Christus Central Louisiana Surgical Hospital — Pricing
786 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 786 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 786 procedures
Procedures with negotiated rates only
These 786 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 | $3,000 – $8,496 · median $5,103 | 6 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,000 – $14,160 · median $6,914 | 6 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,000 – $14,160 · median $6,914 | 6 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,000 – $14,160 · median $6,914 | 6 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,000 – $14,160 · median $6,914 | 6 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,000 – $14,160 · median $6,914 | 6 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,000 – $14,160 · median $6,914 | 6 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,000 – $8,496 · median $5,103 | 6 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,000 – $8,496 · median $5,103 | 6 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,000 – $8,496 · median $5,103 | 6 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,000 – $8,496 · median $5,103 | 6 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,000 – $8,496 · median $5,103 | 6 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,000 – $8,496 · median $5,103 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $41,535 – $81,503 · median $44,502 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,354 – $43,866 · median $24,571 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,308 – $24,153 · median $16,290 | 5 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,554 – $192,325 · median $98,012 | 5 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,646 – $158,459 · median $80,754 | 5 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,272 – $109,729 · median $55,919 | 5 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,368 – $85,100 · median $43,549 | 5 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,639 – $126,102 · median $64,263 | 5 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,772 – $82,885 · median $42,239 | 5 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,618 – $68,866 · median $35,095 | 5 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,478 – $122,228 · median $62,290 | 5 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,738 – $78,827 · median $40,170 | 5 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,150 – $119,994 · median $62,029 | 5 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,232 – $86,796 · median $44,716 | 5 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $56,114 – $110,112 · median $57,216 | 5 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,859 – $72,328 · median $38,944 | 5 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,072 – $89,025 · median $45,369 | 5 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,755 – $56,428 · median $30,101 | 5 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,034 – $70,711 · median $36,870 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,317 – $41,873 · median $21,339 | 5 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,052 – $24,681 · median $12,577 | 5 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,829 – $58,129 · median $29,623 | 5 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,491 – $40,637 · median $20,709 | 5 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,210 – $31,488 · median $16,047 | 5 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,873 – $62,546 · median $35,771 | 5 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,928 – $46,960 · median $23,931 | 5 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,438 – $25,177 · median $12,830 | 5 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,640 – $46,390 · median $25,111 | 5 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,035 – $35,391 · median $18,688 | 5 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,340 – $24,216 · median $12,806 | 5 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,153 – $37,849 · median $19,287 | 5 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,398 – $24,992 · median $12,736 | 5 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,529 – $16,102 · median $8,205 | 5 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,536 – $44,466 · median $22,660 | 5 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,866 – $26,528 · median $13,519 | 5 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,933 – $53,534 · median $27,280 | 5 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,504 – $22,574 · median $13,890 | 5 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,121 – $16,169 · median $11,110 | 5 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,332 – $28,572 · median $19,633 | 5 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,262 – $39,760 · median $25,584 | 5 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,815 – $31,034 · median $16,201 | 5 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,977 – $16,097 · median $8,201 | 5 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,396 – $38,877 · median $19,811 | 5 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,139 – $25,914 · median $13,205 | 5 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,011 – $17,682 · median $9,645 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,297 – $69,262 · median $35,555 | 5 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,867 – $40,948 · median $21,208 | 5 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,311 – $30,048 · median $17,329 | 5 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,465 – $50,581 · median $41,426 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,652 – $31,753 · median $24,233 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,418 – $24,604 · median $19,528 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,309 – $47,510 · median $35,378 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,795 – $24,373 · median $17,165 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,332 – $15,704 · median $12,125 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $26,112 – $38,001 · median $34,687 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,807 – $79,653 · median $71,030 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,456 – $45,326 · median $44,324 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,015 – $30,463 · median $17,486 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,748 – $19,171 · median $9,820 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,308 – $13,652 · median $7,724 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,314 – $26,569 · median $20,831 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,424 – $14,303 · median $7,894 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,109 – $9,503 · median $5,981 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,138 – $33,903 · median $26,396 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,077 – $20,562 · median $16,120 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,226 – $14,194 · median $11,972 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $76,680 – $154,240 · median $111,594 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,992 – $109,750 · median $75,665 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,290 – $80,809 · median $58,635 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,699 – $93,541 · median $54,864 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,590 – $55,896 · median $32,875 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,995 – $133,293 · median $90,222 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,012 – $88,631 · median $61,142 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,608 – $73,408 · median $46,000 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,921 – $71,300 · median $65,374 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,963 – $49,352 · median $30,508 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,292 – $71,318 · median $54,273 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,072 – $48,083 · median $36,489 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,203 – $38,460 · median $27,946 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,927 – $51,647 · median $34,821 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,802 – $31,518 · median $20,086 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,653 – $35,334 · median $27,146 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,235 – $38,180 · median $27,003 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,434 – $27,003 · median $21,007 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,491 – $15,268 · median $14,732 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,958 – $51,882 · median $29,045 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,690 – $29,262 · median $17,013 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,700 – $22,279 · median $15,573 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $156,879 – $228,311 · median $192,595 | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $103,432 – $150,527 · median $126,979 | 2 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $39,498 – $57,483 · median $48,490 | 2 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,039 – $43,717 · median $36,878 | 2 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,398 – $28,230 · median $23,814 | 2 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,007 – $85,875 · median $72,441 | 2 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,460 – $58,882 · median $49,671 | 2 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,843 – $37,609 · median $31,726 | 2 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,761 – $60,776 · median $51,269 | 2 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,828 – $40,500 · median $34,164 | 2 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,737 – $47,643 · median $40,190 | 2 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,389 – $32,583 · median $27,486 | 2 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,064 – $26,289 · median $22,177 | 2 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,675 – $44,642 · median $37,659 | 2 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,633 – $22,751 · median $19,192 | 2 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,679 – $16,997 · median $14,338 | 2 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,612 – $40,184 · median $33,898 | 2 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,530 – $24,057 · median $20,293 | 2 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,866 – $18,724 · median $15,795 | 2 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,732 – $21,439 · median $18,085 | 2 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,745 – $9,816 · median $8,280 | 2 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,973 – $15,970 · median $13,472 | 2 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,986 – $11,622 · median $9,804 | 2 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,330 – $26,676 · median $22,503 | 2 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,768 – $14,215 · median $11,992 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,512 – $19,664 · median $16,588 | 2 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,957 – $13,035 · median $10,996 | 2 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,532 – $9,507 · median $8,020 | 2 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,789 – $28,799 · median $24,294 | 2 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,036 – $18,972 · median $16,004 | 2 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,283 – $14,965 · median $12,624 | 2 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,561 – $21,191 · median $17,876 | 2 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,444 – $10,833 · median $9,138 | 2 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,038 – $7,332 · median $6,185 | 2 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,650 – $15,499 · median $13,074 | 2 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,453 – $9,391 · median $7,922 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,857 – $8,523 · median $7,190 | 2 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,728 – $18,523 · median $15,626 | 2 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,715 – $11,227 · median $9,471 | 2 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,491 – $7,992 · median $6,742 | 2 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,314 – $16,465 · median $13,890 | 2 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,630 – $11,105 · median $9,368 | 2 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,608 – $18,349 · median $15,478 | 2 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,712 – $9,768 · median $8,240 | 2 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,319 – $16,473 · median $13,896 | 2 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,305 – $10,631 · median $8,968 | 2 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,880 – $7,102 · median $5,991 | 2 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,551 – $21,176 · median $17,863 | 2 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,623 – $9,639 · median $8,131 | 2 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,984 – $24,717 · median $20,850 | 2 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,178 – $14,812 · median $12,495 | 2 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,999 – $10,185 · median $8,592 | 2 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,587 – $24,140 · median $20,363 | 2 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,601 – $13,972 · median $11,787 | 2 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,471 – $9,417 · median $7,944 | 2 plans |
| 088 | CONCUSSION WITH MCC | $10,326 – $15,028 · median $12,677 | 2 plans |
| 089 | CONCUSSION WITH CC | $7,848 – $11,421 · median $9,634 | 2 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,275 – $9,133 · median $7,704 | 2 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,344 – $19,419 · median $16,381 | 2 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,750 – $11,278 · median $9,514 | 2 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,778 – $8,408 · median $7,093 | 2 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,708 – $38,870 · median $32,789 | 2 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,548 – $25,537 · median $21,542 | 2 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,548 – $25,537 · median $21,542 | 2 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,239 – $38,187 · median $32,213 | 2 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,879 – $23,110 · median $19,494 | 2 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,199 – $14,843 · median $12,521 | 2 plans |
| 100 | SEIZURES WITH MCC | $14,532 – $21,149 · median $17,841 | 2 plans |
| 101 | SEIZURES WITHOUT MCC | $6,747 – $9,819 · median $8,283 | 2 plans |
| 102 | HEADACHES WITH MCC | $8,488 – $12,352 · median $10,420 | 2 plans |
| 103 | HEADACHES WITHOUT MCC | $6,223 – $9,057 · median $7,640 | 2 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,518 – $24,040 · median $20,279 | 2 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,653 – $12,593 · median $10,623 | 2 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,207 – $16,310 · median $13,758 | 2 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,214 – $17,776 · median $14,995 | 2 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,895 – $11,490 · median $9,693 | 2 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,515 – $12,392 · median $10,453 | 2 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,965 – $7,226 · median $6,096 | 2 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,879 – $8,556 · median $7,218 | 2 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,545 – $13,890 · median $11,718 | 2 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,044 – $8,796 · median $7,420 | 2 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,649 – $25,685 · median $21,667 | 2 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,160 – $10,421 · median $8,791 | 2 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,238 – $14,899 · median $12,569 | 2 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,955 – $8,666 · median $7,311 | 2 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,050 – $14,627 · median $12,338 | 2 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,958 – $45,054 · median $38,006 | 2 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,727 – $22,888 · median $19,308 | 2 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,510 – $16,751 · median $14,130 | 2 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,170 – $35,175 · median $29,673 | 2 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,859 – $18,714 · median $15,787 | 2 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,673 – $12,622 · median $10,647 | 2 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,793 – $24,439 · median $20,616 | 2 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,112 – $13,261 · median $11,186 | 2 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,861 – $8,530 · median $7,195 | 2 plans |
| 149 | DYSEQUILIBRIUM | $5,472 – $7,963 · median $6,717 | 2 plans |
| 150 | EPISTAXIS WITH MCC | $10,118 – $14,725 · median $12,421 | 2 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,549 – $8,075 · median $6,812 | 2 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,307 – $12,089 · median $10,198 | 2 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,210 – $7,582 · median $6,396 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,905 – $17,325 · median $14,615 | 2 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,834 – $9,946 · median $8,390 | 2 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,922 – $7,163 · median $6,043 | 2 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,987 – $17,444 · median $14,715 | 2 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,885 – $10,020 · median $8,453 | 2 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,828 – $7,027 · median $5,928 | 2 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,739 – $49,102 · median $41,421 | 2 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,424 – $26,814 · median $22,619 | 2 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,644 – $19,857 · median $16,751 | 2 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,184 – $41,017 · median $34,601 | 2 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,375 – $19,465 · median $16,420 | 2 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,911 – $14,423 · median $12,167 | 2 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,462 – $32,690 · median $27,576 | 2 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,315 – $15,011 · median $12,663 | 2 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,962 – $8,677 · median $7,320 | 2 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,833 – $17,221 · median $14,527 | 2 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,262 – $10,569 · median $8,916 | 2 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,634 – $8,200 · median $6,917 | 2 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,794 – $18,619 · median $15,707 | 2 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,127 – $11,828 · median $9,978 | 2 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,131 – $8,922 · median $7,526 | 2 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,619 – $16,910 · median $14,264 | 2 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,818 – $11,378 · median $9,598 | 2 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,693 – $8,285 · median $6,989 | 2 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,566 – $16,832 · median $14,199 | 2 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,349 – $10,696 · median $9,022 | 2 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,374 – $7,821 · median $6,598 | 2 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,058 – $13,182 · median $11,120 | 2 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,220 – $11,963 · median $10,092 | 2 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,289 – $9,152 · median $7,720 | 2 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,738 – $6,895 · median $5,816 | 2 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,646 – $14,037 · median $11,842 | 2 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,002 – $8,735 · median $7,369 | 2 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,558 – $6,634 · median $5,596 | 2 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,792 – $20,071 · median $16,931 | 2 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,247 – $10,546 · median $8,897 | 2 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,127 – $7,461 · median $6,294 | 2 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,922 – $18,806 · median $15,864 | 2 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,107 – $11,798 · median $9,953 | 2 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,956 – $7,213 · median $6,085 | 2 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,076 – $10,298 · median $8,687 | 2 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,099 – $7,421 · median $6,260 | 2 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,937 – $8,640 · median $7,288 | 2 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,819 – $20,111 · median $16,965 | 2 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,630 – $9,649 · median $8,140 | 2 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,340 – $68,895 · median $58,117 | 2 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,645 – $28,591 · median $24,118 | 2 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,743 – $116,053 · median $97,898 | 2 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC | $69,173 – $69,173 · median $69,173 | 2 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC | $50,292 – $50,292 · median $50,292 | 2 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC | $63,616 – $63,616 · median $63,616 | 2 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC | $47,204 – $47,204 · median $47,204 | 2 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC | $53,693 – $53,693 · median $53,693 | 2 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC | $39,969 – $39,969 · median $39,969 | 2 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $25,174 – $25,174 · median $25,174 | 2 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC | $15,301 – $15,301 · median $15,301 | 2 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $22,437 – $22,437 · median $22,437 | 2 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC | $13,116 – $13,116 · median $13,116 | 2 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,853 – $63,820 · median $53,836 | 2 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,438 – $50,119 · median $42,279 | 2 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,574 – $54,682 · median $46,128 | 2 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,213 – $36,693 · median $30,953 | 2 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,316 – $26,656 · median $22,486 | 2 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,623 – $41,656 · median $35,140 | 2 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,846 – $33,248 · median $28,047 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,730 – $75,285 · median $63,508 | 2 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,343 – $65,989 · median $55,666 | 2 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,052 – $49,557 · median $41,804 | 2 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $36,624 – $53,300 · median $44,962 | 2 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,456 – $34,136 · median $28,796 | 2 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,995 – $29,099 · median $24,547 | 2 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,541 – $16,797 · median $14,169 | 2 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,166 – $10,429 · median $8,798 | 2 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,551 – $13,900 · median $11,726 | 2 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,304 – $9,174 · median $7,739 | 2 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,016 – $5,845 · median $4,931 | 2 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,989 – $13,082 · median $11,035 | 2 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,781 – $8,414 · median $7,098 | 2 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,993 – $17,454 · median $14,723 | 2 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,156 – $7,504 · median $6,330 | 2 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,233 – $4,705 · median $3,969 | 2 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,841 – $17,232 · median $14,537 | 2 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,837 – $11,405 · median $9,621 | 2 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,222 – $7,600 · median $6,411 | 2 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,515 – $12,393 · median $10,454 | 2 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,922 – $7,163 · median $6,043 | 2 plans |
| 304 | HYPERTENSION WITH MCC | $8,600 – $12,515 · median $10,557 | 2 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,495 – $7,997 · median $6,746 | 2 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,961 – $15,952 · median $13,456 | 2 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,781 – $9,869 · median $8,325 | 2 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,827 – $12,846 · median $10,837 | 2 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,412 – $7,876 · median $6,644 | 2 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,096 – $5,960 · median $5,028 | 2 plans |
| 311 | ANGINA PECTORIS | $5,112 – $7,439 · median $6,275 | 2 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,378 – $9,282 · median $7,830 | 2 plans |
| 313 | CHEST PAIN | $5,222 – $7,600 · median $6,411 | 2 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,764 – $22,941 · median $19,352 | 2 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,044 – $10,251 · median $8,648 | 2 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,997 – $7,273 · median $6,135 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $45,284 – $65,904 · median $55,594 | 2 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,155 – $46,797 · median $39,476 | 2 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,944 – $24,660 · median $20,802 | 2 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,839 – $30,327 · median $25,583 | 2 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,243 – $19,273 · median $16,258 | 2 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,179 – $45,375 · median $38,277 | 2 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,388 – $34,037 · median $28,713 | 2 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,951 – $30,490 · median $25,720 | 2 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,178 – $54,107 · median $45,642 | 2 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,774 – $25,867 · median $21,820 | 2 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,664 – $16,976 · median $14,320 | 2 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,613 – $48,918 · median $41,265 | 2 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,302 – $25,181 · median $21,241 | 2 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,085 – $17,588 · median $14,837 | 2 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,391 – $36,952 · median $31,171 | 2 plans |
| 333 | RECTAL RESECTION WITH CC | $15,557 – $22,641 · median $19,099 | 2 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,141 – $17,669 · median $14,905 | 2 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,523 – $38,600 · median $32,562 | 2 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,462 – $22,502 · median $18,982 | 2 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,237 – $16,353 · median $13,795 | 2 plans |
| 341 | Appendectomy Without Complicated Principal Diagnosis With MCC | $17,278 – $17,278 · median $17,278 | 2 plans |
| 342 | Appendectomy Without Complicated Principal Diagnosis With CC | $10,478 – $10,478 · median $10,478 | 2 plans |
| 343 | Appendectomy Without Complicated Principal Diagnosis Without CC/MCC | $7,233 – $7,233 · median $7,233 | 2 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,724 – $28,705 · median $24,214 | 2 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,897 – $15,859 · median $13,378 | 2 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,116 – $13,266 · median $11,191 | 2 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,325 – $25,214 · median $21,269 | 2 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,215 – $13,411 · median $11,313 | 2 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,448 – $9,384 · median $7,916 | 2 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,705 – $25,766 · median $21,736 | 2 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,013 – $16,027 · median $13,520 | 2 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,071 – $11,746 · median $9,909 | 2 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,470 – $31,245 · median $26,357 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,452 – $18,122 · median $15,287 | 2 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,759 – $14,203 · median $11,981 | 2 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,225 – $45,443 · median $38,334 | 2 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,485 – $23,991 · median $20,238 | 2 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,919 – $14,436 · median $12,178 | 2 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,224 – $17,791 · median $15,007 | 2 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,449 – $10,840 · median $9,145 | 2 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,109 – $7,436 · median $6,273 | 2 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,795 – $18,621 · median $15,708 | 2 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,534 – $10,965 · median $9,250 | 2 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,310 – $7,728 · median $6,519 | 2 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,455 – $22,493 · median $18,974 | 2 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,994 – $13,089 · median $11,042 | 2 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,464 – $9,407 · median $7,935 | 2 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,309 – $19,369 · median $16,339 | 2 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,217 – $10,503 · median $8,860 | 2 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,661 – $6,783 · median $5,722 | 2 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,086 – $20,500 · median $17,293 | 2 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,972 – $11,602 · median $9,787 | 2 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,485 – $7,982 · median $6,734 | 2 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,254 – $13,468 · median $11,361 | 2 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,365 – $9,264 · median $7,815 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,894 – $17,309 · median $14,601 | 2 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,265 – $10,573 · median $8,919 | 2 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,907 – $7,141 · median $6,024 | 2 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,760 – $15,659 · median $13,209 | 2 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,868 – $8,539 · median $7,204 | 2 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,006 – $5,829 · median $4,917 | 2 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,403 – $13,684 · median $11,543 | 2 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,712 – $8,313 · median $7,012 | 2 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,122 – $17,641 · median $14,882 | 2 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,890 – $10,028 · median $8,459 | 2 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,658 – $6,780 · median $5,719 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,637 – $41,677 · median $35,157 | 2 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,738 – $57,832 · median $48,785 | 2 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,557 – $29,918 · median $25,238 | 2 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,634 – $22,753 · median $19,193 | 2 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,630 – $37,299 · median $31,464 | 2 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,346 – $22,334 · median $18,840 | 2 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,354 – $16,524 · median $13,939 | 2 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,030 – $29,151 · median $24,591 | 2 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,603 – $22,708 · median $19,156 | 2 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,170 – $17,711 · median $14,940 | 2 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,648 – $37,326 · median $31,487 | 2 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,480 – $21,073 · median $17,776 | 2 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,030 – $14,597 · median $12,313 | 2 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,836 – $37,600 · median $31,718 | 2 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,987 – $17,445 · median $14,716 | 2 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,756 – $15,654 · median $13,205 | 2 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,773 – $43,330 · median $36,552 | 2 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,714 – $24,324 · median $20,519 | 2 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,315 – $16,467 · median $13,891 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $61,053 – $88,852 · median $74,953 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,044 – $58,277 · median $49,161 | 2 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,341 – $20,870 · median $17,605 | 2 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,831 – $11,397 · median $9,614 | 2 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,098 – $7,420 · median $6,259 | 2 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,356 – $19,437 · median $16,397 | 2 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,255 – $12,013 · median $10,134 | 2 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,748 – $8,365 · median $7,056 | 2 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,178 – $17,723 · median $14,951 | 2 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,297 – $9,164 · median $7,730 | 2 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,503 – $6,553 · median $5,528 | 2 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,838 – $20,138 · median $16,988 | 2 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,073 – $10,293 · median $8,683 | 2 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,144 – $7,486 · median $6,315 | 2 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,330 – $17,944 · median $15,137 | 2 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,939 – $11,553 · median $9,746 | 2 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,836 – $8,494 · median $7,165 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,078 – $71,425 · median $60,252 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,891 – $43,502 · median $36,696 | 2 plans |
| 459 | Spinal Fusion Except Cervical With MCC | $47,669 – $47,669 · median $47,669 | 2 plans |
| 460 | Spinal Fusion Except Cervical Without MCC | $28,485 – $28,485 · median $28,485 | 2 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,535 – $57,537 · median $48,536 | 2 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,584 – $31,411 · median $26,498 | 2 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,708 – $18,495 · median $15,601 | 2 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,828 – $47,776 · median $40,302 | 2 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,791 – $22,982 · median $19,387 | 2 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,514 – $12,391 · median $10,452 | 2 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,173 – $36,636 · median $30,905 | 2 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,119 – $24,913 · median $21,016 | 2 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,999 – $18,918 · median $15,958 | 2 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,528 – $31,330 · median $26,429 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,188 – $22,104 · median $18,646 | 2 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,612 – $16,900 · median $14,256 | 2 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,565 – $34,295 · median $28,930 | 2 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,525 – $22,594 · median $19,059 | 2 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,567 – $16,834 · median $14,200 | 2 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,387 – $20,937 · median $17,662 | 2 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,065 – $13,193 · median $11,129 | 2 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,995 – $37,831 · median $31,913 | 2 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,575 – $25,578 · median $21,577 | 2 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,801 – $20,085 · median $16,943 | 2 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,771 – $37,505 · median $31,638 | 2 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,442 – $21,018 · median $17,730 | 2 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,828 – $14,303 · median $12,065 | 2 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,482 – $26,898 · median $22,690 | 2 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,497 – $12,366 · median $10,432 | 2 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,195 – $33,756 · median $28,476 | 2 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,064 – $19,012 · median $16,038 | 2 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,228 – $14,884 · median $12,556 | 2 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,373 – $28,194 · median $23,784 | 2 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,847 – $18,696 · median $15,771 | 2 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,847 – $18,696 · median $15,771 | 2 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,973 – $15,970 · median $13,472 | 2 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,188 – $20,648 · median $17,418 | 2 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,447 – $13,749 · median $11,598 | 2 plans |
| 509 | ARTHROSCOPY | $12,859 – $18,714 · median $15,787 | 2 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,921 – $30,447 · median $25,684 | 2 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,356 – $20,893 · median $17,624 | 2 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,769 – $17,128 · median $14,448 | 2 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,021 – $16,039 · median $13,530 | 2 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,463 – $10,862 · median $9,163 | 2 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,636 – $32,943 · median $27,790 | 2 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,726 – $21,431 · median $18,078 | 2 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,927 – $15,902 · median $13,414 | 2 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,336 – $31,050 · median $26,193 | 2 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,431 – $22,458 · median $18,944 | 2 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,162 – $16,245 · median $13,704 | 2 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,958 – $8,672 · median $7,315 | 2 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,735 – $14,167 · median $11,951 | 2 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,936 – $8,639 · median $7,287 | 2 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,727 – $9,790 · median $8,259 | 2 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,915 – $7,153 · median $6,034 | 2 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,804 – $21,545 · median $18,174 | 2 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,473 – $13,786 · median $11,629 | 2 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,404 – $9,320 · median $7,862 | 2 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,653 – $19,869 · median $16,761 | 2 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,766 – $11,302 · median $9,534 | 2 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,532 – $8,050 · median $6,791 | 2 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,497 – $26,919 · median $22,708 | 2 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,474 – $12,333 · median $10,404 | 2 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,462 – $7,949 · median $6,706 | 2 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,747 – $21,462 · median $18,104 | 2 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,821 – $12,838 · median $10,830 | 2 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,311 – $9,184 · median $7,747 | 2 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,491 – $18,178 · median $15,335 | 2 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,055 – $10,267 · median $8,661 | 2 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,560 – $13,913 · median $11,736 | 2 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,109 – $8,891 · median $7,500 | 2 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,857 – $14,345 · median $12,101 | 2 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,977 – $8,698 · median $7,337 | 2 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,344 – $16,509 · median $13,926 | 2 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,323 – $9,202 · median $7,763 | 2 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,588 – $19,775 · median $16,682 | 2 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,335 – $12,131 · median $10,233 | 2 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,985 – $8,710 · median $7,347 | 2 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,713 – $15,591 · median $13,152 | 2 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,543 – $9,522 · median $8,032 | 2 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,487 – $16,717 · median $14,102 | 2 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,464 – $10,863 · median $9,164 | 2 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,476 – $7,970 · median $6,723 | 2 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,035 – $32,068 · median $27,051 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,256 – $17,836 · median $15,046 | 2 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,362 – $12,170 · median $10,266 | 2 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,078 – $65,603 · median $55,341 | 2 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,363 – $36,912 · median $31,137 | 2 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,616 – $21,271 · median $17,943 | 2 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,494 – $57,476 · median $48,485 | 2 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,492 – $28,367 · median $23,929 | 2 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,374 – $18,008 · median $15,191 | 2 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,859 – $34,722 · median $29,291 | 2 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,978 – $18,888 · median $15,933 | 2 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,535 – $15,332 · median $12,933 | 2 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,819 – $18,656 · median $15,737 | 2 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,025 – $17,500 · median $14,762 | 2 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,987 – $21,811 · median $18,399 | 2 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,531 – $21,147 · median $17,839 | 2 plans |
| 592 | SKIN ULCERS WITH MCC | $15,052 – $21,906 · median $18,479 | 2 plans |
| 593 | SKIN ULCERS WITH CC | $8,950 – $13,025 · median $10,988 | 2 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,212 – $9,041 · median $7,627 | 2 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,483 – $22,532 · median $19,007 | 2 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,914 – $11,517 · median $9,715 | 2 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,859 – $18,714 · median $15,787 | 2 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,898 – $11,494 · median $9,696 | 2 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,258 – $9,107 · median $7,683 | 2 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,002 – $10,191 · median $8,596 | 2 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,388 – $6,386 · median $5,387 | 2 plans |
| 602 | CELLULITIS WITH MCC | $10,755 – $15,651 · median $13,203 | 2 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,447 – $9,383 · median $7,915 | 2 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,875 – $15,827 · median $13,351 | 2 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,761 – $9,840 · median $8,301 | 2 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,787 – $17,155 · median $14,471 | 2 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,326 – $9,206 · median $7,766 | 2 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,682 – $24,278 · median $20,480 | 2 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,490 – $15,266 · median $12,878 | 2 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,292 – $41,174 · median $34,733 | 2 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,139 – $20,577 · median $17,358 | 2 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,114 – $13,264 · median $11,189 | 2 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,391 – $39,864 · median $33,627 | 2 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,002 – $20,377 · median $17,189 | 2 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,343 – $10,686 · median $9,014 | 2 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,987 – $30,543 · median $25,765 | 2 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,048 – $16,079 · median $13,563 | 2 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,274 – $13,496 · median $11,385 | 2 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,883 – $42,034 · median $35,458 | 2 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,463 – $23,960 · median $20,212 | 2 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,258 – $14,928 · median $12,593 | 2 plans |
| 637 | DIABETES WITH MCC | $10,660 – $15,514 · median $13,087 | 2 plans |
| 638 | DIABETES WITH CC | $6,714 – $9,771 · median $8,242 | 2 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,587 – $6,675 · median $5,631 | 2 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,721 – $14,147 · median $11,934 | 2 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,720 – $8,324 · median $7,022 | 2 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,085 – $13,221 · median $11,153 | 2 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,131 – $17,655 · median $14,893 | 2 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,564 – $11,009 · median $9,287 | 2 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,700 – $8,295 · median $6,998 | 2 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,806 – $59,386 · median $50,096 | 2 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,658 – $30,064 · median $25,361 | 2 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,206 – $22,129 · median $18,668 | 2 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,849 – $34,707 · median $29,278 | 2 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,382 – $19,475 · median $16,428 | 2 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,009 – $16,022 · median $13,516 | 2 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,917 – $27,531 · median $23,224 | 2 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,809 – $14,275 · median $12,042 | 2 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,515 – $10,936 · median $9,226 | 2 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,835 – $33,233 · median $28,034 | 2 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,181 – $16,271 · median $13,726 | 2 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,904 – $11,503 · median $9,704 | 2 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,134 – $36,578 · median $30,856 | 2 plans |
| 666 | PROSTATECTOMY WITH CC | $12,058 – $17,549 · median $14,803 | 2 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,524 – $10,949 · median $9,236 | 2 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,347 – $31,067 · median $26,207 | 2 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,328 – $16,486 · median $13,907 | 2 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,996 – $10,181 · median $8,588 | 2 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,617 – $18,363 · median $15,490 | 2 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,011 – $11,659 · median $9,835 | 2 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,668 – $44,632 · median $37,650 | 2 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,897 – $24,591 · median $20,744 | 2 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,458 – $16,675 · median $14,067 | 2 plans |
| 682 | RENAL FAILURE WITH MCC | $10,994 – $16,000 · median $13,497 | 2 plans |
| 683 | RENAL FAILURE WITH CC | $6,507 – $9,469 · median $7,988 | 2 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,446 – $6,471 · median $5,458 | 2 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,803 – $20,088 · median $16,946 | 2 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,706 – $11,214 · median $9,460 | 2 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,301 – $7,715 · median $6,508 | 2 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,567 – $12,467 · median $10,517 | 2 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,875 – $8,550 · median $7,213 | 2 plans |
| 693 | URINARY STONES WITH MCC | $10,763 – $15,664 · median $13,214 | 2 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,720 – $8,324 · median $7,022 | 2 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,256 – $12,014 · median $10,135 | 2 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,064 – $7,370 · median $6,217 | 2 plans |
| 697 | URETHRAL STRICTURE | $7,333 – $10,672 · median $9,003 | 2 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,304 – $17,907 · median $15,105 | 2 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,466 – $10,865 · median $9,165 | 2 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,082 – $7,395 · median $6,238 | 2 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,205 – $20,673 · median $17,439 | 2 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,852 – $15,793 · median $13,322 | 2 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,449 – $23,938 · median $20,194 | 2 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,990 – $15,994 · median $13,492 | 2 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,986 – $20,354 · median $17,170 | 2 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,829 – $11,394 · median $9,612 | 2 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,585 – $15,404 · median $12,994 | 2 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,879 – $10,011 · median $8,445 | 2 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,531 – $24,058 · median $20,294 | 2 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,389 – $15,120 · median $12,755 | 2 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,582 – $19,767 · median $16,674 | 2 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,018 – $13,123 · median $11,070 | 2 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,656 – $18,418 · median $15,537 | 2 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,220 – $11,962 · median $10,091 | 2 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,333 – $7,762 · median $6,548 | 2 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,242 – $13,450 · median $11,346 | 2 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,449 – $7,930 · median $6,690 | 2 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,756 – $15,654 · median $13,205 | 2 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,981 – $8,705 · median $7,343 | 2 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,059 – $11,728 · median $9,893 | 2 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,443 – $6,465 · median $5,454 | 2 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,393 – $22,401 · median $18,897 | 2 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,886 – $12,932 · median $10,909 | 2 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,823 – $41,947 · median $35,385 | 2 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,628 – $21,289 · median $17,959 | 2 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,104 – $16,160 · median $13,632 | 2 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,140 – $42,409 · median $35,774 | 2 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,310 – $19,370 · median $16,340 | 2 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,055 – $14,633 · median $12,344 | 2 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,371 – $19,460 · median $16,416 | 2 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,774 – $12,770 · median $10,772 | 2 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,303 – $20,816 · median $17,560 | 2 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,502 – $10,917 · median $9,209 | 2 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,258 – $17,840 · median $15,049 | 2 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,992 – $10,176 · median $8,584 | 2 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,972 – $14,513 · median $12,242 | 2 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,949 – $27,576 · median $23,262 | 2 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,439 – $13,737 · median $11,588 | 2 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,244 – $19,274 · median $16,259 | 2 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,126 – $11,826 · median $9,976 | 2 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,991 – $10,174 · median $8,582 | 2 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,360 – $15,077 · median $12,719 | 2 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,461 – $10,859 · median $9,160 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,685 – $6,818 · median $5,751 | 2 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,215 – $10,500 · median $8,857 | 2 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,640 – $6,753 · median $5,697 | 2 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,171 – $14,802 · median $12,487 | 2 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,876 – $11,463 · median $9,669 | 2 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,223 – $7,601 · median $6,412 | 2 plans |
| 779 | ABORTION WITHOUT D&C | $6,843 – $9,958 · median $8,401 | 2 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,195 – $19,203 · median $16,199 | 2 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,805 – $50,653 · median $42,729 | 2 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,329 – $31,041 · median $26,185 | 2 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,017 – $17,489 · median $14,753 | 2 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,241 – $38,189 · median $32,215 | 2 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,030 – $18,962 · median $15,996 | 2 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,093 – $11,778 · median $9,935 | 2 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,765 – $24,399 · median $20,582 | 2 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,066 – $13,194 · median $11,130 | 2 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,967 – $10,140 · median $8,553 | 2 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,299 – $14,988 · median $12,643 | 2 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,756 – $9,832 · median $8,294 | 2 plans |
| 813 | COAGULATION DISORDERS | $11,331 – $16,491 · median $13,911 | 2 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,302 – $22,270 · median $18,786 | 2 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,438 – $10,825 · median $9,131 | 2 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,827 – $7,025 · median $5,926 | 2 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,557 – $27,006 · median $22,782 | 2 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,428 – $13,721 · median $11,575 | 2 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,977 – $8,698 · median $7,337 | 2 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,619 – $62,025 · median $52,322 | 2 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,341 – $23,782 · median $20,061 | 2 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,372 – $12,184 · median $10,278 | 2 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,254 – $49,851 · median $42,052 | 2 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,100 – $23,430 · median $19,765 | 2 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,009 – $13,112 · median $11,061 | 2 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,957 – $50,873 · median $42,915 | 2 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,274 – $25,140 · median $21,207 | 2 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,733 – $17,076 · median $14,404 | 2 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,573 – $32,852 · median $27,713 | 2 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,706 – $15,580 · median $13,143 | 2 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,425 – $12,262 · median $10,343 | 2 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,471 – $7,962 · median $6,717 | 2 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,805 – $5,537 · median $4,671 | 2 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $40,460 – $58,882 · median $49,671 | 2 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,635 – $22,754 · median $19,194 | 2 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,302 – $13,537 · median $11,419 | 2 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,653 – $53,342 · median $44,997 | 2 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,846 – $21,606 · median $18,226 | 2 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,031 – $14,599 · median $12,315 | 2 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,343 – $33,972 · median $28,658 | 2 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,478 – $16,704 · median $14,091 | 2 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,700 – $11,206 · median $9,453 | 2 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,859 – $20,169 · median $17,014 | 2 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,749 – $12,732 · median $10,741 | 2 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,125 – $8,914 · median $7,520 | 2 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,694 – $27,206 · median $22,950 | 2 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,302 – $13,537 · median $11,419 | 2 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,994 – $8,724 · median $7,359 | 2 plans |
| 849 | RADIOTHERAPY | $19,552 – $28,455 · median $24,004 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $67,431 – $98,134 · median $82,783 | 2 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,610 – $53,279 · median $44,944 | 2 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,626 – $21,286 · median $17,956 | 2 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,899 – $17,318 · median $14,608 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,025 – $48,062 · median $40,543 | 2 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,950 – $23,212 · median $19,581 | 2 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,431 – $13,725 · median $11,578 | 2 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,459 – $19,588 · median $16,523 | 2 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,319 – $10,652 · median $8,986 | 2 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,573 – $9,566 · median $8,070 | 2 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,804 – $15,723 · median $13,263 | 2 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,477 – $9,426 · median $7,951 | 2 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,696 – $22,843 · median $19,270 | 2 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,687 – $11,187 · median $9,437 | 2 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,267 – $7,666 · median $6,467 | 2 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,922 – $74,108 · median $62,515 | 2 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,363 – $20,902 · median $17,632 | 2 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,547 – $10,983 · median $9,265 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,765 – $41,862 · median $35,313 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,017 – $10,212 · median $8,614 | 2 plans |
| 881 | DEPRESSIVE NEUROSES | $6,691 – $9,738 · median $8,215 | 2 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,042 – $10,248 · median $8,645 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,571 – $19,750 · median $16,660 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,226 – $17,793 · median $15,009 | 2 plans |
| 885 | PSYCHOSES | $10,318 – $15,016 · median $12,667 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,150 – $19,138 · median $16,144 | 2 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,706 – $12,671 · median $10,689 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,568 – $6,649 · median $5,608 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,599 – $15,424 · median $13,012 | 2 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,035 – $18,971 · median $16,003 | 2 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,458 – $9,398 · median $7,928 | 2 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,431 – $47,198 · median $39,815 | 2 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,890 – $20,215 · median $17,053 | 2 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,924 – $12,987 · median $10,955 | 2 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,263 – $41,132 · median $34,698 | 2 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,065 – $17,558 · median $14,812 | 2 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,976 – $23,250 · median $19,613 | 2 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,161 – $42,438 · median $35,800 | 2 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,765 – $21,488 · median $18,127 | 2 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,284 – $13,511 · median $11,398 | 2 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,846 – $17,240 · median $14,543 | 2 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,708 – $9,762 · median $8,235 | 2 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,721 – $18,514 · median $15,618 | 2 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,861 – $7,075 · median $5,968 | 2 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,003 – $17,468 · median $14,735 | 2 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,475 – $9,424 · median $7,949 | 2 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,349 – $19,427 · median $16,388 | 2 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,436 – $10,822 · median $9,129 | 2 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,034 – $7,326 · median $6,180 | 2 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,366 – $17,997 · median $15,182 | 2 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,466 – $10,865 · median $9,165 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $173,651 – $252,719 · median $213,185 | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,890 – $71,150 · median $60,020 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,281 – $33,881 · median $28,581 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,673 – $46,094 · median $38,884 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,707 – $22,859 · median $19,283 | 2 plans |
| 935 | NON-EXTENSIVE BURNS | $16,078 – $23,398 · median $19,738 | 2 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,234 – $33,813 · median $28,523 | 2 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,455 – $22,493 · median $18,974 | 2 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,305 – $20,819 · median $17,562 | 2 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,415 – $13,702 · median $11,558 | 2 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,816 – $8,464 · median $7,140 | 2 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,898 – $11,495 · median $9,696 | 2 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,290 – $6,244 · median $5,267 | 2 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,150 – $6,040 · median $5,095 | 2 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,983 – $72,742 · median $61,363 | 2 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,980 – $40,720 · median $34,350 | 2 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,638 – $79,516 · median $67,077 | 2 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,084 – $43,782 · median $36,933 | 2 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,353 – $28,165 · median $23,759 | 2 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,886 – $28,941 · median $24,414 | 2 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,981 – $15,981 · median $13,481 | 2 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,680 – $9,722 · median $8,201 | 2 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,294 – $67,373 · median $56,833 | 2 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,422 – $28,266 · median $23,844 | 2 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,859 – $31,812 · median $26,835 | 2 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,405 – $15,142 · median $12,773 | 2 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,342 – $10,685 · median $9,013 | 2 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,555 – $15,361 · median $12,958 | 2 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,799 – $50,643 · median $42,721 | 2 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,922 – $26,082 · median $22,002 | 2 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,211 – $17,771 · median $14,991 | 2 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,640 – $37,314 · median $31,477 | 2 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,561 – $18,281 · median $15,421 | 2 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,458 – $12,310 · median $10,384 | 2 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $206,192 – $206,192 · median $206,192 | 1 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,664 – $80,664 · median $80,664 | 1 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $77,954 – $77,954 · median $77,954 | 1 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,496 – $35,496 · median $35,496 | 1 plans |
| 007 | LUNG TRANSPLANT | $95,664 – $95,664 · median $95,664 | 1 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,829 – $39,829 · median $39,829 | 1 plans |
| 010 | PANCREAS TRANSPLANT | $58,362 – $58,362 · median $58,362 | 1 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $95,905 – $95,905 · median $95,905 | 1 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,183 – $44,183 · median $44,183 | 1 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $44,183 – $44,183 · median $44,183 | 1 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $276,058 – $276,058 · median $276,058 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $58,028 – $58,028 · median $58,028 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,725 – $33,725 · median $33,725 | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,419 – $25,419 · median $25,419 | 1 plans |
| 652 | KIDNEY TRANSPLANT | $22,483 – $22,483 · median $22,483 | 1 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,516 – $43,516 · median $43,516 | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,718 – $29,718 · median $29,718 | 1 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,932 – $17,932 · median $17,932 | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,528 – $30,528 · median $30,528 | 1 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,806 – $10,806 · median $10,806 | 1 plans |
| 795 | NORMAL NEWBORN | $1,463 – $1,463 · median $1,463 | 1 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,174 – $11,174 · median $11,174 | 1 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,173 – $8,173 · median $8,173 | 1 plans |
No procedures match that keyword.