Menorah Medical Center (Acute Care) — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 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 | $2,375 – $13,947 · median $9,292 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $60,603 – $218,778 · median $104,734 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $56,656 – $104,529 · median $77,267 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $60,552 – $106,637 · median $75,147 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,603 – $200,713 · median $123,618 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $60,603 – $197,513 · median $101,221 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $60,603 – $204,160 · median $108,048 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $60,552 – $106,637 · median $79,494 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,548 – $102,327 · median $75,147 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $60,552 – $111,715 · median $68,138 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $34,491 – $77,675 · median $42,773 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $28,440 – $94,885 · median $42,773 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,457 – $97,086 · median $38,320 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,457 – $43,943 · median $25,892 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,679 – $66,007 · median $38,806 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $12,457 – $31,694 · median $15,945 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,457 – $36,674 · median $18,423 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,457 – $35,859 · median $17,505 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A | $12,457 – $67,845 · median $43,144 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,457 – $51,354 · median $23,475 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $34,491 – $302,224 · median $56,205 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $28,582 – $60,006 · median $38,806 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $27,569 – $51,193 · median $33,104 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,426 – $46,487 · median $34,491 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,426 – $61,810 · median $29,125 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,381 – $56,441 · median $34,491 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $22,381 – $42,949 · median $31,443 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $22,381 – $42,949 · median $26,453 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $12,457 – $97,086 · median $57,078 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $12,457 – $54,458 · median $27,064 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $13,357 – $180,512 · median $75,147 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $60,603 – $159,919 · median $120,848 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $60,603 – $142,470 · median $101,770 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $60,603 – $142,470 · median $93,755 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,583 – $84,447 · median $75,147 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $36,583 – $84,447 · median $60,603 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,491 – $80,974 · median $42,773 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $34,491 – $67,996 · median $42,773 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $34,491 – $145,233 · median $111,369 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $60,603 – $145,233 · median $94,336 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $60,603 – $145,233 · median $75,147 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,457 – $48,680 · median $20,019 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $11,427 – $31,694 · median $12,457 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $12,457 – $70,578 · median $15,444 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,457 – $52,943 · median $15,444 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $12,457 – $47,425 · median $15,444 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $28,582 – $57,914 · median $33,545 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $60,603 – $110,482 · median $71,070 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $60,603 – $75,147 · median $66,281 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $60,603 – $85,054 · median $71,070 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $54,280 – $75,147 · median $60,603 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $39,432 – $75,147 · median $60,603 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $28,582 – $82,905 · median $37,228 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $28,582 – $53,097 · median $37,228 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $49,814 – $182,355 · median $165,082 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $49,814 – $137,500 · median $114,370 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $49,814 – $137,500 · median $91,203 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $49,814 – $145,193 · median $134,303 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $49,814 – $137,500 · median $90,646 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $49,814 – $140,335 · median $133,466 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $49,814 – $137,500 · median $95,102 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $49,814 – $137,500 · median $71,549 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $9,436 – $36,657 · median $30,000 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,436 – $36,657 · median $17,084 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,436 – $30,000 · median $14,386 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $49,814 – $137,500 · median $64,825 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL | $49,814 – $116,715 · median $107,961 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,492 – $71,085 · median $65,754 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY | $49,814 – $89,653 · median $82,929 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,492 – $53,721 · median $51,135 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,274 – $48,007 · median $35,832 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $30,274 – $39,228 · median $35,832 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,785 – $42,007 · median $14,969 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,785 – $21,342 · median $14,969 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,493 – $14,969 · median $12,867 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,370 – $19,072 · median $14,969 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,481 – $14,969 · median $8,613 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,357 – $33,109 · median $18,541 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,023 – $144,076 · median $133,421 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $57,023 – $144,076 · median $91,587 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ | $55,636 – $144,076 · median $58,499 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $57,023 – $95,814 · median $92,220 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $57,023 – $95,814 · median $62,994 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $40,226 – $74,106 · median $63,751 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,835 – $69,438 · median $61,531 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $33,655 – $57,023 · median $35,611 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $25,144 – $57,023 · median $31,136 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,946 – $64,436 · median $49,763 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $29,946 – $38,243 · median $36,771 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $28,888 – $38,243 · median $30,375 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,324 – $55,027 · median $41,140 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $18,324 – $29,946 · median $26,046 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,937 – $29,946 · median $18,860 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,033 – $38,327 · median $29,123 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $9,436 – $41,493 · median $38,791 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,436 – $38,119 · median $21,570 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,436 – $30,587 · median $21,574 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,436 – $20,275 · median $16,670 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,436 – $14,787 · median $14,061 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $9,436 – $44,795 · median $35,112 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $9,436 – $29,510 · median $27,843 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $9,436 – $27,621 · median $22,708 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,436 – $32,961 · median $29,484 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,436 – $27,621 · median $16,438 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $9,436 – $27,621 · median $11,126 | 6 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,436 – $24,108 · median $19,749 | 6 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,436 – $16,571 · median $14,249 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,436 – $16,571 · median $12,933 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,436 – $17,273 · median $13,843 | 6 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,436 – $25,622 · median $21,998 | 6 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,436 – $19,627 · median $16,131 | 6 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $9,436 – $19,627 · median $10,777 | 6 plans |
| 089 | CONCUSSION WITH CC | $7,761 – $17,765 · median $13,548 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,436 – $17,543 · median $13,835 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,436 – $13,079 · median $11,712 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,357 – $27,649 · median $20,527 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,395 – $39,952 · median $26,219 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $12,820 – $16,756 · median $13,480 | 6 plans |
| 149 | DYSEQUILIBRIUM | $9,034 – $12,386 · median $10,990 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $13,357 – $76,374 · median $67,516 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,357 – $62,396 · median $40,686 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,357 – $62,396 · median $30,131 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,436 – $28,961 · median $27,699 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,436 – $27,855 · median $17,947 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,436 – $27,855 · median $13,538 | 6 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,436 – $37,880 · median $20,002 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,436 – $25,304 · median $18,153 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,436 – $25,304 · median $13,887 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $9,436 – $25,304 · median $10,463 | 6 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,436 – $22,670 · median $21,300 | 6 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,436 – $16,494 · median $13,255 | 6 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $9,436 – $10,690 · median $10,260 | 6 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,436 – $22,640 · median $15,626 | 6 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $9,436 – $18,190 · median $11,260 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,436 – $13,949 · median $13,109 | 6 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $87,532 – $317,476 · median $175,556 | 6 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,329 – $31,517 · median $21,091 | 6 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $13,572 – $31,517 · median $15,300 | 6 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $8,647 – $31,517 · median $12,710 | 6 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,436 – $20,348 · median $18,965 | 6 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,436 – $18,578 · median $12,767 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,874 – $17,740 · median $15,757 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $10,874 – $14,642 · median $11,789 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,436 – $19,276 · median $15,665 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $9,436 – $14,248 · median $10,869 | 6 plans |
| 304 | HYPERTENSION WITH MCC | $9,436 – $19,466 · median $15,011 | 6 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,436 – $12,439 · median $11,670 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,436 – $20,683 · median $19,493 | 6 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,436 – $15,256 · median $11,950 | 6 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $8,817 – $15,256 · median $9,353 | 6 plans |
| 311 | ANGINA PECTORIS | $9,436 – $16,516 · median $11,288 | 6 plans |
| 313 | CHEST PAIN | $10,182 – $13,701 · median $11,532 | 6 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $13,357 – $84,159 · median $58,465 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,357 – $45,438 · median $25,758 | 6 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,357 – $76,088 · median $55,182 | 6 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,357 – $46,109 · median $38,208 | 6 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,357 – $46,109 · median $26,688 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,357 – $35,001 · median $33,808 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,357 – $34,329 · median $24,814 | 6 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,483 – $20,860 · median $17,140 | 6 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $12,483 – $14,597 · median $14,162 | 6 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,142 – $24,930 · median $19,075 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,357 – $28,187 · median $22,506 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,357 – $22,091 · median $19,607 | 6 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,436 – $27,672 · median $19,828 | 6 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,436 – $16,862 · median $14,687 | 6 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $9,436 – $13,338 · median $11,283 | 6 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,436 – $28,964 · median $20,442 | 6 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,436 – $17,056 · median $14,779 | 6 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,436 – $13,338 · median $11,726 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,436 – $34,986 · median $24,194 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,436 – $20,360 · median $16,977 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,436 – $14,631 · median $14,253 | 6 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,436 – $30,128 · median $25,001 | 6 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,436 – $16,336 · median $15,392 | 6 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $9,436 – $15,247 · median $10,376 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,436 – $14,409 · median $11,953 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,436 – $26,923 · median $23,418 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,436 – $21,231 · median $16,043 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $9,436 – $21,231 · median $10,835 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,436 – $24,356 · median $19,170 | 6 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,436 – $13,283 · median $12,400 | 6 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $8,623 – $12,167 · median $9,252 | 6 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,436 – $14,386 · median $13,862 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,436 – $15,597 · median $13,283 | 6 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $13,357 – $41,057 · median $26,787 | 6 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,357 – $25,074 · median $19,187 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $13,357 – $18,621 · median $16,119 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $13,357 – $58,058 · median $45,390 | 6 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,357 – $32,777 · median $28,188 | 6 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,357 – $25,203 · median $22,149 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $13,357 – $64,660 · median $57,053 | 6 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,436 – $32,462 · median $21,883 | 6 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,436 – $17,727 · median $14,876 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $9,436 – $12,892 · median $11,259 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,436 – $30,234 · median $23,123 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,436 – $18,686 · median $17,632 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,436 – $17,492 · median $12,692 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,436 – $27,568 · median $22,341 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,436 – $18,464 · median $13,905 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,436 – $18,464 · median $10,192 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,436 – $16,010 · median $12,714 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C | $9,436 – $11,644 · median $10,637 | 6 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,436 – $17,970 · median $14,834 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,436 – $13,211 · median $12,571 | 6 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,666 – $101,685 · median $84,080 | 6 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $42,666 – $71,451 · median $47,453 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $45,064 – $84,418 · median $67,295 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $45,064 – $56,756 · median $54,141 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $41,341 – $54,305 · median $44,266 | 6 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC | $38,486 – $54,305 · median $52,837 | 6 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT | $30,569 – $54,305 · median $34,681 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,628 – $32,567 · median $25,229 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,628 – $20,520 · median $19,501 | 6 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,758 – $39,785 · median $31,777 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $12,361 – $58,336 · median $36,703 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $12,361 – $32,693 · median $24,509 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $12,361 – $22,247 · median $19,542 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,020 – $29,573 · median $21,283 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,020 – $23,152 · median $18,230 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,767 – $43,854 · median $30,597 | 6 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,767 – $29,080 · median $23,572 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,767 – $29,080 · median $23,572 | 6 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,745 – $47,359 · median $34,335 | 6 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,745 – $32,497 · median $27,268 | 6 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ | $16,745 – $26,641 · median $24,484 | 6 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,357 – $24,948 · median $19,084 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $13,357 – $16,895 · median $15,254 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,627 – $34,594 · median $32,666 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC | $17,627 – $34,594 · median $24,734 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST | $2,940 – $59,387 · median $42,706 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $27,694 – $32,674 · median $30,508 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $38,486 – $54,305 · median $47,115 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $33,222 – $54,305 · median $36,709 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $9,436 – $30,905 · median $22,255 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $9,436 – $17,579 · median $15,918 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $9,436 – $15,117 · median $12,216 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $9,436 – $41,871 · median $26,743 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,436 – $19,183 · median $15,955 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,436 – $13,665 · median $12,062 | 6 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,436 – $28,275 · median $19,747 | 6 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,436 – $15,970 · median $13,895 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,436 – $22,313 · median $15,711 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,436 – $13,529 · median $11,534 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,436 – $25,679 · median $17,311 | 6 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,436 – $14,313 · median $11,907 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,357 – $44,123 · median $29,929 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,357 – $28,010 · median $22,267 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,357 – $27,220 · median $24,551 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,436 – $24,352 · median $17,475 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,357 – $25,009 · median $19,797 | 6 plans |
| 637 | DIABETES WITH MCC | $9,436 – $24,131 · median $20,288 | 6 plans |
| 638 | DIABETES WITH CC | $9,436 – $15,198 · median $14,000 | 6 plans |
| 639 | DIABETES WITHOUT CC/MCC | $9,436 – $13,545 · median $10,292 | 6 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M | $9,436 – $22,005 · median $17,759 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,436 – $17,123 · median $14,341 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,436 – $12,903 · median $12,334 | 6 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $21,117 – $30,979 · median $25,223 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $16,178 – $28,242 · median $18,190 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,357 – $25,642 · median $19,414 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $13,357 – $15,836 · median $14,751 | 6 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,436 – $19,392 · median $18,743 | 6 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,436 – $27,853 · median $21,895 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,357 – $37,234 · median $26,941 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,357 – $24,878 · median $21,065 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,357 – $23,960 · median $20,806 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $13,357 – $16,745 · median $15,190 | 6 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC | $25,110 – $65,964 · median $57,452 | 6 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $20,741 – $30,129 · median $27,820 | 6 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT | $20,741 – $23,216 · median $22,204 | 6 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,580 – $30,268 · median $27,098 | 6 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $16,027 – $19,863 · median $19,215 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,259 – $32,378 · median $22,617 | 6 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $18,190 – $22,573 · median $21,698 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,436 – $18,394 · median $13,848 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,436 – $15,824 · median $12,625 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $23,452 · median $17,900 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,436 – $16,890 · median $14,780 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,436 – $13,497 · median $10,403 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,680 – $16,331 · median $12,867 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,680 – $10,504 · median $10,095 | 6 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,943 – $17,829 · median $15,699 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,436 – $23,312 · median $19,593 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,436 – $25,982 · median $20,075 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,436 – $17,430 · median $16,008 | 6 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $13,357 – $82,872 · median $48,678 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $26,936 · median $22,079 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $13,357 – $74,757 · median $44,820 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,357 – $36,104 · median $26,439 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $21,349 · median $19,422 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,436 – $24,456 · median $17,550 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,034 – $14,661 · median $12,072 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $9,436 – $115,269 · median $73,142 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $13,357 – $89,410 · median $85,034 | 5 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $13,357 – $67,998 · median $64,670 | 5 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,357 – $43,911 · median $41,761 | 5 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $40,226 – $50,681 · median $48,201 | 5 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $38,890 – $43,488 · median $40,891 | 5 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $33,048 – $100,737 · median $95,807 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $33,048 – $55,621 · median $52,898 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $33,048 – $36,875 · median $35,728 | 5 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $35,452 – $62,504 · median $59,445 | 5 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE | $35,452 – $38,327 · median $37,418 | 5 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,436 – $33,347 · median $31,715 | 5 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,436 – $15,268 · median $14,520 | 5 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,436 – $24,840 · median $23,624 | 5 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,436 – $18,078 · median $17,193 | 5 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,436 – $28,812 · median $27,402 | 5 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,436 – $17,463 · median $16,608 | 5 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,436 – $12,431 · median $11,822 | 5 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,436 – $25,611 · median $24,357 | 5 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,436 – $28,540 · median $27,143 | 5 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,436 – $15,193 · median $14,449 | 5 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,436 – $32,938 · median $31,326 | 5 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,436 – $14,993 · median $14,259 | 5 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,436 – $38,446 · median $36,564 | 5 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,436 – $23,039 · median $21,911 | 5 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,436 – $15,843 · median $15,067 | 5 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $9,436 – $37,548 · median $35,710 | 5 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,436 – $21,733 · median $20,670 | 5 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,436 – $14,648 · median $13,931 | 5 plans |
| 088 | CONCUSSION WITH MCC | $9,436 – $23,375 · median $22,231 | 5 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,436 – $14,206 · median $13,510 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,436 – $30,206 · median $28,727 | 5 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $9,436 – $60,459 · median $57,500 | 5 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $9,436 – $39,722 · median $37,778 | 5 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,436 – $39,722 · median $37,778 | 5 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $9,436 – $59,397 · median $56,490 | 5 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,436 – $35,945 · median $34,186 | 5 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,436 – $23,087 · median $21,957 | 5 plans |
| 100 | SEIZURES WITH MCC | $9,436 – $32,896 · median $31,286 | 5 plans |
| 101 | SEIZURES WITHOUT MCC | $9,436 – $15,273 · median $14,525 | 5 plans |
| 102 | HEADACHES WITH MCC | $9,436 – $10,789 · median $10,789 | 5 plans |
| 103 | HEADACHES WITHOUT MCC | $9,436 – $10,789 · median $10,789 | 5 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,357 – $37,392 · median $35,562 | 5 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,357 – $19,587 · median $18,629 | 5 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,357 – $25,369 · median $24,127 | 5 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,357 – $17,872 · median $16,998 | 5 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,436 – $19,274 · median $18,331 | 5 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,436 – $11,239 · median $10,689 | 5 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,436 – $13,309 · median $12,658 | 5 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,436 – $21,606 · median $20,548 | 5 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,436 – $13,682 · median $13,012 | 5 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $13,357 – $16,209 · median $15,416 | 5 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,357 – $23,175 · median $22,041 | 5 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,357 – $22,751 · median $21,637 | 5 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $13,357 – $70,078 · median $66,648 | 5 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,357 – $35,601 · median $33,858 | 5 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,357 – $26,055 · median $24,780 | 5 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,357 – $54,713 · median $52,035 | 5 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,357 – $29,109 · median $27,684 | 5 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $19,632 · median $18,671 | 5 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,436 – $38,013 · median $36,153 | 5 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,436 – $20,626 · median $19,617 | 5 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,436 – $13,268 · median $12,618 | 5 plans |
| 150 | EPISTAXIS WITH MCC | $9,436 – $22,903 · median $21,782 | 5 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,436 – $12,560 · median $11,945 | 5 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,436 – $18,804 · median $17,883 | 5 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $9,436 – $11,793 · median $11,216 | 5 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,436 – $26,948 · median $25,629 | 5 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,436 – $15,470 · median $14,713 | 5 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $9,436 – $11,142 · median $10,596 | 5 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,436 – $27,133 · median $25,805 | 5 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,436 – $15,586 · median $14,823 | 5 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $9,436 – $10,930 · median $10,395 | 5 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,357 – $63,800 · median $60,677 | 5 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,357 – $30,277 · median $28,795 | 5 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $22,434 · median $21,336 | 5 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY | $13,357 – $50,847 · median $48,358 | 5 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,436 – $23,349 · median $22,206 | 5 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,436 – $13,496 · median $12,836 | 5 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,436 – $26,785 · median $25,474 | 5 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,436 – $16,439 · median $15,635 | 5 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,436 – $12,754 · median $12,130 | 5 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,436 – $26,302 · median $25,014 | 5 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,436 – $17,698 · median $16,832 | 5 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,436 – $12,887 · median $12,256 | 5 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,436 – $26,181 · median $24,899 | 5 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,436 – $16,636 · median $15,822 | 5 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,436 – $12,166 · median $11,570 | 5 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,436 – $31,220 · median $29,692 | 5 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,436 – $16,404 · median $15,601 | 5 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $9,436 – $11,606 · median $11,038 | 5 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,436 – $29,251 · median $27,819 | 5 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,436 – $18,351 · median $17,453 | 5 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $9,436 – $11,220 · median $10,670 | 5 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,436 – $31,281 · median $29,750 | 5 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,436 – $15,009 · median $14,275 | 5 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $9,436 – $107,162 · median $101,917 | 5 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $9,436 – $44,471 · median $42,294 | 5 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $13,357 – $83,461 · median $79,377 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,357 – $48,255 · median $45,893 | 5 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC | $13,357 – $25,019 · median $23,795 | 5 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,357 – $43,355 · median $41,233 | 5 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,357 – $28,065 · median $26,691 | 5 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $13,357 – $14,779 · median $14,441 | 5 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,523 – $44,442 · median $42,267 | 5 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $94,409 – $163,642 · median $99,268 | 5 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $74,141 – $122,872 · median $77,957 | 5 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $30,815 – $53,590 · median $32,401 | 5 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $11,677 – $53,590 · median $12,278 | 5 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $8,847 – $53,590 · median $9,302 | 5 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $42,062 – $45,472 · median $45,261 | 5 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $24,847 – $45,472 · median $26,126 | 5 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $15,428 – $45,472 · median $16,222 | 5 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,436 – $27,148 · median $25,820 | 5 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $9,436 – $11,672 · median $11,101 | 5 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,961 – $10,201 · median $7,319 | 5 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,874 – $26,804 · median $25,492 | 5 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,436 – $24,812 · median $23,598 | 5 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,436 – $15,351 · median $14,599 | 5 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,436 – $14,437 · median $13,731 | 5 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,436 – $35,684 · median $33,937 | 5 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,436 – $15,945 · median $15,165 | 5 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,436 – $11,312 · median $10,759 | 5 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $87,955 – $102,509 · median $97,492 | 5 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $65,898 – $72,789 · median $71,241 | 5 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $36,479 – $40,786 · median $38,356 | 5 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $13,357 – $40,234 · median $38,264 | 5 plans |
| 332 | RECTAL RESECTION WITH MCC | $13,357 – $57,476 · median $54,663 | 5 plans |
| 333 | RECTAL RESECTION WITH CC | $13,357 – $35,216 · median $33,493 | 5 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,357 – $27,483 · median $26,138 | 5 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $13,357 – $60,040 · median $57,101 | 5 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,357 – $44,648 · median $42,463 | 5 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,357 – $24,668 · median $23,460 | 5 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,357 – $20,635 · median $19,625 | 5 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,357 – $39,218 · median $37,298 | 5 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,357 – $40,078 · median $38,116 | 5 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,357 – $18,270 · median $17,376 | 5 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $13,357 – $48,600 · median $46,221 | 5 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $13,357 – $70,683 · median $67,223 | 5 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,357 – $37,316 · median $35,489 | 5 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $22,454 · median $21,355 | 5 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,436 – $31,886 · median $30,325 | 5 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,436 – $18,046 · median $17,163 | 5 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,436 – $12,416 · median $11,808 | 5 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,436 – $20,948 · median $19,923 | 5 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,436 – $27,440 · median $26,097 | 5 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,436 – $10,545 · median $10,201 | 5 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $13,357 – $89,954 · median $85,551 | 5 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $13,357 – $46,535 · median $44,258 | 5 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,357 – $35,390 · median $33,658 | 5 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $13,357 – $58,017 · median $55,177 | 5 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $13,357 – $34,739 · median $33,039 | 5 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $13,357 – $25,702 · median $24,444 | 5 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $13,357 – $45,342 · median $43,123 | 5 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,357 – $35,321 · median $33,592 | 5 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,357 – $27,548 · median $26,199 | 5 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,357 – $39,379 · median $37,451 | 5 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,357 – $27,480 · median $26,135 | 5 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,357 – $21,833 · median $20,764 | 5 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,357 – $27,135 · median $25,807 | 5 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,357 – $24,348 · median $23,156 | 5 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $13,357 – $67,397 · median $64,098 | 5 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,357 – $37,834 · median $35,983 | 5 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $25,614 · median $24,360 | 5 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,436 – $31,324 · median $29,791 | 5 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,436 – $27,911 · median $26,545 | 5 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $40,559 – $89,495 · median $85,114 | 5 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $40,559 – $48,858 · median $46,467 | 5 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $27,359 – $43,848 · median $28,767 | 5 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $13,357 – $74,312 · median $70,674 | 5 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,357 – $35,747 · median $33,997 | 5 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC | $13,357 – $19,273 · median $18,329 | 5 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,357 – $56,984 · median $54,195 | 5 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,357 – $38,751 · median $36,854 | 5 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,357 – $29,425 · median $27,985 | 5 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $32,333 – $48,732 · median $46,347 | 5 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $32,333 – $34,955 · median $34,381 | 5 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $25,000 – $34,955 · median $26,287 | 5 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $13,357 – $42,224 · median $40,157 | 5 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,505 – $53,344 · median $50,733 | 5 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,505 – $35,143 · median $33,423 | 5 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $20,505 – $26,184 · median $24,902 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,758 – $58,843 · median $55,963 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $22,758 – $31,241 · median $29,712 | 5 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC | $13,357 – $41,838 · median $39,790 | 5 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT | $13,357 – $19,235 · median $18,293 | 5 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $13,357 – $52,505 · median $49,936 | 5 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,357 – $24,840 · median $23,624 | 5 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,858 – $32,116 · median $30,544 | 5 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $20,339 – $23,630 · median $21,385 | 5 plans |
| 509 | ARTHROSCOPY | $13,357 – $29,109 · median $27,684 | 5 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,999 – $51,241 · median $48,733 | 5 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,847 – $23,748 · median $22,586 | 5 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,436 – $25,268 · median $24,031 | 5 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,436 – $13,488 · median $12,828 | 5 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,436 – $22,036 · median $20,958 | 5 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,436 – $13,437 · median $12,779 | 5 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,436 – $15,228 · median $14,483 | 5 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $9,436 – $11,127 · median $10,582 | 5 plans |
| 539 | OSTEOMYELITIS WITH MCC | $9,436 – $33,511 · median $31,871 | 5 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,436 – $21,443 · median $20,394 | 5 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,436 – $14,497 · median $13,788 | 5 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $9,436 – $33,382 · median $31,748 | 5 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,436 – $19,969 · median $18,991 | 5 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,436 – $14,285 · median $13,586 | 5 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,436 – $21,640 · median $20,581 | 5 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,436 – $13,829 · median $13,153 | 5 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,436 – $30,759 · median $29,253 | 5 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,436 – $18,868 · median $17,945 | 5 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,436 – $13,548 · median $12,885 | 5 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $9,436 – $24,250 · median $23,063 | 5 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $9,436 – $14,810 · median $14,085 | 5 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,436 – $26,002 · median $24,729 | 5 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,436 – $16,896 · median $16,070 | 5 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,436 – $12,396 · median $11,789 | 5 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $13,357 – $49,879 · median $47,438 | 5 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,357 – $27,743 · median $26,385 | 5 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $13,357 – $18,930 · median $18,003 | 5 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $13,357 – $102,041 · median $97,047 | 5 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,357 – $57,413 · median $54,603 | 5 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,357 – $33,085 · median $31,466 | 5 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $13,357 – $89,400 · median $85,025 | 5 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,357 – $54,008 · median $51,365 | 5 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,357 – $29,379 · median $27,941 | 5 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,357 – $23,848 · median $22,680 | 5 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,357 – $29,017 · median $27,597 | 5 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,357 – $33,925 · median $32,265 | 5 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,357 – $32,893 · median $31,283 | 5 plans |
| 592 | SKIN ULCERS WITH MCC | $9,436 – $34,073 · median $32,405 | 5 plans |
| 593 | SKIN ULCERS WITH CC | $9,436 – $20,260 · median $19,269 | 5 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,436 – $14,063 · median $13,375 | 5 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $9,436 – $35,047 · median $33,332 | 5 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,436 – $29,109 · median $27,684 | 5 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,436 – $17,877 · median $17,002 | 5 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,436 – $14,166 · median $13,472 | 5 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,436 – $15,851 · median $15,075 | 5 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,436 – $10,201 · median $9,934 | 5 plans |
| 602 | CELLULITIS WITH MCC | $9,436 – $24,345 · median $23,153 | 5 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,436 – $14,595 · median $13,881 | 5 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,436 – $24,618 · median $23,413 | 5 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,436 – $15,306 · median $14,557 | 5 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,436 – $26,683 · median $25,377 | 5 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,436 – $14,320 · median $13,619 | 5 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,357 – $37,763 · median $35,915 | 5 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,357 – $23,745 · median $22,583 | 5 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $13,357 – $64,043 · median $60,909 | 5 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $13,357 – $32,007 · median $30,440 | 5 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $13,357 – $20,631 · median $19,622 | 5 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $13,357 – $62,005 · median $58,970 | 5 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $13,357 – $31,695 · median $30,144 | 5 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $13,357 – $16,621 · median $15,808 | 5 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $13,357 – $47,508 · median $45,183 | 5 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,357 – $20,993 · median $19,965 | 5 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $13,357 – $65,380 · median $62,180 | 5 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,357 – $37,268 · median $35,444 | 5 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $23,220 · median $22,083 | 5 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | $9,436 – $12,948 · median $12,314 | 5 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,436 – $20,565 · median $19,559 | 5 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,436 – $27,462 · median $26,117 | 5 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $13,357 – $92,371 · median $87,850 | 5 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $13,357 – $46,762 · median $44,474 | 5 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,357 – $34,421 · median $32,736 | 5 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $13,357 – $53,985 · median $51,343 | 5 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,357 – $30,292 · median $28,809 | 5 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $17,446 – $24,921 · median $23,702 | 5 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $40,726 – $47,373 · median $42,822 | 5 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $13,357 – $51,692 · median $49,162 | 5 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,357 – $25,309 · median $24,070 | 5 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,357 – $17,892 · median $17,017 | 5 plans |
| 665 | PROSTATECTOMY WITH MCC | $13,357 – $56,895 · median $54,110 | 5 plans |
| 666 | PROSTATECTOMY WITH CC | $13,357 – $27,296 · median $25,960 | 5 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $13,357 – $17,031 · median $16,197 | 5 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $13,357 – $48,323 · median $45,958 | 5 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,357 – $28,562 · median $27,164 | 5 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,357 – $18,134 · median $17,247 | 5 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $13,357 – $69,422 · median $66,024 | 5 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,357 – $38,250 · median $36,378 | 5 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,357 – $25,937 · median $24,668 | 5 plans |
| 682 | RENAL FAILURE WITH MCC | $9,436 – $24,887 · median $23,668 | 5 plans |
| 683 | RENAL FAILURE WITH CC | $9,436 – $14,729 · median $14,008 | 5 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $9,436 – $10,201 · median $10,065 | 5 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,436 – $31,246 · median $29,717 | 5 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,436 – $17,443 · median $16,590 | 5 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,436 – $12,000 · median $11,413 | 5 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,436 – $13,299 · median $12,648 | 5 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,436 – $18,688 · median $17,773 | 5 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $9,436 – $11,463 · median $10,902 | 5 plans |
| 697 | URETHRAL STRICTURE | $9,436 – $16,600 · median $15,787 | 5 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,436 – $16,900 · median $16,073 | 5 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $9,436 – $11,503 · median $10,940 | 5 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $25,090 – $32,156 · median $30,582 | 5 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $23,266 – $25,152 · median $24,565 | 5 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,357 – $31,659 · median $30,109 | 5 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,357 – $17,723 · median $16,856 | 5 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,357 – $37,420 · median $35,589 | 5 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,357 – $23,518 · median $22,367 | 5 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,357 – $30,746 · median $29,241 | 5 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,357 – $20,413 · median $19,414 | 5 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $28,648 · median $27,246 | 5 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,436 – $18,607 · median $17,696 | 5 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,436 – $12,073 · median $11,482 | 5 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,436 – $20,921 · median $19,897 | 5 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,436 – $12,335 · median $11,731 | 5 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $24,348 · median $23,156 | 5 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,436 – $13,539 · median $12,877 | 5 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,436 – $18,242 · median $17,349 | 5 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,436 – $10,201 · median $10,056 | 5 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,357 – $34,843 · median $33,138 | 5 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,357 – $20,114 · median $19,130 | 5 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $13,357 – $65,246 · median $62,053 | 5 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,357 – $33,114 · median $31,493 | 5 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,357 – $25,135 · median $23,905 | 5 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,357 – $16,981 · median $16,150 | 5 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,357 – $27,748 · median $26,390 | 5 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $13,357 – $15,828 · median $15,053 | 5 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $13,357 – $42,893 · median $40,794 | 5 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $21,367 · median $20,321 | 5 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $29,980 · median $28,513 | 5 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,357 – $23,024 · median $21,897 | 5 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $9,436 – $11,823 · median $11,244 | 5 plans |
| 779 | ABORTION WITHOUT D&C | $9,436 – $15,490 · median $14,732 | 5 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $13,357 – $78,787 · median $74,931 | 5 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $13,357 – $48,282 · median $45,919 | 5 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,357 – $27,203 · median $25,872 | 5 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $13,357 – $59,400 · median $56,493 | 5 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,357 – $29,495 · median $28,051 | 5 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,357 – $18,320 · median $17,423 | 5 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $9,436 – $37,950 · median $36,093 | 5 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $9,436 – $20,522 · median $19,518 | 5 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $9,436 – $15,771 · median $14,999 | 5 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,436 – $15,293 · median $14,544 | 5 plans |
| 813 | COAGULATION DISORDERS | $9,436 – $25,650 · median $24,395 | 5 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,436 – $34,640 · median $32,944 | 5 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,436 – $16,837 · median $16,013 | 5 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $9,436 – $10,926 · median $10,392 | 5 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $13,357 – $96,476 · median $91,754 | 5 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,357 – $36,991 · median $35,180 | 5 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $18,951 · median $18,024 | 5 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $13,357 – $77,539 · median $73,744 | 5 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,357 – $36,444 · median $34,660 | 5 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,357 – $20,394 · median $19,396 | 5 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $13,357 – $79,130 · median $75,257 | 5 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $13,357 – $39,104 · median $37,190 | 5 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $13,357 – $26,560 · median $25,260 | 5 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $13,357 – $51,099 · median $48,598 | 5 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $13,357 – $24,234 · median $23,048 | 5 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $9,436 – $91,587 · median $87,105 | 5 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $9,436 – $35,392 · median $33,660 | 5 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,436 – $21,056 · median $20,025 | 5 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT | $9,436 – $82,969 · median $78,909 | 5 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE | $9,436 – $33,607 · median $31,962 | 5 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,436 – $22,708 · median $21,596 | 5 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $9,436 – $52,842 · median $50,255 | 5 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $9,436 – $31,372 · median $29,837 | 5 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $9,436 – $19,805 · median $18,835 | 5 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $9,436 – $13,866 · median $13,187 | 5 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $9,436 – $42,317 · median $40,245 | 5 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,436 – $21,056 · median $20,025 | 5 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,436 – $13,569 · median $12,905 | 5 plans |
| 849 | RADIOTHERAPY | $9,436 – $44,260 · median $42,094 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $13,357 – $152,641 · median $145,170 | 5 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,436 – $30,467 · median $28,976 | 5 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,436 – $16,568 · median $15,757 | 5 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,436 – $14,880 · median $14,152 | 5 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $9,436 – $35,531 · median $33,792 | 5 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,436 – $17,400 · median $16,549 | 5 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,436 – $11,924 · median $11,340 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $13,357 – $65,114 · median $61,927 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,436 – $15,884 · median $15,107 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $9,436 – $15,147 · median $14,405 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,436 – $15,940 · median $15,160 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,436 – $30,719 · median $29,216 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,436 – $27,675 · median $26,321 | 5 plans |
| 885 | PSYCHOSES | $9,436 – $23,357 · median $22,214 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,436 – $29,768 · median $28,311 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,436 – $19,708 · median $18,744 | 5 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $9,436 – $10,341 · median $10,201 | 5 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,436 – $23,992 · median $22,818 | 5 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,436 – $29,508 · median $28,064 | 5 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,436 – $14,618 · median $13,903 | 5 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $13,357 – $73,413 · median $69,820 | 5 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,357 – $31,443 · median $29,904 | 5 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,357 – $20,201 · median $19,212 | 5 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $13,357 – $63,978 · median $60,847 | 5 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,357 – $27,311 · median $25,974 | 5 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,357 – $36,164 · median $34,394 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $13,357 – $66,010 · median $62,779 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,357 – $33,423 · median $31,788 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,357 – $21,016 · median $19,987 | 5 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,436 – $26,815 · median $25,503 | 5 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,436 – $15,185 · median $14,442 | 5 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,436 – $28,797 · median $27,388 | 5 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $9,436 – $11,004 · median $10,466 | 5 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,436 – $27,170 · median $25,840 | 5 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,436 – $14,658 · median $13,940 | 5 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,436 – $30,217 · median $28,738 | 5 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,436 – $16,834 · median $16,010 | 5 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $9,436 – $11,395 · median $10,838 | 5 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,436 – $27,993 · median $26,623 | 5 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,436 – $16,900 · median $16,073 | 5 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $13,357 – $110,669 · median $105,253 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $13,357 – $52,593 · median $50,019 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,357 – $34,986 · median $33,274 | 5 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ | $13,357 – $32,383 · median $30,798 | 5 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,436 – $21,312 · median $20,269 | 5 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,436 – $13,165 · median $12,521 | 5 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,436 – $17,879 · median $17,004 | 5 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $9,236 – $10,201 · median $9,712 | 5 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $8,935 – $10,201 · median $9,395 | 5 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $13,357 – $113,145 · median $107,607 | 5 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $13,357 – $63,337 · median $60,237 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,357 – $123,682 · median $117,628 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,357 – $68,099 · median $64,766 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,357 – $43,809 · median $41,665 | 5 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $9,436 – $45,016 · median $42,813 | 5 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,436 – $24,857 · median $23,640 | 5 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,436 – $15,122 · median $14,382 | 5 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $13,357 – $104,794 · median $99,665 | 5 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,357 – $43,965 · median $41,813 | 5 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $9,436 – $49,481 · median $47,060 | 5 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,436 – $23,553 · median $22,400 | 5 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,436 – $16,620 · median $15,806 | 5 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,436 – $23,892 · median $22,723 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,357 – $78,772 · median $74,917 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,357 – $40,568 · median $38,583 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,357 – $27,642 · median $26,289 | 5 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,357 – $58,040 · median $55,199 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,357 – $28,434 · median $27,042 | 5 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,357 – $19,147 · median $18,210 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,274 – $35,832 · median $31,969 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,867 – $45,178 · median $44,073 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,867 – $26,462 · median $25,815 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $16,867 – $24,222 · median $23,629 | 4 plans |
| 693 | URINARY STONES WITH MCC | $8,052 – $24,365 · median $23,768 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,052 – $12,948 · median $12,631 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | — | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,326 – $5,119 · median $4,565 | 4 plans |
| 795 | NORMAL NEWBORN | $1,639 – $3,005 · median $2,944 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,727 – $12,384 · median $12,081 | 4 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $443,904 – $466,749 · median $466,749 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $173,659 – $182,596 · median $182,596 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $167,824 – $176,461 · median $176,461 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $76,419 – $80,351 · median $80,351 | 3 plans |
| 007 | LUNG TRANSPLANT | $205,951 – $216,550 · median $216,550 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $206,471 – $217,097 · median $217,097 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $95,120 – $100,015 · median $100,015 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $95,120 – $100,015 · median $100,015 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $594,316 – $624,901 · median $624,901 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,326 – $4,804 · median $4,326 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | — | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | — | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,326 – $4,804 · median $4,326 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | — | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | — | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | — | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,357 – $14,441 · median $13,899 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $9,436 – $10,201 · median $9,819 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $9,436 – $10,201 · median $9,819 | 2 plans |
| 935 | NON-EXTENSIVE BURNS | $9,436 – $10,201 · median $9,819 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $275,595 – $275,595 · median $275,595 | 1 plans |
| 010 | PANCREAS TRANSPLANT | $275,595 – $275,595 · median $275,595 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $275,595 – $275,595 · median $275,595 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $196,853 – $196,853 · median $196,853 | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $196,853 – $196,853 · median $196,853 | 1 plans |
| 652 | KIDNEY TRANSPLANT | $196,853 – $196,853 · median $196,853 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $2,375 – $2,375 · median $2,375 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $2,375 – $2,375 · median $2,375 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $2,375 – $2,375 · median $2,375 | 1 plans |
No procedures match that keyword.