Christus Coushatta Health Care Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 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 | $1,040 – $16,826 · median $6,815 | 27 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,040 – $28,272 · median $10,420 | 27 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,040 – $16,621 · median $7,899 | 27 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,040 – $13,516 · median $7,130 | 27 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,040 – $24,800 · median $10,143 | 27 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,040 – $16,296 · median $7,848 | 27 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,040 – $13,885 · median $7,848 | 27 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,040 – $19,593 · median $6,817 | 27 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,040 – $14,860 · median $6,458 | 27 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,040 – $14,860 · median $6,458 | 27 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,040 – $15,317 · median $6,455 | 27 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,040 – $11,106 · median $5,398 | 27 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,040 – $9,781 · median $5,349 | 27 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,180 – $183,907 · median $90,161 | 24 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,938 – $123,609 · median $69,112 | 24 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,714 – $123,609 · median $55,578 | 24 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,050 – $144,344 · median $72,284 | 24 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,577 – $100,251 · median $55,931 | 24 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,113 – $94,751 · median $46,752 | 24 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,590 – $93,006 · median $53,331 | 24 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,692 – $61,829 · median $33,244 | 24 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,718 – $158,474 · median $76,364 | 24 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,724 – $113,971 · median $64,007 | 24 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $49,550 – $143,722 · median $73,021 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,726 – $102,693 · median $51,602 | 24 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,301 – $110,324 · median $54,970 | 24 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,067 – $78,745 · median $40,366 | 24 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,503 – $60,021 · median $31,688 | 24 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,281 – $40,059 · median $22,418 | 24 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,440 – $33,979 · median $19,314 | 24 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,978 – $85,769 · median $44,965 | 24 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,660 – $41,029 · median $24,749 | 24 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,906 – $28,095 · median $16,723 | 24 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,746 – $65,577 · median $30,023 | 24 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,184 – $48,795 · median $23,576 | 24 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,090 – $33,494 · median $17,561 | 24 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $12,853 – $59,068 · median $26,209 | 24 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,142 – $38,013 · median $16,420 | 24 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $11,258 – $61,149 · median $28,910 | 24 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,258 – $35,540 · median $16,608 | 24 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,622 – $30,640 · median $12,576 | 24 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,002 – $57,476 · median $23,474 | 24 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,156 – $62,800 · median $28,873 | 24 plans |
| 265 | AICD LEAD PROCEDURES | $22,613 – $68,019 · median $31,170 | 24 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,405 – $30,155 · median $15,334 | 24 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,843 – $17,278 · median $8,611 | 24 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,597 – $13,594 · median $6,774 | 24 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,396 – $37,237 · median $18,257 | 24 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,697 – $13,013 · median $6,922 | 24 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,559 – $11,259 · median $5,245 | 24 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,978 – $41,598 · median $19,371 | 24 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,908 – $20,117 · median $11,418 | 24 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,284 – $54,280 · median $24,175 | 24 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,124 – $30,084 · median $14,194 | 24 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,267 – $28,356 · median $12,352 | 24 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $135,859 – $399,013 · median $193,892 | 23 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $89,573 – $260,392 · median $127,834 | 23 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,206 – $102,532 · median $48,817 | 23 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,014 – $79,257 · median $37,126 | 23 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,799 – $54,175 · median $23,975 | 23 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,101 – $147,926 · median $72,929 | 23 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,039 – $99,518 · median $50,005 | 23 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,660 – $59,732 · median $29,919 | 23 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,166 – $107,724 · median $51,614 | 23 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,100 – $73,540 · median $34,394 | 23 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,351 – $85,473 · median $40,461 | 23 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,389 – $58,450 · median $27,671 | 23 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,644 – $47,428 · median $22,326 | 23 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,539 – $112,950 · median $55,001 | 23 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,279 – $64,135 · median $30,368 | 23 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,107 – $41,268 · median $20,133 | 23 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,565 – $84,229 · median $37,912 | 23 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,538 – $40,061 · median $19,321 | 23 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,114 – $31,261 · median $14,434 | 23 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,651 – $72,765 · median $35,181 | 23 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,420 – $44,939 · median $20,580 | 23 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,620 – $36,523 · median $16,584 | 23 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,052 – $61,888 · median $29,002 | 23 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,214 – $30,503 · median $15,208 | 23 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,215 – $22,098 · median $11,023 | 23 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,912 – $72,587 · median $34,126 | 23 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,315 – $41,333 · median $20,430 | 23 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,142 – $32,479 · median $15,901 | 23 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,758 – $34,051 · median $18,207 | 23 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,841 – $18,408 · median $8,336 | 23 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,503 – $28,704 · median $13,562 | 23 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,916 – $19,167 · median $9,870 | 23 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,874 – $43,672 · median $22,655 | 23 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,459 – $24,356 · median $12,072 | 23 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,702 – $32,137 · median $16,700 | 23 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,757 – $23,328 · median $11,070 | 23 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,657 – $17,291 · median $8,074 | 23 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,137 – $51,831 · median $24,458 | 23 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,290 – $33,034 · median $16,112 | 23 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,905 – $26,390 · median $12,709 | 23 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,610 – $37,805 · median $17,996 | 23 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,446 – $18,993 · median $9,200 | 23 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,363 – $12,866 · median $6,227 | 23 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,223 – $27,610 · median $13,162 | 23 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,588 – $16,250 · median $7,975 | 23 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,072 – $15,017 · median $7,239 | 23 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,023 – $31,297 · median $15,731 | 23 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,681 – $19,288 · median $9,535 | 23 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,756 – $14,216 · median $6,787 | 23 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,798 – $30,159 · median $13,983 | 23 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,608 – $19,378 · median $9,431 | 23 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,919 – $36,047 · median $15,583 | 23 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,812 – $15,513 · median $8,295 | 23 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,601 – $34,026 · median $17,984 | 23 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,736 – $16,836 · median $8,186 | 23 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,708 – $42,967 · median $20,991 | 23 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,814 – $26,240 · median $12,579 | 23 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,061 – $17,968 · median $8,650 | 23 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,365 – $42,709 · median $20,501 | 23 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,315 – $24,489 · median $11,866 | 23 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,604 – $17,195 · median $7,998 | 23 plans |
| 088 | CONCUSSION WITH MCC | $8,943 – $25,412 · median $12,763 | 23 plans |
| 089 | CONCUSSION WITH CC | $6,796 – $20,653 · median $9,699 | 23 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,435 – $15,475 · median $7,756 | 23 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,556 – $33,015 · median $16,492 | 23 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,711 – $19,231 · median $9,578 | 23 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,004 – $14,970 · median $7,141 | 23 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,130 – $66,161 · median $33,010 | 23 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,196 – $48,486 · median $21,687 | 23 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,196 – $48,486 · median $21,687 | 23 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,724 – $67,898 · median $32,430 | 23 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,752 – $43,142 · median $19,626 | 23 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,832 – $25,612 · median $12,605 | 23 plans |
| 100 | SEIZURES WITH MCC | $12,585 – $36,410 · median $17,961 | 23 plans |
| 101 | SEIZURES WITHOUT MCC | $5,843 – $16,968 · median $8,339 | 23 plans |
| 102 | HEADACHES WITH MCC | $7,350 – $21,072 · median $10,490 | 23 plans |
| 103 | HEADACHES WITHOUT MCC | $5,390 – $15,722 · median $7,692 | 23 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,305 – $44,198 · median $20,415 | 23 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,494 – $25,435 · median $10,694 | 23 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,705 – $28,855 · median $13,851 | 23 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,578 – $33,990 · median $15,096 | 23 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,837 – $20,395 · median $9,758 | 23 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,374 – $21,869 · median $10,523 | 23 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,300 – $14,772 · median $6,137 | 23 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,092 – $15,013 · median $7,267 | 23 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,266 – $24,873 · median $11,796 | 23 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,234 – $14,434 · median $7,470 | 23 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,284 – $40,794 · median $21,813 | 23 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,201 – $19,087 · median $8,850 | 23 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,866 – $28,071 · median $12,653 | 23 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,157 – $16,660 · median $7,360 | 23 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,704 – $23,230 · median $12,422 | 23 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,810 – $80,183 · median $38,262 | 23 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,620 – $41,003 · median $19,437 | 23 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,968 – $30,011 · median $14,226 | 23 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,931 – $70,432 · median $29,872 | 23 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,136 – $32,577 · median $15,893 | 23 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,511 – $22,602 · median $10,719 | 23 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,543 – $39,805 · median $20,755 | 23 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,891 – $23,903 · median $11,262 | 23 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,076 – $14,985 · median $7,244 | 23 plans |
| 149 | DYSEQUILIBRIUM | $4,739 – $14,129 · median $6,763 | 23 plans |
| 150 | EPISTAXIS WITH MCC | $8,762 – $25,031 · median $12,505 | 23 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,805 – $13,798 · median $6,858 | 23 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,194 – $22,224 · median $10,267 | 23 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,512 – $13,877 · median $6,439 | 23 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,309 – $29,392 · median $14,713 | 23 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,918 – $17,229 · median $8,446 | 23 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,262 – $12,992 · median $6,083 | 23 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,380 – $32,274 · median $14,814 | 23 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,963 – $17,103 · median $8,510 | 23 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,181 – $13,319 · median $5,967 | 23 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,219 – $84,253 · median $41,699 | 23 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,956 – $47,449 · median $22,771 | 23 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,816 – $35,985 · median $16,864 | 23 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,408 – $70,265 · median $34,834 | 23 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,583 – $33,902 · median $16,531 | 23 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,583 – $25,687 · median $12,249 | 23 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,453 – $55,953 · median $27,762 | 23 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,933 – $25,822 · median $12,748 | 23 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,163 – $15,133 · median $7,369 | 23 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,247 – $29,377 · median $14,624 | 23 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,289 – $18,348 · median $8,976 | 23 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,879 – $14,193 · median $6,963 | 23 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,080 – $33,199 · median $15,812 | 23 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,038 – $20,134 · median $10,045 | 23 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,309 – $14,171 · median $7,577 | 23 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,062 – $28,761 · median $14,360 | 23 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,771 – $20,004 · median $9,663 | 23 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,930 – $14,785 · median $7,036 | 23 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,016 – $29,298 · median $14,294 | 23 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,365 – $18,594 · median $9,083 | 23 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,654 – $13,483 · median $6,642 | 23 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,844 – $23,224 · median $11,195 | 23 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,119 – $20,824 · median $10,160 | 23 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,446 – $15,848 · median $7,772 | 23 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,103 – $12,069 · median $5,855 | 23 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,353 – $24,709 · median $11,921 | 23 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,198 – $15,150 · median $7,419 | 23 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,947 – $11,815 · median $5,634 | 23 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,944 – $35,477 · median $17,045 | 23 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,276 – $17,842 · median $8,957 | 23 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,440 – $13,464 · median $6,337 | 23 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,191 – $33,163 · median $15,971 | 23 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,021 – $20,666 · median $10,020 | 23 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,292 – $13,443 · median $6,126 | 23 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,128 – $18,258 · median $8,746 | 23 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,416 – $12,595 · median $6,302 | 23 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,141 – $15,178 · median $7,337 | 23 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,967 – $34,421 · median $17,079 | 23 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,742 – $17,692 · median $8,195 | 23 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,997 – $120,966 · median $58,509 | 23 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,013 – $51,673 · median $24,280 | 23 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $69,059 – $204,422 · median $90,831 | 23 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $30,085 – $187,182 · median $95,851 | 23 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,930 – $92,523 · median $45,569 | 23 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,461 – $53,587 · median $26,347 | 23 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,572 – $26,025 · median $13,660 | 23 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,587 – $50,708 · median $23,671 | 23 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,737 – $31,919 · median $15,323 | 23 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,654 – $20,532 · median $8,055 | 23 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,977 – $115,208 · median $59,369 | 23 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,824 – $89,498 · median $46,624 | 23 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,267 – $129,298 · median $61,403 | 23 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,376 – $79,392 · median $37,970 | 23 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,539 – $99,189 · median $53,220 | 23 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,835 – $66,855 · median $34,294 | 23 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,862 – $47,994 · median $25,300 | 23 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,788 – $77,555 · median $35,132 | 23 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,286 – $61,881 · median $24,637 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,799 – $134,044 · median $74,840 | 23 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,268 – $112,918 · median $56,041 | 23 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,489 – $86,823 · median $49,264 | 23 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $23,218 – $104,639 · median $37,075 | 23 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,313 – $67,797 · median $24,280 | 23 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,316 – $50,874 · median $24,712 | 23 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,995 – $32,088 · median $14,264 | 23 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,206 – $17,477 · median $8,857 | 23 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,271 – $24,134 · median $11,805 | 23 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,459 – $15,960 · median $7,791 | 23 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,478 – $10,640 · median $4,964 | 23 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,386 – $29,362 · median $14,823 | 23 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,465 – $11,919 · median $6,373 | 23 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,800 – $8,555 · median $3,996 | 23 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,254 – $30,693 · median $14,634 | 23 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,787 – $20,068 · median $9,686 | 23 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,522 – $13,530 · median $6,454 | 23 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,374 – $22,495 · median $10,524 | 23 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,262 – $12,655 · median $6,083 | 23 plans |
| 304 | HYPERTENSION WITH MCC | $7,447 – $22,371 · median $10,628 | 23 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,759 – $14,195 · median $6,792 | 23 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,492 – $29,623 · median $13,547 | 23 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,873 – $17,167 · median $8,381 | 23 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,644 – $22,634 · median $10,910 | 23 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,687 – $13,830 · median $6,688 | 23 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,547 – $10,642 · median $5,062 | 23 plans |
| 311 | ANGINA PECTORIS | $4,427 – $13,195 · median $6,318 | 23 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,523 – $16,385 · median $7,883 | 23 plans |
| 313 | CHEST PAIN | $4,522 – $13,535 · median $6,454 | 23 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,651 – $39,200 · median $19,483 | 23 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,100 – $18,109 · median $8,706 | 23 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,328 – $12,823 · median $6,176 | 23 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $39,217 – $125,700 · median $54,143 | 23 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,847 – $83,898 · median $41,187 | 23 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,674 – $45,217 · median $22,645 | 23 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,046 – $51,148 · median $25,755 | 23 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,469 – $33,143 · median $19,159 | 23 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,001 – $81,351 · median $37,180 | 23 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,254 – $59,236 · median $27,084 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,143 – $60,352 · median $25,828 | 23 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,197 – $93,758 · median $45,950 | 23 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,392 – $45,949 · median $21,967 | 23 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,102 – $30,122 · median $14,416 | 23 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,109 – $86,410 · median $41,543 | 23 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,984 – $45,065 · median $21,384 | 23 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,466 – $31,637 · median $14,937 | 23 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,989 – $68,066 · median $31,381 | 23 plans |
| 333 | RECTAL RESECTION WITH CC | $13,473 – $44,031 · median $19,228 | 23 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,514 – $30,791 · median $15,005 | 23 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,970 – $67,129 · median $32,781 | 23 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,390 – $39,641 · median $19,110 | 23 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,731 – $28,856 · median $13,888 | 23 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,081 – $48,554 · median $24,377 | 23 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,437 – $28,287 · median $13,468 | 23 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,894 – $22,299 · median $11,266 | 23 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,004 – $43,155 · median $21,412 | 23 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,980 – $24,604 · median $11,389 | 23 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,584 – $16,366 · median $7,970 | 23 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,333 – $46,845 · median $21,882 | 23 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,537 – $28,659 · median $13,611 | 23 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,990 – $21,953 · median $9,975 | 23 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,593 – $54,555 · median $26,535 | 23 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,784 – $31,627 · median $15,390 | 23 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,451 – $25,285 · median $12,061 | 23 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,041 – $82,580 · median $38,592 | 23 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,276 – $43,717 · median $20,374 | 23 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,590 – $26,279 · median $12,260 | 23 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,586 – $29,926 · median $15,108 | 23 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,451 – $18,803 · median $9,206 | 23 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,425 – $13,174 · median $6,315 | 23 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,081 – $33,333 · median $15,814 | 23 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,525 – $19,194 · median $9,312 | 23 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,598 – $13,674 · median $6,563 | 23 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,385 – $40,205 · median $19,102 | 23 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,789 – $22,739 · median $11,116 | 23 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,598 – $17,376 · median $7,989 | 23 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,526 – $34,365 · median $16,449 | 23 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,250 – $18,436 · median $8,919 | 23 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,036 – $11,851 · median $5,760 | 23 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,199 – $36,887 · median $17,409 | 23 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,904 – $20,369 · median $9,853 | 23 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,750 – $15,050 · median $6,779 | 23 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,014 – $25,956 · median $11,437 | 23 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,513 – $16,069 · median $7,867 | 23 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,300 – $29,746 · median $14,700 | 23 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,292 – $18,353 · median $8,979 | 23 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,249 – $12,808 · median $6,064 | 23 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,318 – $27,762 · median $13,298 | 23 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,082 – $14,847 · median $7,252 | 23 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,469 – $10,227 · median $4,951 | 23 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,143 – $23,843 · median $11,621 | 23 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,946 – $14,656 · median $7,059 | 23 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,498 – $30,065 · median $14,982 | 23 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,967 – $17,590 · median $8,516 | 23 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,034 – $12,201 · median $5,758 | 23 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,707 – $45,022 · median $21,916 | 23 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,592 – $28,454 · median $14,356 | 23 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,124 – $21,519 · median $10,397 | 23 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,800 – $75,581 · median $35,394 | 23 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,414 – $102,840 · median $49,113 | 23 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,803 – $54,521 · median $25,408 | 23 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,539 – $41,726 · median $19,323 | 23 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,195 – $67,030 · median $31,676 | 23 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,290 – $40,931 · median $18,967 | 23 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,833 – $29,847 · median $14,033 | 23 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,347 – $62,099 · median $24,756 | 23 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,513 – $39,525 · median $19,285 | 23 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,539 – $31,216 · median $15,041 | 23 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,211 – $66,973 · median $31,699 | 23 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,540 – $38,852 · median $17,896 | 23 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,686 – $25,629 · median $12,396 | 23 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,065 – $44,862 · median $21,500 | 23 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,513 – $31,800 · median $13,966 | 23 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,539 – $25,676 · median $10,694 | 23 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,374 – $64,050 · median $31,931 | 23 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,381 – $32,663 · median $14,815 | 23 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,315 – $26,309 · median $13,294 | 23 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,784 – $78,072 · median $36,798 | 23 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,474 – $41,130 · median $20,657 | 23 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,799 – $28,204 · median $13,985 | 23 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $66,406 – $207,188 · median $94,771 | 23 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,026 – $135,702 · median $64,258 | 23 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,892 – $105,688 · median $49,796 | 23 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $52,873 – $169,371 · median $75,457 | 23 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $34,679 – $108,416 · median $49,492 | 23 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,419 – $37,000 · median $17,724 | 23 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,782 – $19,856 · median $9,678 | 23 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,415 – $13,394 · median $6,301 | 23 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,567 – $34,528 · median $16,507 | 23 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,149 – $21,264 · median $10,202 | 23 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,978 – $16,041 · median $7,104 | 23 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,547 – $30,646 · median $15,051 | 23 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,453 – $15,814 · median $7,782 | 23 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,899 – $11,682 · median $5,565 | 23 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,984 – $33,739 · median $17,102 | 23 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,125 – $18,147 · median $8,741 | 23 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,455 – $13,154 · median $6,357 | 23 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,678 – $31,411 · median $15,239 | 23 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,875 – $20,574 · median $9,811 | 23 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,054 – $15,552 · median $7,213 | 23 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,503 – $125,607 · median $59,708 | 23 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,886 – $79,723 · median $39,386 | 23 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,648 – $100,191 · median $51,037 | 23 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,563 – $60,728 · median $30,582 | 23 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,688 – $157,976 · median $76,621 | 23 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,383 – $112,100 · median $51,924 | 23 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,373 – $78,441 · median $39,065 | 23 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,902 – $103,827 · median $55,519 | 23 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,154 – $50,005 · median $25,909 | 23 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,238 – $107,145 · median $48,863 | 23 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,692 – $58,553 · median $26,676 | 23 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,006 – $34,284 · median $15,706 | 23 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,296 – $97,856 · median $46,091 | 23 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,713 – $66,297 · median $30,988 | 23 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,630 – $51,660 · median $23,733 | 23 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,721 – $57,021 · median $29,572 | 23 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,953 – $36,261 · median $17,058 | 23 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,791 – $90,775 · median $43,944 | 23 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,366 – $55,384 · median $26,211 | 23 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,007 – $45,894 · median $21,418 | 23 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,429 – $80,702 · median $40,573 | 23 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,676 – $42,781 · median $19,517 | 23 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,373 – $22,187 · median $10,523 | 23 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,801 – $64,943 · median $31,113 | 23 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,825 – $46,231 · median $21,157 | 23 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,257 – $34,945 · median $16,066 | 23 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,644 – $54,748 · median $26,607 | 23 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,153 – $39,375 · median $18,772 | 23 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,057 – $30,661 · median $14,352 | 23 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,154 – $52,109 · median $23,054 | 23 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,408 – $60,666 · median $29,125 | 23 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,445 – $39,311 · median $19,188 | 23 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,017 – $29,443 · median $14,296 | 23 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,459 – $33,254 · median $17,781 | 23 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,850 – $20,995 · median $11,204 | 23 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,512 – $69,022 · median $32,128 | 23 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,220 – $47,676 · median $21,722 | 23 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,952 – $37,720 · median $17,057 | 23 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,318 – $68,160 · median $31,851 | 23 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,507 – $33,912 · median $17,850 | 23 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,511 – $22,715 · median $12,147 | 23 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,006 – $56,713 · median $22,843 | 23 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,359 – $37,876 · median $10,502 | 23 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,087 – $59,495 · median $28,667 | 23 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,314 – $32,863 · median $16,146 | 23 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,857 – $25,302 · median $12,640 | 23 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,777 – $52,470 · median $23,944 | 23 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,125 – $35,139 · median $15,877 | 23 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,125 – $33,703 · median $15,877 | 23 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,503 – $25,364 · median $13,562 | 23 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,287 – $33,959 · median $17,535 | 23 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,181 – $28,469 · median $11,676 | 23 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,118 – $56,782 · median $25,857 | 23 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,432 – $39,091 · median $17,743 | 23 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,192 – $31,120 · median $14,546 | 23 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,544 – $29,595 · median $13,621 | 23 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,463 – $19,218 · median $9,224 | 23 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,603 – $59,911 · median $27,977 | 23 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,753 – $39,066 · median $18,200 | 23 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,463 – $28,888 · median $13,504 | 23 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,741 – $70,258 · median $29,088 | 23 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,500 – $37,602 · median $19,081 | 23 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,085 – $28,084 · median $12,121 | 23 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,477 – $53,957 · median $26,369 | 23 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,364 – $39,811 · median $19,072 | 23 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,667 – $29,471 · median $13,796 | 23 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,160 – $15,154 · median $7,364 | 23 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,431 – $24,100 · median $12,032 | 23 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,140 – $15,182 · median $7,336 | 23 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,826 – $17,940 · median $8,314 | 23 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,257 – $13,541 · median $6,075 | 23 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,820 – $37,028 · median $18,297 | 23 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,204 – $24,369 · median $11,708 | 23 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,546 – $14,802 · median $7,915 | 23 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,823 – $33,208 · median $16,874 | 23 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,725 – $19,325 · median $9,598 | 23 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,791 – $14,186 · median $6,837 | 23 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,019 – $46,653 · median $22,861 | 23 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,339 – $21,683 · median $10,474 | 23 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,730 – $15,720 · median $6,751 | 23 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,771 – $36,299 · median $18,226 | 23 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,639 – $22,694 · median $10,903 | 23 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,465 – $16,432 · median $7,799 | 23 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,817 – $31,509 · median $15,438 | 23 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,110 – $18,071 · median $8,720 | 23 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,279 – $24,369 · median $11,815 | 23 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,291 – $15,605 · median $7,551 | 23 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,536 – $24,849 · median $12,183 | 23 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,176 – $15,614 · median $7,387 | 23 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,824 – $27,952 · median $14,020 | 23 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,476 – $16,791 · median $7,815 | 23 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,767 – $35,058 · median $16,794 | 23 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,218 – $21,170 · median $10,302 | 23 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,183 – $15,113 · median $7,397 | 23 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,277 – $26,785 · median $13,240 | 23 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,666 – $16,835 · median $8,086 | 23 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,947 – $29,018 · median $14,197 | 23 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,464 – $18,318 · median $9,225 | 23 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,742 – $14,086 · median $6,768 | 23 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,082 – $55,290 · median $27,233 | 23 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,614 – $31,761 · median $15,147 | 23 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,242 – $21,549 · median $10,335 | 23 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,038 – $123,160 · median $55,713 | 23 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,965 – $65,259 · median $31,347 | 23 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,658 – $33,782 · median $18,064 | 23 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,202 – $92,138 · median $48,811 | 23 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,880 – $49,831 · median $24,090 | 23 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,716 – $30,199 · median $15,293 | 23 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,662 – $60,881 · median $29,488 | 23 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,239 – $32,485 · median $16,040 | 23 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,123 – $27,129 · median $13,020 | 23 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,101 – $36,218 · median $15,843 | 23 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,413 – $32,417 · median $14,862 | 23 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,979 – $40,243 · median $18,523 | 23 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,584 – $36,265 · median $17,959 | 23 plans |
| 592 | SKIN ULCERS WITH MCC | $13,035 – $36,382 · median $18,603 | 23 plans |
| 593 | SKIN ULCERS WITH CC | $7,751 – $22,301 · median $11,062 | 23 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,380 – $16,295 · median $7,678 | 23 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,408 – $39,867 · median $19,135 | 23 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,853 – $20,350 · median $9,781 | 23 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,136 – $31,340 · median $15,893 | 23 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,839 – $21,267 · median $9,761 | 23 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,419 – $14,464 · median $7,734 | 23 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,064 – $19,581 · median $8,654 | 23 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,800 – $11,373 · median $5,424 | 23 plans |
| 602 | CELLULITIS WITH MCC | $9,314 – $26,719 · median $13,292 | 23 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,584 – $16,372 · median $7,969 | 23 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,418 – $27,674 · median $13,441 | 23 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,856 – $17,220 · median $8,357 | 23 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,208 – $28,447 · median $14,568 | 23 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,478 – $17,039 · median $7,818 | 23 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,447 – $41,204 · median $20,618 | 23 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,084 – $26,305 · median $12,964 | 23 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,501 – $65,560 · median $34,967 | 23 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,245 – $35,160 · median $17,475 | 23 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,893 – $26,663 · median $11,264 | 23 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,721 – $66,909 · median $33,854 | 23 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,126 – $33,724 · median $17,305 | 23 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,359 – $23,534 · median $9,075 | 23 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,175 – $56,775 · median $25,939 | 23 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,568 – $28,187 · median $13,655 | 23 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,031 – $24,971 · median $11,462 | 23 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,013 – $70,060 · median $35,697 | 23 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,258 – $40,959 · median $20,348 | 23 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,883 – $27,437 · median $12,678 | 23 plans |
| 637 | DIABETES WITH MCC | $9,232 – $27,009 · median $13,175 | 23 plans |
| 638 | DIABETES WITH CC | $5,814 – $16,848 · median $8,298 | 23 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,972 – $11,678 · median $5,669 | 23 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,418 – $25,108 · median $12,014 | 23 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,953 – $14,629 · median $7,069 | 23 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,868 – $26,734 · median $11,228 | 23 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,506 – $30,945 · median $14,994 | 23 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,551 – $19,269 · median $9,349 | 23 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,936 – $14,443 · median $7,045 | 23 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,339 – $97,687 · median $50,433 | 23 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,890 – $52,624 · median $25,532 | 23 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,168 – $39,790 · median $18,793 | 23 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,653 – $59,852 · median $29,475 | 23 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,589 – $34,402 · median $16,539 | 23 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,534 – $29,172 · median $13,607 | 23 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,382 – $47,766 · median $23,380 | 23 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,495 – $24,847 · median $12,123 | 23 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,508 – $19,464 · median $9,288 | 23 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,776 – $57,553 · median $28,223 | 23 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,683 – $28,578 · median $13,818 | 23 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,845 – $19,681 · median $9,769 | 23 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,766 – $58,675 · median $31,064 | 23 plans |
| 666 | PROSTATECTOMY WITH CC | $10,443 – $32,885 · median $14,903 | 23 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,515 – $20,795 · median $9,299 | 23 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,487 – $54,893 · median $26,384 | 23 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,810 – $29,176 · median $14,000 | 23 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,058 – $18,372 · median $8,646 | 23 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,927 – $33,744 · median $15,594 | 23 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,938 – $20,294 · median $9,901 | 23 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,559 – $78,986 · median $37,903 | 23 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,633 – $43,963 · median $20,884 | 23 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,923 – $30,857 · median $14,161 | 23 plans |
| 682 | RENAL FAILURE WITH MCC | $9,521 – $27,841 · median $13,588 | 23 plans |
| 683 | RENAL FAILURE WITH CC | $5,635 – $16,464 · median $8,042 | 23 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,850 – $11,285 · median $5,495 | 23 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,954 – $33,908 · median $17,060 | 23 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,673 – $19,698 · median $9,524 | 23 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,591 – $14,857 · median $6,552 | 23 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,419 – $21,812 · median $10,588 | 23 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,088 – $15,218 · median $7,261 | 23 plans |
| 693 | URINARY STONES WITH MCC | $9,321 – $25,275 · median $13,303 | 23 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,953 – $14,695 · median $7,069 | 23 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,149 – $21,502 · median $10,203 | 23 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,385 – $12,953 · median $6,259 | 23 plans |
| 697 | URETHRAL STRICTURE | $6,351 – $20,262 · median $9,063 | 23 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,656 – $31,101 · median $15,207 | 23 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,465 – $19,081 · median $9,227 | 23 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,401 – $12,969 · median $6,280 | 23 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,302 – $37,604 · median $17,557 | 23 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,398 – $28,841 · median $13,412 | 23 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,245 – $43,747 · median $20,330 | 23 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,518 – $26,341 · median $13,583 | 23 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,112 – $39,173 · median $17,285 | 23 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,628 – $20,673 · median $9,323 | 23 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,167 – $28,262 · median $13,082 | 23 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,957 – $19,878 · median $8,501 | 23 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,316 – $42,059 · median $20,431 | 23 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,997 – $27,653 · median $12,840 | 23 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,762 – $35,540 · median $16,787 | 23 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,809 – $25,249 · median $11,145 | 23 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,960 – $34,021 · median $15,641 | 23 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,118 – $21,482 · median $10,159 | 23 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,619 – $12,327 · median $6,592 | 23 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,004 – $21,999 · median $11,423 | 23 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,719 – $13,573 · median $6,735 | 23 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,315 – $27,877 · median $13,294 | 23 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,180 – $15,250 · median $7,392 | 23 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,979 – $19,903 · median $9,960 | 23 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,847 – $12,633 · median $5,491 | 23 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,330 – $40,042 · median $19,024 | 23 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,695 – $25,294 · median $10,982 | 23 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,961 – $67,197 · median $35,623 | 23 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,668 – $38,737 · median $18,080 | 23 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,616 – $27,606 · median $13,723 | 23 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,236 – $67,353 · median $36,015 | 23 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,527 – $34,019 · median $16,450 | 23 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,708 – $26,809 · median $12,427 | 23 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,580 – $34,492 · median $16,087 | 23 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,599 – $23,324 · median $10,538 | 23 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,387 – $38,521 · median $17,678 | 23 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,496 – $21,384 · median $9,271 | 23 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,616 – $32,656 · median $15,150 | 23 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,055 – $16,162 · median $8,642 | 23 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,636 – $26,080 · median $12,325 | 23 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,410 – $48,268 · median $23,419 | 23 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,174 – $27,744 · median $11,666 | 23 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,470 – $34,622 · median $16,369 | 23 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,037 – $20,450 · median $10,043 | 23 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,054 – $18,056 · median $8,837 | 23 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,752 – $26,918 · median $11,904 | 23 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,057 – $12,475 · median $5,790 | 23 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,248 – $18,940 · median $8,917 | 23 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,018 – $10,725 · median $5,735 | 23 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,821 – $18,850 · median $9,402 | 23 plans |
| 779 | ABORTION WITHOUT D&C | $5,926 – $15,816 · median $8,742 | 23 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,752 – $33,880 · median $12,991 | 23 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $8,752 – $85,139 · median $39,993 | 23 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $8,752 – $52,814 · median $24,508 | 23 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $8,752 – $74,897 · median $30,152 | 23 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,009 – $25,491 · median $10,002 | 23 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,519 – $41,506 · median $20,720 | 23 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,851 – $23,798 · median $10,417 | 23 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,034 – $19,675 · median $8,822 | 23 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,752 – $26,399 · median $11,833 | 23 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,850 – $17,261 · median $8,687 | 23 plans |
| 813 | COAGULATION DISORDERS | $8,752 – $28,674 · median $13,020 | 23 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,752 – $39,980 · median $17,583 | 23 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,441 – $19,062 · median $9,193 | 23 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,180 – $11,881 · median $5,966 | 23 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,071 – $42,892 · median $22,546 | 23 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,401 – $21,792 · median $10,820 | 23 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,052 – $16,165 · median $7,111 | 23 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,909 – $110,252 · median $52,674 | 23 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,152 – $42,083 · median $20,197 | 23 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,250 – $22,634 · median $10,347 | 23 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,664 – $86,190 · median $42,335 | 23 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,942 – $42,591 · median $19,898 | 23 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,802 – $25,367 · median $11,135 | 23 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,273 – $87,938 · median $43,204 | 23 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,960 – $43,448 · median $21,350 | 23 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,161 – $32,030 · median $14,501 | 23 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,549 – $59,405 · median $27,899 | 23 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,271 – $28,293 · median $13,231 | 23 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,296 – $22,606 · median $10,413 | 23 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,738 – $13,565 · median $6,762 | 23 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,295 – $9,830 · median $4,703 | 23 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,039 – $103,205 · median $50,005 | 23 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,540 – $39,211 · median $19,323 | 23 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,055 – $22,925 · median $11,496 | 23 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,742 – $90,316 · median $45,300 | 23 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,857 – $39,241 · median $18,349 | 23 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,687 – $27,144 · median $12,398 | 23 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,216 – $60,813 · median $28,851 | 23 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,940 – $30,669 · median $14,186 | 23 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,668 – $18,995 · median $9,517 | 23 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,002 – $37,500 · median $17,129 | 23 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,577 – $22,886 · median $10,813 | 23 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,305 – $16,009 · median $7,571 | 23 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,189 – $48,736 · median $23,104 | 23 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,055 – $24,593 · median $11,496 | 23 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,191 – $15,968 · median $7,409 | 23 plans |
| 849 | RADIOTHERAPY | $16,933 – $50,936 · median $24,165 | 23 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $58,396 – $162,790 · median $83,340 | 23 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,704 – $92,841 · median $45,247 | 23 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,666 – $37,562 · median $18,077 | 23 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,305 – $28,146 · median $14,707 | 23 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,600 – $85,511 · median $40,816 | 23 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,813 – $40,258 · median $19,713 | 23 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,167 – $26,185 · median $11,656 | 23 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,656 – $34,284 · median $16,635 | 23 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,339 – $18,760 · median $9,046 | 23 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,693 – $16,688 · median $8,124 | 23 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,356 – $28,167 · median $13,352 | 23 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,609 – $16,348 · median $8,005 | 23 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,593 – $39,350 · median $19,399 | 23 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,657 – $19,384 · median $9,500 | 23 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,562 – $13,718 · median $6,510 | 23 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,099 – $129,935 · median $62,935 | 23 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,438 – $36,517 · median $17,751 | 23 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,536 – $19,237 · median $9,327 | 23 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,911 – $72,656 · median $28,844 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,077 – $18,051 · median $7,036 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $5,795 – $17,688 · median $6,710 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,098 – $20,186 · median $7,061 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,752 – $36,964 · median $13,608 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,588 – $30,246 · median $12,260 | 23 plans |
| 885 | PSYCHOSES | $8,936 – $26,258 · median $10,347 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,388 – $39,014 · median $13,187 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,540 – $20,132 · median $8,730 | 23 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,086 – $78,892 · median $40,083 | 23 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,029 – $35,991 · median $17,168 | 23 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,728 – $21,987 · median $10,254 | 23 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $8,752 – $69,051 · median $32,476 | 23 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,752 – $27,886 · median $13,863 | 23 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,752 – $36,927 · median $18,357 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,254 – $72,175 · median $36,041 | 23 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,787 – $37,508 · median $18,249 | 23 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,040 – $24,677 · median $11,474 | 23 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,259 – $30,729 · median $14,641 | 23 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,809 – $16,647 · median $8,291 | 23 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,017 – $31,612 · median $15,723 | 23 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,210 – $12,526 · median $6,008 | 23 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,394 – $29,484 · median $14,834 | 23 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,608 – $16,113 · median $8,003 | 23 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,560 – $34,417 · median $16,498 | 23 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,440 – $18,842 · median $9,191 | 23 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,359 – $12,941 · median $6,222 | 23 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,709 – $32,887 · median $15,284 | 23 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,465 – $19,132 · median $9,227 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $150,384 – $401,368 · median $174,129 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,339 – $134,840 · median $49,024 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,161 – $60,548 · median $23,345 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,429 – $73,207 · median $31,760 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,603 – $41,557 · median $15,750 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $13,923 – $38,726 · median $16,122 | 23 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,121 – $68,212 · median $28,715 | 23 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,385 – $43,931 · median $19,102 | 23 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,389 – $38,119 · median $17,681 | 23 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,154 – $23,863 · median $11,636 | 23 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,037 – $15,049 · median $7,188 | 23 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,840 – $22,365 · median $9,762 | 23 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,715 – $11,800 · median $5,302 | 23 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,594 – $10,452 · median $5,619 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $8,752 – $126,538 · median $57,433 | 23 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,231 – $70,741 · median $34,581 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,317 – $143,247 · median $67,529 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,053 – $79,217 · median $37,181 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,760 – $55,346 · median $23,919 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,222 – $51,393 · median $24,578 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,509 – $28,811 · median $13,571 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,785 – $17,680 · median $8,256 | 23 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,091 – $115,074 · median $57,216 | 23 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,820 – $49,580 · median $24,004 | 23 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,930 – $54,254 · median $27,016 | 23 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,011 – $24,345 · median $12,859 | 23 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,358 – $16,970 · median $9,074 | 23 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,141 – $24,395 · median $13,045 | 23 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,136 – $88,201 · median $43,009 | 23 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,520 – $46,217 · median $22,150 | 23 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,575 – $32,221 · median $15,092 | 23 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,204 – $64,450 · median $31,689 | 23 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,878 – $30,898 · median $15,525 | 23 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,325 – $22,544 · median $10,454 | 23 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $239,069 – $811,793 · median $341,188 | 22 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,802 – $23,732 · median $13,533 | 22 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,326 – $15,315 · median $8,734 | 22 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,226 – $10,232 · median $5,835 | 22 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,785 – $18,847 · median $10,747 | 22 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,007 – $12,122 · median $6,912 | 22 plans |
| 509 | ARTHROSCOPY | $11,136 – $26,961 · median $15,375 | 22 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,462 – $15,644 · median $8,921 | 22 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,752 – $21,325 · median $10,295 | 22 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,523 – $10,950 · median $6,666 | 22 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,685 – $111,732 · median $42,644 | 22 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,737 – $76,305 · median $29,123 | 22 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,438 – $78,384 · median $29,916 | 22 plans |
| 795 | NORMAL NEWBORN | $1,267 – $3,756 · median $1,433 | 22 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,752 – $25,196 · median $12,280 | 22 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,284 – $27,319 · median $15,579 | 22 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,956 – $11,597 · median $4,498 | 22 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,179 – $26,612 · median $10,435 | 22 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,289 – $32,806 · median $12,834 | 22 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,592 – $16,596 · median $6,358 | 22 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $178,565 – $432,315 · median $204,880 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $69,856 – $169,126 · median $80,151 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $67,509 – $163,442 · median $77,457 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,740 – $74,423 · median $35,270 | 21 plans |
| 007 | LUNG TRANSPLANT | $82,846 – $200,574 · median $95,055 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,492 – $83,508 · median $39,575 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $50,543 – $122,366 · median $57,991 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $83,055 – $201,081 · median $95,295 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,263 – $92,636 · median $43,902 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,263 – $92,636 · median $43,902 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,253 – $121,665 · median $57,659 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,207 – $70,711 · median $33,511 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,013 – $53,294 · median $25,257 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $19,470 – $47,139 · median $22,340 | 21 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,529 – $37,597 · median $17,491 | 21 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,358 – $22,656 · median $10,540 | 21 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,677 – $23,428 · median $10,899 | 21 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,078 – $17,136 · median $7,972 | 21 plans |
No procedures match that keyword.