900 – $15,480 · median $10,596 | 11 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,900 – $20,537 · median $14,471 | 11 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,900 – $15,480 · median $11,311 | 11 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,900 – $23,015 · median $15,480 | 11 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,900 – $15,480 · median $10,048 | 11 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,900 – $21,349 · median $14,796 | 11 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,900 – $15,480 · median $10,833 | 11 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,900 – $15,480 · median $8,211 | 11 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,900 – $18,737 · median $13,724 | 11 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,900 – $15,480 · median $10,714 | 11 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,900 – $23,789 · median $15,480 | 11 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,900 – $15,480 · median $11,680 | 11 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $9,510 | 11 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $4,900 – $32,998 · median $15,480 | 11 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $4,900 – $22,227 · median $15,156 | 11 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,900 – $16,349 · median $12,743 | 11 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $4,900 – $80,860 · median $33,432 | 11 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $4,900 – $42,410 · median $18,447 | 11 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $4,900 – $31,594 · median $15,480 | 11 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $4,900 – $54,672 · median $23,226 | 11 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $4,900 – $28,749 · median $15,480 | 11 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $4,900 – $22,990 · median $15,469 | 11 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,900 – $42,309 · median $18,408 | 11 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,900 – $30,044 · median $15,480 | 11 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,900 – $22,173 · median $15,134 | 11 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $4,900 – $51,778 · median $22,098 | 11 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $4,900 – $29,021 · median $15,480 | 11 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,900 – $19,670 · median $14,107 | 11 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $4,900 – $34,044 · median $15,480 | 11 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $4,900 – $24,010 · median $15,480 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,900 – $19,288 · median $13,950 | 11 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $4,900 – $47,013 · median $20,241 | 11 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $4,900 – $25,111 · median $15,480 | 11 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,900 – $20,725 · median $14,604 | 11 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $4,900 – $57,443 · median $24,306 | 11 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $4,900 – $30,658 · median $15,480 | 11 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $23,529 · median $15,480 | 11 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,900 – $28,142 · median $15,480 | 11 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,900 – $15,480 · median $9,834 | 11 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $4,900 – $25,849 · median $15,480 | 11 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,900 – $16,167 · median $12,668 | 11 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,900 – $15,480 · median $11,042 | 11 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,900 – $24,511 · median $15,480 | 11 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,900 – $15,480 · median $11,188 | 11 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,900 – $15,480 · median $9,042 | 11 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,900 – $26,853 · median $15,480 | 11 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,900 – $15,480 · median $11,769 | 11 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,341 | 11 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $4,900 – $23,988 · median $15,480 | 11 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,900 – $15,963 · median $12,558 | 11 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,900 – $15,480 · median $10,864 | 11 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $4,900 – $100,150 · median $40,949 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $4,900 – $41,806 · median $18,212 | 11 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,900 – $83,188 · median $34,339 | 11 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,900 – $44,085 · median $19,100 | 11 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,900 – $27,478 · median $15,480 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $10,605 – $76,181 · median $31,608 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $10,605 – $51,207 · median $27,055 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $10,605 – $39,211 · median $22,130 | 11 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,900 – $63,200 · median $26,549 | 11 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,900 – $31,501 · median $15,480 | 11 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,900 – $17,286 · median $13,128 | 11 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,900 – $49,484 · median $21,204 | 11 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,900 – $35,012 · median $15,564 | 11 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,900 – $27,378 · median $15,480 | 11 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $4,900 – $20,966 · median $14,643 | 11 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $4,900 – $38,350 · median $15,480 | 11 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,900 – $18,945 · median $13,809 | 11 plans |
| 509 | ARTHROSCOPY | $4,900 – $19,479 · median $14,028 | 11 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $4,900 – $46,436 · median $20,016 | 11 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $4,900 – $43,979 · median $19,059 | 11 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $4,900 – $31,024 · median $15,480 | 11 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $4,900 – $23,962 · median $15,480 | 11 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,900 – $15,480 · median $10,915 | 11 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,900 – $19,046 · median $13,850 | 11 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,900 – $15,480 · median $10,734 | 11 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,900 – $15,480 · median $11,862 | 11 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,900 – $15,480 · median $10,307 | 11 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,900 – $29,147 · median $15,480 | 11 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,900 – $19,068 · median $13,859 | 11 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,900 – $15,480 · median $11,204 | 11 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $4,900 – $26,787 · median $15,480 | 11 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,900 – $15,480 · median $10,605 | 11 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $4,900 – $36,620 · median $16,191 | 11 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,900 – $17,615 · median $13,263 | 11 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $4,900 – $28,639 · median $15,480 | 11 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,900 – $17,717 · median $13,304 | 11 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,900 – $15,480 · median $11,583 | 11 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $4,900 – $24,998 · median $15,480 | 11 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,900 – $15,480 · median $11,858 | 11 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,900 – $19,851 · median $14,181 | 11 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,900 – $15,480 · median $10,986 | 11 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,900 – $20,549 · median $14,480 | 11 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,900 – $15,480 · median $11,002 | 11 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,900 – $22,866 · median $15,419 | 11 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,900 – $15,480 · median $11,328 | 11 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,900 – $27,180 · median $15,480 | 11 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,900 – $16,628 · median $12,858 | 11 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,900 – $15,480 · median $10,640 | 11 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $4,900 – $22,336 · median $15,201 | 11 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,900 – $15,480 · median $11,431 | 11 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $4,900 – $22,941 · median $15,450 | 11 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,900 – $15,480 · median $12,057 | 11 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $10,556 | 11 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $4,900 – $42,921 · median $18,647 | 11 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $4,900 – $24,851 · median $15,480 | 11 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,900 – $16,738 · median $12,903 | 11 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,900 – $91,331 · median $37,512 | 11 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,900 – $50,024 · median $21,415 | 11 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,900 – $30,052 · median $15,480 | 11 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,900 – $83,473 · median $34,450 | 11 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,900 – $38,910 · median $17,083 | 11 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,900 – $23,655 · median $15,480 | 11 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $4,900 – $49,090 · median $21,051 | 11 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,900 – $19,780 · median $14,152 | 11 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $4,900 – $24,486 · median $15,480 | 11 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $4,900 – $22,354 · median $15,208 | 11 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $4,900 – $28,768 · median $15,480 | 11 plans |
| 592 | SKIN ULCERS WITH MCC | $4,900 – $30,699 · median $15,480 | 11 plans |
| 593 | SKIN ULCERS WITH CC | $4,900 – $17,771 · median $13,327 | 11 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,739 | 11 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $4,900 – $31,946 · median $15,480 | 11 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,900 – $15,480 · median $12,115 | 11 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $4,900 – $23,508 · median $15,480 | 11 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,900 – $17,608 · median $13,260 | 11 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $9,127 | 11 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $9,145 | 11 plans |
| 602 | CELLULITIS WITH MCC | $4,900 – $21,848 · median $15,001 | 11 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,900 – $15,480 · median $11,366 | 11 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $4,900 – $22,123 · median $15,114 | 11 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,900 – $15,480 · median $11,511 | 11 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,900 – $23,292 · median $15,480 | 11 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,900 – $15,480 · median $11,419 | 11 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $4,900 – $33,083 · median $15,480 | 11 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $4,900 – $21,608 · median $14,902 | 11 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,900 – $58,131 · median $24,574 | 11 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,900 – $29,148 · median $15,480 | 11 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,900 – $17,060 · median $13,035 | 11 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,900 – $56,190 · median $23,818 | 11 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,900 – $27,340 · median $15,480 | 11 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,900 – $16,370 · median $12,751 | 11 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $4,900 – $42,907 · median $18,641 | 11 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,900 – $21,913 · median $15,027 | 11 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,900 – $18,154 · median $13,484 | 11 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $4,900 – $58,965 · median $24,899 | 11 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $4,900 – $33,236 · median $15,480 | 11 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $20,509 · median $14,452 | 11 plans |
| 637 | DIABETES WITH MCC | $4,900 – $21,287 · median $14,771 | 11 plans |
| 638 | DIABETES WITH CC | $4,900 – $15,480 · median $11,454 | 11 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,900 – $15,480 · median $9,143 | 11 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,900 – $19,318 · median $13,962 | 11 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,900 – $15,480 · median $10,657 | 11 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,900 – $19,143 · median $13,890 | 11 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,900 – $24,163 · median $15,480 | 11 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,900 – $15,594 · median $12,268 | 11 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,605 | 11 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 11 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | — | 11 plans |
| 652 | KIDNEY TRANSPLANT | — | 11 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $4,900 – $79,515 · median $32,907 | 11 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $4,900 – $40,208 · median $17,589 | 11 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,900 – $30,959 · median $15,480 | 11 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $4,900 – $46,085 · median $19,880 | 11 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $4,900 – $27,088 · median $15,480 | 11 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $4,900 – $21,744 · median $14,958 | 11 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $4,900 – $38,026 · median $16,739 | 11 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $4,900 – $19,769 · median $14,147 | 11 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $4,900 – $44,016 · median $19,073 | 11 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,900 – $21,430 · median $14,829 | 11 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,900 – $15,593 · median $12,267 | 11 plans |
| 665 | PROSTATECTOMY WITH MCC | $4,900 – $45,373 · median $19,602 | 11 plans |
| 666 | PROSTATECTOMY WITH CC | $4,900 – $25,225 · median $15,480 | 11 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $4,900 – $41,391 · median $18,050 | 11 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $4,900 – $22,540 · median $15,285 | 11 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,835 | 11 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,900 – $25,144 · median $15,480 | 11 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,595 | 11 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $4,900 – $54,316 · median $23,087 | 11 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $4,900 – $34,990 · median $15,556 | 11 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $4,900 – $23,303 · median $15,480 | 11 plans |
| 683 | RENAL FAILURE WITH CC | $4,900 – $15,480 · median $11,463 | 11 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,900 – $15,480 · median $8,938 | 11 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $4,900 – $27,017 · median $15,480 | 11 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,650 | 11 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,900 – $17,250 · median $13,113 | 11 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,900 – $15,480 · median $10,897 | 11 plans |
| 693 | URINARY STONES WITH MCC | $4,900 – $20,803 · median $14,643 | 11 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,900 – $15,480 · median $10,674 | 11 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,900 – $17,567 · median $13,243 | 11 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,900 – $15,480 · median $10,166 | 11 plans |
| 697 | URETHRAL STRICTURE | $4,900 – $16,349 · median $12,743 | 11 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,900 – $24,300 · median $15,480 | 11 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $10,302 | 11 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $4,900 – $28,816 · median $15,480 | 11 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,900 – $21,422 · median $14,826 | 11 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $4,900 – $31,139 · median $15,480 | 11 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,900 – $18,129 · median $13,474 | 11 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $4,900 – $31,181 · median $15,480 | 11 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,900 – $17,455 · median $13,197 | 11 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,900 – $21,308 · median $14,779 | 11 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,900 – $15,480 · median $11,811 | 11 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $4,900 – $32,424 · median $15,480 | 11 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,900 – $20,889 · median $14,643 | 11 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $4,900 – $26,640 · median $15,480 | 11 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,900 – $17,270 · median $13,121 | 11 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $4,900 – $27,537 · median $15,480 | 11 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,900 – $16,367 · median $12,750 | 11 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,900 – $15,480 · median $10,912 | 11 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,900 – $18,226 · median $13,514 | 11 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,900 – $15,480 · median $10,438 | 11 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,900 – $23,809 · median $15,480 | 11 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,900 – $15,480 · median $10,856 | 11 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,900 – $15,480 · median $12,085 | 11 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $9,130 | 11 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $4,900 – $31,926 · median $15,480 | 11 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,900 – $18,510 · median $13,630 | 11 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $4,900 – $57,095 · median $24,170 | 11 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $4,900 – $28,991 · median $15,480 | 11 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,900 – $20,043 · median $14,260 | 11 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $4,900 – $53,116 · median $22,620 | 11 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $4,900 – $26,247 · median $15,480 | 11 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,900 – $19,084 · median $13,866 | 11 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $4,900 – $26,173 · median $15,480 | 11 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,900 – $17,067 · median $13,038 | 11 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $4,900 – $27,649 · median $15,480 | 11 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,900 – $24,619 · median $15,480 | 11 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,381 | 11 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,900 – $20,635 · median $14,541 | 11 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $4,900 – $36,973 · median $16,328 | 11 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $19,976 · median $14,232 | 11 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,900 – $27,210 · median $15,480 | 11 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,900 – $15,932 · median $12,534 | 11 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,900 – $15,480 · median $11,999 | 11 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,900 – $21,909 · median $15,026 | 11 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,900 – $15,480 · median $12,016 | 11 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,900 – $15,480 · median $9,491 | 11 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,900 – $15,480 · median $12,033 | 11 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $8,895 | 11 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,900 – $22,677 · median $15,341 | 11 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,900 – $15,480 · median $10,847 | 11 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,900 – $15,480 · median $10,353 | 11 plans |
| 779 | ABORTION WITHOUT D&C | $4,900 – $15,480 · median $11,996 | 11 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | — | 11 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | — | 11 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | — | 11 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | — | 11 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | — | 11 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | — | 11 plans |
| 795 | NORMAL NEWBORN | — | 11 plans |
| 799 | SPLENECTOMY WITH MCC | $4,900 – $72,773 · median $30,280 | 11 plans |
| 800 | SPLENECTOMY WITH CC | $4,900 – $41,386 · median $18,048 | 11 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $4,900 – $26,287 · median $15,480 | 11 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $4,900 – $49,797 · median $21,326 | 11 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $4,900 – $27,293 · median $15,480 | 11 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,900 – $17,778 · median $13,330 | 11 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $4,900 – $32,168 · median $15,480 | 11 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,900 – $15,480 · median $12,026 | 11 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,313 | 11 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,900 – $33,121 · median $15,480 | 11 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,900 – $17,230 · median $13,105 | 11 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,501 | 11 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $4,900 – $88,814 · median $36,531 | 11 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $4,900 – $32,785 · median $15,480 | 11 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $18,195 · median $13,501 | 11 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $4,900 – $66,124 · median $27,689 | 11 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $4,900 – $32,797 · median $15,480 | 11 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,900 – $18,968 · median $13,818 | 11 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $4,900 – $64,463 · median $27,041 | 11 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $4,900 – $34,035 · median $15,480 | 11 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $24,094 · median $15,480 | 11 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $4,900 – $46,323 · median $19,972 | 11 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,900 – $23,225 · median $15,480 | 11 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,900 – $15,480 · median $12,120 | 11 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,900 – $15,480 · median $10,479 | 11 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,849 – $15,480 · median $7,517 | 11 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $4,900 – $82,238 · median $33,969 | 11 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $4,900 – $32,835 · median $15,480 | 11 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $17,586 · median $13,251 | 11 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $4,900 – $27,328 · median $15,480 | 11 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,900 – $16,997 · median $13,009 | 11 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $11,246 | 11 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $4,900 – $35,897 · median $15,909 | 11 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,900 – $17,811 · median $13,343 | 11 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,605 | 11 plans |
| 849 | RADIOTHERAPY | $4,900 – $39,531 · median $17,326 | 11 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $4,900 – $73,430 · median $30,536 | 11 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $4,900 – $29,937 · median $15,480 | 11 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $24,996 · median $15,480 | 11 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $4,900 – $65,044 · median $27,268 | 11 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $4,900 – $31,369 · median $15,480 | 11 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,900 – $18,851 · median $13,770 | 11 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $4,900 – $27,055 · median $15,480 | 11 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,900 – $15,480 · median $12,094 | 11 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,900 – $15,480 · median $11,354 | 11 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,900 – $24,087 · median $15,480 | 11 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,900 – $15,480 · median $11,565 | 11 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $4,900 – $30,732 · median $15,480 | 11 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,900 – $15,944 · median $12,543 | 11 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,900 – $15,480 · median $10,145 | 11 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $4,900 – $102,300 · median $41,787 | 11 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $4,900 – $29,120 · median $15,480 | 11 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $4,900 – $54,808 · median $23,279 | 11 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,900 – $15,480 · median $11,787 | 11 plans |
| 881 | DEPRESSIVE NEUROSES | $4,900 – $15,480 · median $11,497 | 11 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,900 – $15,480 · median $11,695 | 11 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $4,900 – $27,546 · median $15,480 | 11 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,900 – $25,805 · median $15,480 | 11 plans |
| 885 | PSYCHOSES | $4,900 – $20,070 · median $14,271 | 11 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $4,900 – $24,701 · median $15,480 | 11 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $4,900 – $19,030 · median $13,844 | 11 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,900 – $15,480 · median $8,438 | 11 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $4,900 – $23,630 · median $15,480 | 11 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,900 – $26,117 · median $15,480 | 11 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,900 – $15,480 · median $11,190 | 11 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $4,900 – $63,567 · median $26,692 | 11 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $4,900 – $27,682 · median $15,480 | 11 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,900 – $18,235 · median $13,517 | 11 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $4,900 – $47,827 · median $20,558 | 11 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,900 – $23,261 · median $15,480 | 11 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $4,900 – $27,637 · median $15,480 | 11 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $4,900 – $54,632 · median $23,210 | 11 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $4,900 – $29,436 · median $15,480 | 11 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,900 – $19,921 · median $14,210 | 11 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,900 – $21,951 · median $15,043 | 11 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,900 – $15,480 · median $11,504 | 11 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,900 – $26,057 · median $15,480 | 11 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,900 – $15,480 · median $9,676 | 11 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,900 – $23,441 · median $15,480 | 11 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,900 – $15,480 · median $11,222 | 11 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $4,900 – $26,801 · median $15,480 | 11 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,900 – $15,480 · median $10,239 | 11 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,900 – $25,629 · median $15,480 | 11 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $4,900 – $387,157 · median $152,797 | 11 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $4,900 – $101,637 · median $41,528 | 11 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $4,900 – $47,229 · median $20,325 | 11 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $4,900 – $44,534 · median $19,275 | 11 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $4,900 – $30,735 · median $15,480 | 11 plans |
| 935 | NON-EXTENSIVE BURNS | $4,900 – $29,980 · median $15,480 | 11 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $4,900 – $47,226 · median $20,324 | 11 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $4,900 – $31,823 · median $15,480 | 11 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,900 – $27,261 · median $15,480 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,900 – $22,172 · median $15,134 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,900 – $18,384 · median $13,578 | 11 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,900 – $15,480 · median $10,861 | 11 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,900 – $15,480 · median $12,128 | 11 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,900 – $15,480 · median $9,227 | 11 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,900 – $15,480 · median $8,666 | 11 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $4,900 – $89,453 · median $42,757 | 11 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $4,900 – $56,963 · median $29,418 | 11 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,900 – $106,231 · median $43,319 | 11 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,900 – $59,410 · median $25,072 | 11 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,900 – $37,196 · median $16,415 | 11 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,900 – $40,161 · median $17,571 | 11 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,900 – $22,047 · median $15,082 | 11 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,900 – $15,480 · median $11,795 | 11 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $4,900 – $100,945 · median $41,259 | 11 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $4,900 – $35,316 · median $15,683 | 11 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $4,900 – $42,838 · median $18,614 | 11 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,900 – $20,024 · median $14,252 | 11 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,900 – $15,480 · median $11,128 | 11 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,900 – $20,800 · median $14,643 | 11 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $4,900 – $69,627 · median $29,054 | 11 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,900 – $36,514 · median $16,150 | 11 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,900 – $24,018 · median $15,480 | 11 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $4,900 – $49,597 · median $21,248 | 11 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,900 – $24,926 · median $15,480 | 11 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,900 – $15,867 · median $12,483 | 11 plans |
| 999 | UNGROUPABLE | $4,900 – $17,569 · median $12,061 | 11 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,900 – $17,452 · median $13,463 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,900 – $16,186 · median $12,705 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,900 – $15,480 · median $10,797 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,217 – $113,262 · median $43,766 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $4,900 – $25,485 · median $15,987 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $4,900 – $91,743 · median $40,685 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $4,900 – $71,680 · median $32,657 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,900 – $15,480 · median $10,077 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,900 – $15,672 · median $12,397 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $4,900 – $30,749 · median $17,068 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,900 – $15,480 · median $11,520 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,605 – $32,000 · median $16,709 | 10 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,900 – $17,569 · median $11,808 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $4,900 – $25,231 · median $15,935 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,900 – $15,480 · median $11,558 | 10 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $4,900 – $130,156 · median $37,475 | 10 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $4,900 – $89,836 · median $29,197 | 10 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $4,900 – $67,647 · median $24,642 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $4,900 – $123,811 · median $36,172 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $4,900 – $89,234 · median $29,074 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $4,900 – $66,551 · median $24,417 | 10 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $4,900 – $97,415 · median $33,618 | 10 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $4,900 – $53,727 · median $24,650 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $11,666 – $48,908 · median $27,055 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,666 – $28,000 · median $18,427 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $4,900 – $72,250 · median $25,587 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $4,900 – $43,409 · median $19,667 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $4,900 – $36,141 · median $18,175 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $4,900 – $43,313 · median $19,647 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $4,900 – $30,476 · median $17,012 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $4,900 – $23,330 · median $15,545 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $4,900 – $36,488 · median $18,575 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $4,900 – $48,382 · median $23,335 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $4,900 – $29,498 · median $16,811 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,900 – $22,691 · median $15,414 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $4,900 – $30,942 · median $17,107 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,900 – $18,179 · median $13,898 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $4,900 – $50,851 · median $24,323 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $4,900 – $35,276 · median $17,997 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $4,900 – $27,455 · median $16,391 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $4,900 – $52,601 · median $25,023 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $4,900 – $29,192 · median $16,748 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $4,900 – $47,630 · median $23,034 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $4,900 – $25,494 · median $15,989 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,900 – $20,309 · median $14,506 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $4,900 – $39,392 · median $18,842 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $4,900 – $25,368 · median $15,963 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $4,900 – $25,053 · median $15,898 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $4,900 – $21,483 · median $14,994 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $4,900 – $31,310 · median $17,183 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $4,900 – $21,063 · median $14,760 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $4,900 – $39,960 · median $19,965 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $4,900 – $29,285 · median $16,767 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $4,900 – $23,703 · median $15,621 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,900 – $23,809 · median $15,643 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,900 – $15,480 · median $12,173 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $4,900 – $53,638 · median $25,438 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $4,900 – $28,915 · median $17,435 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,900 – $21,026 · median $15,148 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,900 – $16,020 · median $12,606 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $10,770 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $4,900 – $25,654 · median $16,022 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $4,900 – $24,735 · median $15,833 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,900 – $15,480 · median $12,234 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $4,900 – $22,044 · median $15,281 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,900 – $17,690 · median $13,605 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,900 – $15,480 · median $11,848 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,900 – $20,616 · median $14,585 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,900 – $15,480 · median $11,034 | 10 plans |
| 813 | COAGULATION DISORDERS | $4,900 – $22,913 · median $15,459 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $4,900 – $31,258 · median $17,172 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $4,900 – $69,865 · median $31,931 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $4,900 – $28,677 · median $16,642 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,900 – $19,140 · median $14,266 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $4,900 – $45,903 · median $22,343 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,900 – $23,112 · median $15,500 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,900 – $15,663 · median $12,392 | 10 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $4,900 – $15,480 · median $11,808 | 10 plans |
No procedures match that keyword.