Mercy Health - Lourdes Hospital — Pricing
447 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 447 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 447
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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 447 procedures
Procedures with negotiated rates only
These 447 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 |
|---|---|---|---|
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,934 – $50,926 · median $23,029 | 30 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,486 – $35,955 · median $16,370 | 30 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,731 – $27,237 · median $12,491 | 30 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,306 – $63,398 · median $28,577 | 30 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,864 – $39,154 · median $17,792 | 30 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,705 – $31,821 · median $14,531 | 30 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,446 – $26,577 · median $12,198 | 30 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,292 – $19,254 · median $8,940 | 30 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,771 – $25,009 · median $11,500 | 30 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,754 – $20,325 · median $9,417 | 30 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,186 – $32,938 · median $15,027 | 30 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,127 – $16,548 · median $7,736 | 30 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,828 – $11,210 · median $5,344 | 30 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,361 – $24,056 · median $11,076 | 30 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,098 – $14,158 · median $6,673 | 30 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,635 – $13,084 · median $6,195 | 30 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,238 – $16,805 · median $7,851 | 30 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,317 – $26,277 · median $12,064 | 30 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,768 – $29,646 · median $13,563 | 30 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,124 – $37,436 · median $17,028 | 30 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,847 – $22,862 · median $10,545 | 30 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,027 – $37,211 · median $16,928 | 30 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,190 – $21,337 · median $9,867 | 30 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,453 – $14,982 · median $7,040 | 30 plans |
| 089 | CONCUSSION WITH CC | $7,750 – $17,994 · median $8,380 | 30 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,389 – $28,765 · median $13,171 | 30 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,217 – $16,756 · median $7,829 | 30 plans |
| 100 | SEIZURES WITH MCC | $13,663 – $31,723 · median $14,487 | 30 plans |
| 101 | SEIZURES WITHOUT MCC | $6,367 – $14,784 · median $6,952 | 30 plans |
| 103 | HEADACHES WITHOUT MCC | $5,900 – $13,698 · median $6,469 | 30 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,634 – $13,080 · median $6,133 | 30 plans |
| 149 | DYSEQUILIBRIUM | $5,302 – $12,310 · median $5,794 | 30 plans |
| 150 | EPISTAXIS WITH MCC | $9,393 – $21,809 · median $10,076 | 30 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,178 – $12,022 · median $5,667 | 30 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,340 – $19,363 · median $8,967 | 30 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,208 – $12,091 · median $5,698 | 30 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,030 – $25,609 · median $11,767 | 30 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,465 – $15,011 · median $6,994 | 30 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,111 – $28,119 · median $12,884 | 30 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,418 – $14,902 · median $6,944 | 30 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,805 – $41,341 · median $18,765 | 30 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,504 – $31,353 · median $14,322 | 30 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,367 – $61,220 · median $27,608 | 30 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,722 – $29,538 · median $13,515 | 30 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,639 – $22,380 · median $10,331 | 30 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,690 – $22,498 · median $10,383 | 30 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,679 – $13,185 · median $6,179 | 30 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,024 – $25,595 · median $11,761 | 30 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,885 – $15,986 · median $7,436 | 30 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,326 – $12,366 · median $5,819 | 30 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,555 – $17,542 · median $8,142 | 30 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,318 – $12,346 · median $5,810 | 30 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,793 – $25,058 · median $11,522 | 30 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,994 – $25,527 · median $11,731 | 30 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,715 – $20,235 · median $9,362 | 30 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,947 – $13,808 · median $6,454 | 30 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,529 – $10,515 · median $5,003 | 30 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,685 – $13,200 · median $6,186 | 30 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,434 – $10,294 · median $4,906 | 30 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,313 – $30,910 · median $14,125 | 30 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,445 – $28,894 · median $13,229 | 30 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,851 – $15,907 · median $7,400 | 30 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,917 – $29,990 · median $13,716 | 30 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,390 – $45,021 · median $20,402 | 30 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,720 – $80,613 · median $36,235 | 30 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,109 – $46,688 · median $21,144 | 30 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,523 – $52,295 · median $23,638 | 30 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,032 – $34,902 · median $15,901 | 30 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,185 – $74,728 · median $33,617 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,543 – $24,478 · median $11,264 | 30 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,608 – $57,135 · median $25,791 | 30 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,310 – $42,513 · median $19,287 | 30 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,947 – $53,278 · median $24,075 | 30 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,336 – $30,965 · median $14,149 | 30 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,568 – $50,077 · median $22,651 | 30 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,566 – $54,716 · median $24,715 | 30 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,221 – $86,421 · median $38,818 | 30 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,103 – $67,572 · median $30,434 | 30 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,441 – $59,069 · median $26,651 | 30 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,316 – $26,274 · median $12,063 | 30 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,484 – $15,054 · median $7,072 | 30 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,973 – $32,444 · median $14,807 | 30 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,610 – $36,243 · median $16,498 | 30 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,549 – $17,527 · median $8,172 | 30 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,041 – $27,957 · median $12,812 | 30 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,056 – $21,027 · median $9,729 | 30 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,989 – $13,906 · median $6,561 | 30 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,993 – $9,271 · median $4,471 | 30 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,018 – $25,582 · median $11,755 | 30 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,518 – $26,742 · median $12,271 | 30 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,077 – $11,788 · median $5,619 | 30 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,441 – $19,599 · median $9,094 | 30 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,749 – $11,026 · median $5,280 | 30 plans |
| 304 | HYPERTENSION WITH MCC | $8,395 – $19,491 · median $9,046 | 30 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,327 – $12,368 · median $5,877 | 30 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,494 – $19,720 · median $9,148 | 30 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,190 – $12,050 · median $5,736 | 30 plans |
| 311 | ANGINA PECTORIS | $4,951 – $11,496 · median $5,489 | 30 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,149 – $14,276 · median $6,726 | 30 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,710 – $34,153 · median $15,568 | 30 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,796 – $15,778 · median $7,394 | 30 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,812 – $11,172 · median $5,345 | 30 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,437 – $28,876 · median $13,221 | 30 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,228 – $51,610 · median $23,333 | 30 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,183 – $81,689 · median $36,713 | 30 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,242 – $40,034 · median $18,184 | 30 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,911 – $39,264 · median $17,841 | 30 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,872 – $27,564 · median $12,637 | 30 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,191 – $58,488 · median $26,393 | 30 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,829 – $25,142 · median $11,559 | 30 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,233 – $21,437 · median $9,908 | 30 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,142 – $14,260 · median $6,653 | 30 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,238 – $19,127 · median $8,860 | 30 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,868 – $27,556 · median $12,633 | 30 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,405 – $38,089 · median $17,319 | 30 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,861 – $22,896 · median $10,560 | 30 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,257 – $56,321 · median $25,429 | 30 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,230 – $26,074 · median $11,974 | 30 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,056 – $16,382 · median $7,616 | 30 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,944 – $11,478 · median $5,428 | 30 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,508 – $29,042 · median $13,294 | 30 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,203 – $16,723 · median $7,770 | 30 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,087 – $35,030 · median $15,958 | 30 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,533 – $19,812 · median $9,171 | 30 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,895 – $29,941 · median $13,694 | 30 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,918 – $16,063 · median $7,471 | 30 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,447 – $10,325 · median $4,920 | 30 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,842 – $32,139 · median $14,672 | 30 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,643 – $17,747 · median $8,234 | 30 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,648 – $13,113 · median $6,148 | 30 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,887 – $15,991 · median $7,438 | 30 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,806 – $11,159 · median $5,287 | 30 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,418 – $24,189 · median $11,135 | 30 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,572 – $12,936 · median $6,070 | 30 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,838 – $8,910 · median $4,296 | 30 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,947 – $20,773 · median $9,607 | 30 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,500 – $12,769 · median $5,996 | 30 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,282 – $26,195 · median $12,028 | 30 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,601 – $15,326 · median $7,137 | 30 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,075 – $18,749 · median $8,689 | 30 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,360 – $35,662 · median $16,239 | 30 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,200 – $26,005 · median $11,943 | 30 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,835 – $39,087 · median $17,763 | 30 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,257 – $28,459 · median $13,035 | 30 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,297 – $68,022 · median $30,634 | 30 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,884 – $32,237 · median $14,716 | 30 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,451 – $17,300 · median $8,032 | 30 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,026 – $11,670 · median $5,512 | 30 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,957 – $30,083 · median $13,757 | 30 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,979 – $18,526 · median $8,588 | 30 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,500 – $26,701 · median $12,253 | 30 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,934 – $13,778 · median $6,441 | 30 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,384 – $10,178 · median $4,855 | 30 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,661 – $29,395 · median $13,451 | 30 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,810 – $15,811 · median $7,357 | 30 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,936 – $11,460 · median $5,420 | 30 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,787 – $27,368 · median $12,550 | 30 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,720 – $17,925 · median $8,315 | 30 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,207 – $93,352 · median $41,902 | 30 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,972 – $51,016 · median $23,069 | 30 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,865 – $29,870 · median $13,663 | 30 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,397 – $49,681 · median $22,475 | 30 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,607 – $31,593 · median $14,429 | 30 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,783 – $48,254 · median $21,841 | 30 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,222 – $39,986 · median $18,163 | 30 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,054 – $37,274 · median $16,956 | 30 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,348 – $40,279 · median $18,293 | 30 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,113 – $30,447 · median $13,919 | 30 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,545 – $47,701 · median $21,594 | 30 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,775 – $34,306 · median $15,636 | 30 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,506 – $26,714 · median $12,259 | 30 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,554 – $45,401 · median $20,571 | 30 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,479 – $28,973 · median $13,264 | 30 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,891 – $41,539 · median $18,853 | 30 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,155 – $32,864 · median $14,995 | 30 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,725 – $29,546 · median $13,519 | 30 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,332 – $28,632 · median $13,112 | 30 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,186 – $30,616 · median $13,994 | 30 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,669 – $34,058 · median $15,526 | 30 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,106 – $25,785 · median $11,846 | 30 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,482 – $52,198 · median $23,595 | 30 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,660 – $34,037 · median $15,516 | 30 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,841 – $25,170 · median $11,572 | 30 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,110 – $32,761 · median $14,949 | 30 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,539 – $24,469 · median $11,260 | 30 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,248 – $47,011 · median $21,288 | 30 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,939 – $34,686 · median $15,805 | 30 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,687 – $13,203 · median $6,187 | 30 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,044 – $20,998 · median $9,709 | 30 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,697 – $13,228 · median $6,198 | 30 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,462 – $28,934 · median $13,246 | 30 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,252 – $16,838 · median $7,822 | 30 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,323 – $12,360 · median $5,816 | 30 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,137 – $18,892 · median $8,753 | 30 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,516 – $19,773 · median $9,153 | 30 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,166 – $14,317 · median $6,679 | 30 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,824 – $27,453 · median $12,587 | 30 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,781 – $15,745 · median $7,327 | 30 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,856 – $13,596 · median $6,361 | 30 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,325 – $21,650 · median $10,004 | 30 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,859 – $13,604 · median $6,364 | 30 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,489 – $24,354 · median $11,209 | 30 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,301 – $14,630 · median $6,821 | 30 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,051 – $23,337 · median $10,756 | 30 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,317 – $14,667 · median $6,838 | 30 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,889 – $25,283 · median $11,622 | 30 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,874 – $15,960 · median $7,424 | 30 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,286 – $12,273 · median $5,778 | 30 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,748 – $48,172 · median $21,804 | 30 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,918 – $27,672 · median $12,685 | 30 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,846 – $53,043 · median $23,971 | 30 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,190 – $28,303 · median $12,966 | 30 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,101 – $35,063 · median $15,972 | 30 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,960 – $34,735 · median $15,827 | 30 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,636 – $17,730 · median $8,227 | 30 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,760 – $27,305 · median $12,522 | 30 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,144 – $14,264 · median $6,655 | 30 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,385 – $24,112 · median $11,101 | 30 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,462 – $15,003 · median $6,990 | 30 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,394 – $14,846 · median $6,919 | 30 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,290 – $61,041 · median $27,529 | 30 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,370 – $35,687 · median $16,250 | 30 plans |
| 637 | DIABETES WITH MCC | $10,135 – $23,532 · median $10,843 | 30 plans |
| 638 | DIABETES WITH CC | $6,322 – $14,679 · median $6,843 | 30 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,382 – $10,175 · median $4,853 | 30 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,422 – $21,876 · median $10,107 | 30 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,032 – $23,293 · median $10,737 | 30 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,612 – $26,961 · median $12,369 | 30 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,231 – $16,788 · median $7,800 | 30 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,420 – $12,584 · median $5,915 | 30 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,910 – $29,974 · median $13,709 | 30 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,925 – $41,617 · median $18,888 | 30 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,324 – $21,648 · median $10,003 | 30 plans |
| 666 | PROSTATECTOMY WITH CC | $12,340 – $28,652 · median $13,121 | 30 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,640 – $68,818 · median $30,988 | 30 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,497 – $38,304 · median $17,414 | 30 plans |
| 682 | RENAL FAILURE WITH MCC | $10,448 – $24,257 · median $11,166 | 30 plans |
| 683 | RENAL FAILURE WITH CC | $6,178 – $14,345 · median $6,692 | 30 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,724 – $29,543 · median $13,517 | 30 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,392 – $17,162 · median $7,969 | 30 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,185 – $19,005 · median $8,805 | 30 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,711 – $13,259 · median $6,212 | 30 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,671 – $27,097 · median $12,429 | 30 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,160 – $16,625 · median $7,726 | 30 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,867 – $11,300 · median $5,349 | 30 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,416 – $38,116 · median $17,331 | 30 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,336 – $30,965 · median $14,149 | 30 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,475 – $21,999 · median $10,161 | 30 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,093 – $11,826 · median $5,581 | 30 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,469 – $17,340 · median $8,050 | 30 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,943 – $30,052 · median $13,744 | 30 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,752 – $20,321 · median $9,402 | 30 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,101 – $23,453 · median $10,808 | 30 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,906 – $16,035 · median $7,458 | 30 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,921 – $27,677 · median $12,687 | 30 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,619 – $10,723 · median $5,095 | 30 plans |
| 795 | NORMAL NEWBORN | $989 – $2,573 · median $1,795 | 30 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,575 – $36,163 · median $16,462 | 30 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,930 – $20,734 · median $9,589 | 30 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,907 – $23,001 · median $10,607 | 30 plans |
| 813 | COAGULATION DISORDERS | $10,760 – $24,983 · median $11,489 | 30 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,153 – $16,608 · median $7,718 | 30 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,373 – $96,060 · median $43,106 | 30 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,494 – $19,720 · median $9,129 | 30 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,519 – $22,102 · median $10,207 | 30 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,019 – $27,907 · median $12,789 | 30 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,406 – $11,819 · median $5,523 | 30 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,689 – $8,565 · median $4,144 | 30 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $38,728 – $89,919 · median $40,374 | 30 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,820 – $52,984 · median $23,945 | 30 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,229 – $21,427 · median $9,903 | 30 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,839 – $80,889 · median $36,358 | 30 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,088 – $74,503 · median $33,517 | 30 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,107 – $35,076 · median $15,978 | 30 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,865 – $29,870 · median $13,663 | 30 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,040 – $16,345 · median $7,599 | 30 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,135 – $14,243 · median $6,646 | 30 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,703 – $31,816 · median $14,528 | 30 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,219 – $16,761 · median $7,787 | 30 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $989 – $15,727 · median $7,227 | 30 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $989 – $17,588 · median $2,086 | 30 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $989 – $32,206 · median $2,086 | 30 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $989 – $26,352 · median $11,861 | 30 plans |
| 885 | PSYCHOSES | $989 – $22,878 · median $2,086 | 30 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $989 – $17,540 · median $8,018 | 30 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $989 – $10,104 · median $4,775 | 30 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $989 – $14,459 · median $2,086 | 30 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,506 – $31,358 · median $14,324 | 30 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,251 – $19,157 · median $8,874 | 30 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,084 – $62,884 · median $28,348 | 30 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,075 – $32,679 · median $14,912 | 30 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,260 – $21,501 · median $9,937 | 30 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,531 – $26,773 · median $12,285 | 30 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,247 – $14,504 · median $6,764 | 30 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,700 – $10,913 · median $5,179 | 30 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,075 – $25,689 · median $11,803 | 30 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,075 – $14,038 · median $6,555 | 30 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,915 – $29,987 · median $13,715 | 30 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,071 – $16,417 · median $7,631 | 30 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,179 – $16,669 · median $7,746 | 30 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,485 – $38,276 · median $17,402 | 30 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,075 – $13,111 · median $6,147 | 30 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,922 – $9,107 · median $4,383 | 30 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,546 – $61,634 · median $27,792 | 30 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,285 – $44,777 · median $20,294 | 30 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,155 – $21,255 · median $9,825 | 30 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,343 – $40,268 · median $18,288 | 30 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,595 – $26,921 · median $12,351 | 30 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,490 – $12,799 · median $5,855 | 29 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,560 – $17,552 · median $8,109 | 29 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,558 – $40,212 · median $17,905 | 29 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,558 – $17,363 · median $8,022 | 29 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,558 – $15,688 · median $7,248 | 29 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,558 – $27,017 · median $12,151 | 29 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,558 – $18,292 · median $8,381 | 29 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,558 – $15,704 · median $7,255 | 29 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,923 – $16,386 · median $7,514 | 29 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,923 – $15,676 · median $7,205 | 29 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,923 – $17,676 · median $8,077 | 29 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,923 – $12,350 · median $5,754 | 29 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,450 – $45,159 · median $20,463 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,195 – $42,245 · median $19,167 | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,616 – $73,407 · median $33,030 | 28 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,393 – $105,394 · median $47,258 | 28 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,550 – $68,608 · median $30,895 | 28 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,396 – $35,747 · median $16,277 | 28 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,569 – $29,182 · median $13,357 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,792 – $69,172 · median $31,145 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,088 – $58,249 · median $26,286 | 28 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,221 – $53,915 · median $24,359 | 28 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,527 – $70,878 · median $31,905 | 28 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,426 – $75,286 · median $33,865 | 28 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,362 – $65,852 · median $29,669 | 28 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,660 – $92,083 · median $41,337 | 28 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,500 – $87,294 · median $38,822 | 28 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,789 – $52,911 · median $23,912 | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,878 – $57,762 · median $26,070 | 28 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,386 – $45,009 · median $20,397 | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,064 – $79,089 · median $35,557 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,370 – $56,583 · median $25,545 | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,765 – $52,857 · median $23,888 | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,751 – $34,250 · median $15,611 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,901 – $60,137 · median $27,126 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,602 – $57,120 · median $25,784 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,655 – $29,382 · median $13,499 | 28 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,514 – $12,803 · median $6,011 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,003 – $34,833 · median $15,870 | 28 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,509 – $26,721 · median $12,262 | 28 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,075 – $63,303 · median $28,255 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,182 – $100,261 · median $44,975 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,098 – $76,847 · median $34,560 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,185 – $56,154 · median $25,355 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,778 – $29,667 · median $13,572 | 27 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,396 – $28,781 · median $13,297 | 27 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,195 – $42,245 · median $19,167 | 27 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,620 – $87,346 · median $39,230 | 27 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,556 – $82,553 · median $37,098 | 27 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,218 – $51,586 · median $23,322 | 27 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,536 – $89,474 · median $40,176 | 27 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,400 – $96,122 · median $43,134 | 27 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,301 – $116,789 · median $52,327 | 27 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,581 – $75,646 · median $34,026 | 27 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,531 – $17,485 · median $8,153 | 27 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,135 – $109,438 · median $49,057 | 27 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,916 – $69,460 · median $31,274 | 27 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,721 – $85,259 · median $38,302 | 27 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,759 – $113,208 · median $50,734 | 27 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,755 – $18,005 · median $8,312 | 26 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,933 – $27,707 · median $12,700 | 26 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,836 – $13,059 · median $5,969 | 26 plans |
| 602 | CELLULITIS WITH MCC | $10,026 – $23,279 · median $10,731 | 26 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,107 – $16,502 · median $7,664 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $989 – $15,411 · median $2,340 | 26 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $989 – $28,583 · median $12,833 | 26 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,193 – $16,700 · median $7,804 | 25 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,242 – $44,564 · median $20,199 | 25 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,488 – $22,030 · median $10,175 | 25 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,678 – $24,785 · median $11,069 | 25 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,477 – $15,039 · median $6,937 | 25 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,335 – $12,386 · median $5,885 | 24 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,754 – $24,970 · median $11,500 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,456 – $18,385 · median $9,659 | 24 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,235 – $9,949 · median $4,566 | 24 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,461 – $24,288 · median $11,180 | 24 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,656 – $15,414 · median $7,232 | 23 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,994 – $9,164 · median $4,275 | 23 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,615 – $24,645 · median $11,339 | 23 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,590 – $10,424 · median $4,838 | 23 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,923 – $10,717 · median $4,955 | 23 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,213 – $24,083 · median $23,611 | 22 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,213 – $22,844 · median $22,396 | 22 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,213 – $20,851 · median $20,442 | 22 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,213 – $24,890 · median $22,263 | 22 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,213 – $21,624 · median $21,200 | 22 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,213 – $18,384 · median $18,023 | 22 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,101 – $11,844 · median $5,589 | 22 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,213 – $20,862 · median $20,453 | 22 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,213 – $24,479 · median $23,999 | 22 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,213 – $16,343 · median $16,023 | 22 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,723 – $11,357 · median $6,224 | 22 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,500 – $23,209 · median $13,241 | 22 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,129 – $76,540 · median $42,823 | 22 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,949 – $52,272 · median $29,362 | 22 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,500 – $31,541 · median $17,863 | 22 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,949 – $53,696 · median $30,152 | 22 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,500 – $19,007 · median $10,911 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,213 – $24,485 · median $24,005 | 22 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,213 – $20,851 · median $20,442 | 22 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,213 – $27,466 · median $26,927 | 22 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,213 – $22,048 · median $21,616 | 22 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,213 – $20,862 · median $20,453 | 22 plans |
| 999 | UNGROUPABLE | $1,213 – $49,402 · median $48,434 | 22 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,617 – $13,043 · median $6,056 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,834 – $18,143 · median $8,446 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,696 – $13,224 · median $6,135 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,702 – $15,052 · median $6,943 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,368 – $55,879 · median $26,181 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,272 – $21,529 · median $9,949 | 20 plans |
| 313 | CHEST PAIN | $5,092 – $11,793 · median $7,462 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,895 – $32,262 · median $14,582 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,194 – $30,634 · median $13,865 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,095 – $32,727 · median $14,933 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,631 – $16,789 · median $9,143 | 19 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,689 – $22,058 · median $10,206 | 19 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,155 – $65,054 · median $33,174 | 18 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $197,692 – $212,061 · median $200,545 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $79,939 – $85,749 · median $81,312 | 17 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $149,731 – $160,614 · median $151,981 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $97,713 – $104,815 · median $99,310 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,424 – $43,362 · median $41,300 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,241 – $75,346 · median $71,492 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,012 – $74,028 · median $70,247 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,385 – $49,756 · median $47,336 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,385 – $49,756 · median $47,336 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,166 – $58,103 · median $55,215 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $34,901 – $37,438 · median $35,708 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,468 – $63,790 · median $60,583 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,768 – $45,877 · median $43,674 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $53,932 – $57,852 · median $54,978 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,232 – $46,374 · median $44,144 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,585 – $36,026 · median $34,375 | 17 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,373 – $45,453 · median $43,274 | 17 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $77,748 – $83,399 · median $79,093 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,396 – $16,959 · median $7,919 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,359 – $21,839 · median $20,983 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,332 – $107,305 · median $87,700 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,549 – $16,395 · median $16,074 | 7 plans |
No procedures match that keyword.