Christus Shreveport-Bossier Health System — Pricing
790 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 790 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 790 procedures
Procedures with negotiated rates only
These 790 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 |
|---|---|---|---|
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,554 – $192,325 · median $131,376 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,646 – $158,459 · median $118,465 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,272 – $109,729 · median $82,048 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,368 – $93,642 · median $73,771 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,639 – $126,102 · median $91,760 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,772 – $92,361 · median $65,679 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,618 – $72,288 · median $53,481 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,478 – $122,228 · median $67,902 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,738 – $78,827 · median $42,326 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,150 – $133,379 · median $91,623 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,232 – $96,151 · median $71,136 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $56,114 – $123,030 · median $84,079 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,859 – $83,740 · median $61,954 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,072 – $92,617 · median $67,978 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,755 – $64,724 · median $47,885 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,829 – $58,129 · median $39,500 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,491 – $40,637 · median $27,935 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,210 – $31,488 · median $22,378 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,544 – $76,918 · median $51,111 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,928 – $46,960 · median $28,676 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,438 – $25,177 · median $18,196 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,640 – $53,995 · median $35,879 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,035 – $40,184 · median $27,024 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,340 – $27,536 · median $20,006 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,536 – $44,466 · median $32,670 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,866 – $27,666 · median $20,256 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,958 – $53,614 · median $39,665 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,504 – $29,868 · median $19,847 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,121 – $23,890 · median $15,875 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $16,071 – $55,013 · median $36,555 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,396 – $38,877 · median $27,674 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,139 – $26,103 · median $19,787 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,011 – $20,739 · median $13,781 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,000 – $12,766 · median $6,824 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,000 – $21,451 · median $10,384 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,000 – $13,516 · median $10,384 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,000 – $13,516 · median $9,999 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,000 – $18,817 · median $10,384 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,000 – $13,516 · median $10,384 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,000 – $13,516 · median $10,181 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,000 – $14,866 · median $6,824 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,000 – $11,275 · median $6,824 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,000 – $11,275 · median $6,824 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,000 – $11,622 · median $6,824 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,000 – $9,090 · median $6,824 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,000 – $9,090 · median $6,824 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $41,535 – $95,691 · median $70,796 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,354 – $52,834 · median $39,089 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,308 – $35,028 · median $24,153 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,928 – $52,271 · median $38,672 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,795 – $26,974 · median $21,956 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,332 – $17,915 · median $13,879 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,034 – $79,281 · median $58,655 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,317 – $45,838 · median $33,913 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,052 – $24,681 · median $18,723 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,153 – $41,184 · median $30,469 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,398 – $26,659 · median $19,723 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,529 – $16,102 · median $11,060 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,332 – $42,216 · median $28,052 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $26,112 – $56,148 · median $37,309 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,815 – $34,837 · median $25,774 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,977 – $17,152 · median $12,690 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,297 – $76,454 · median $56,563 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,867 – $45,602 · median $33,738 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,311 – $37,263 · median $27,568 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $8,884 – $56,412 · median $37,485 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,884 – $31,038 · median $22,963 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $6,344 – $22,559 · median $14,990 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,958 – $51,882 · median $33,809 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,690 – $29,262 · median $21,761 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,438 – $26,235 · median $18,126 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,520 – $104,948 · median $78,649 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,456 – $65,489 · median $46,889 | 12 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,138 – $39,001 · median $29,789 | 12 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,077 – $23,818 · median $19,641 | 12 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,226 – $17,689 · median $13,511 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,699 – $93,541 · median $62,874 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,590 – $55,896 · median $37,101 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,465 – $61,208 · median $48,220 | 11 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,652 – $35,805 · median $28,208 | 11 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,418 – $28,853 · median $22,730 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,574 – $80,793 · median $59,774 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,213 – $54,215 · median $40,575 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,316 – $40,566 · median $34,095 | 11 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,175 – $61,548 · median $45,535 | 11 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $12,838 – $49,125 · median $36,344 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,730 – $111,235 · median $87,631 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,343 – $97,500 · median $72,134 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,052 – $73,221 · median $57,684 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,015 – $30,463 · median $22,366 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,748 – $19,171 · median $12,560 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,308 – $13,652 · median $9,880 | 11 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,314 – $30,778 · median $24,247 | 11 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,424 – $14,303 · median $10,097 | 11 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,109 – $9,503 · median $7,255 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,839 – $44,809 · median $35,300 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,243 – $29,517 · median $24,652 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,179 – $67,043 · median $49,601 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,388 – $50,291 · median $37,207 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,078 – $105,532 · median $78,076 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,608 – $64,274 · median $47,552 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,995 – $133,305 · median $105,018 | 11 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,012 – $90,338 · median $71,169 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,608 – $73,408 · median $56,051 | 11 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,921 – $96,592 · median $71,462 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,963 – $49,352 · median $37,685 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,292 – $80,189 · median $63,173 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,072 – $53,913 · median $42,472 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,203 – $41,291 · median $32,529 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,927 – $51,647 · median $40,532 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,802 – $31,518 · median $24,066 | 11 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,653 – $40,109 · median $31,598 | 11 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $5,001 – $28,752 · median $21,272 | 11 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,335 – $18,868 · median $13,959 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $76,680 – $164,883 · median $136,316 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,992 – $111,797 · median $92,427 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,290 – $86,635 · median $71,625 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $156,879 – $337,333 · median $265,752 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $103,432 – $222,406 · median $175,212 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $39,498 – $84,931 · median $66,909 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,039 – $64,592 · median $50,886 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,398 – $41,711 · median $32,860 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,007 – $126,882 · median $99,958 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,460 – $87,000 · median $68,539 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,843 – $55,569 · median $43,777 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,761 – $89,798 · median $70,743 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,828 – $59,839 · median $47,141 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,737 – $70,394 · median $55,457 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,389 – $48,142 · median $37,927 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,064 – $38,843 · median $30,601 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,675 – $65,960 · median $51,963 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,633 – $33,614 · median $26,481 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,679 – $25,113 · median $19,784 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,612 – $59,373 · median $46,774 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,530 – $35,544 · median $28,002 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,866 – $27,665 · median $21,794 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,732 – $31,677 · median $24,955 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,745 – $14,503 · median $11,425 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,973 – $23,596 · median $18,589 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,986 – $17,172 · median $13,528 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,330 – $39,415 · median $31,051 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,768 – $21,003 · median $16,547 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,512 – $29,054 · median $22,889 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,957 – $19,259 · median $15,173 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,532 – $14,046 · median $11,066 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,789 – $42,552 · median $33,522 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,036 – $28,031 · median $22,083 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,283 – $22,112 · median $17,420 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,561 – $31,310 · median $24,666 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,444 – $16,006 · median $12,610 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,038 – $10,834 · median $8,535 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,650 – $22,900 · median $18,041 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,453 – $13,875 · median $10,931 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,857 – $12,594 · median $9,921 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,728 – $27,369 · median $21,561 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,715 – $16,588 · median $13,068 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,491 – $11,808 · median $9,302 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,314 – $24,328 · median $19,165 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,630 – $16,407 · median $12,926 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,608 – $27,111 · median $21,358 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,712 – $14,432 · median $11,370 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,319 – $24,339 · median $19,174 | 9 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,305 – $15,707 · median $12,374 | 9 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,880 – $10,494 · median $8,267 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,551 – $31,288 · median $24,649 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,623 – $14,242 · median $11,220 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,984 – $36,520 · median $28,770 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,178 – $21,885 · median $17,241 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,999 – $15,049 · median $11,856 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,587 – $35,667 · median $28,098 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,601 – $20,645 · median $16,264 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,471 – $13,914 · median $10,962 | 9 plans |
| 088 | CONCUSSION WITH MCC | $10,326 – $22,204 · median $17,493 | 9 plans |
| 089 | CONCUSSION WITH CC | $7,848 – $16,875 · median $13,294 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,275 – $13,494 · median $10,631 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,344 – $28,692 · median $22,604 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,750 – $16,664 · median $13,128 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,778 – $12,424 · median $9,787 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,708 – $57,431 · median $45,244 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,548 – $37,732 · median $29,725 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,548 – $37,732 · median $29,725 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,239 – $56,422 · median $44,449 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,879 – $34,145 · median $26,899 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,199 – $21,931 · median $17,277 | 9 plans |
| 100 | SEIZURES WITH MCC | $14,532 – $31,249 · median $24,618 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $6,747 – $14,508 · median $11,429 | 9 plans |
| 102 | HEADACHES WITH MCC | $8,488 – $18,251 · median $14,378 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $6,223 – $13,382 · median $10,542 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,518 – $35,519 · median $27,982 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,653 – $18,606 · median $14,658 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,207 – $24,098 · median $18,984 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,214 – $26,264 · median $20,691 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,895 – $16,977 · median $13,375 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,515 – $18,309 · median $14,424 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,965 – $10,676 · median $8,411 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,879 – $12,642 · median $9,960 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,545 – $20,523 · median $16,168 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,044 – $12,997 · median $10,239 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,649 – $37,951 · median $29,898 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,160 – $15,397 · median $12,130 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,238 – $22,014 · median $17,343 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,955 – $12,804 · median $10,087 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,050 – $21,611 · median $17,025 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,958 – $66,568 · median $52,442 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,727 – $33,817 · median $26,641 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,510 – $24,750 · median $19,498 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,170 – $51,972 · median $40,944 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,859 – $27,650 · median $21,783 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,673 – $18,649 · median $14,692 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,793 – $36,109 · median $28,447 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,112 – $19,593 · median $15,436 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,861 – $12,603 · median $9,929 | 9 plans |
| 149 | DYSEQUILIBRIUM | $5,472 – $11,766 · median $9,269 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $10,118 – $21,756 · median $17,139 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,549 – $11,931 · median $9,399 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,307 – $17,862 · median $14,072 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,210 – $11,202 · median $8,825 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,905 – $25,598 · median $20,166 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,834 – $14,695 · median $11,577 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,922 – $10,584 · median $8,338 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,987 – $25,774 · median $20,305 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,885 – $14,805 · median $11,663 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,828 – $10,382 · median $8,179 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,739 – $72,549 · median $57,154 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,424 – $39,618 · median $31,211 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,644 – $29,339 · median $23,114 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,184 – $60,604 · median $47,744 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,375 – $28,760 · median $22,657 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,911 – $21,310 · median $16,788 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,462 – $48,300 · median $38,051 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,315 – $22,179 · median $17,473 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,962 – $12,820 · median $10,100 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,833 – $25,444 · median $20,045 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,262 – $15,616 · median $12,302 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,634 – $12,115 · median $9,544 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,794 – $27,510 · median $21,673 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,127 – $17,476 · median $13,768 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,131 – $13,182 · median $10,385 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,619 – $24,984 · median $19,683 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,818 – $16,812 · median $13,244 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,693 – $12,241 · median $9,643 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,566 – $24,869 · median $19,592 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,349 – $15,803 · median $12,450 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,374 – $11,556 · median $9,104 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,058 – $19,477 · median $15,344 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,220 – $17,676 · median $13,925 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,289 – $13,522 · median $10,653 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,738 – $10,187 · median $8,025 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,646 – $20,741 · median $16,339 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,002 – $12,907 · median $10,168 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,558 – $9,801 · median $7,721 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,792 – $29,656 · median $23,363 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,247 – $15,583 · median $12,276 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,127 – $11,024 · median $8,685 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,922 – $27,786 · median $21,890 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,107 – $17,432 · median $13,733 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,956 – $10,658 · median $8,396 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,076 – $15,216 · median $11,987 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,099 – $10,964 · median $8,638 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,937 – $12,765 · median $10,056 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,819 – $29,714 · median $23,409 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,630 – $14,257 · median $11,232 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,340 – $101,794 · median $80,193 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,645 – $42,243 · median $33,279 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,743 – $171,470 · median $135,084 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,853 – $94,295 · median $74,286 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,438 – $74,052 · median $58,338 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $36,624 – $78,752 · median $62,041 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,456 – $50,437 · median $39,735 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,995 – $42,994 · median $33,871 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,541 – $24,817 · median $19,551 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,166 – $15,409 · median $12,140 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,551 – $20,538 · median $16,180 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,304 – $13,555 · median $10,679 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,016 – $8,637 · median $6,804 | 9 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,989 – $19,329 · median $15,227 | 9 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,781 – $12,431 · median $9,794 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,993 – $25,788 · median $20,316 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,156 – $11,087 · median $8,735 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,233 – $6,952 · median $5,477 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,841 – $25,461 · median $20,058 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,837 – $16,851 · median $13,275 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,222 – $11,229 · median $8,846 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,515 – $18,310 · median $14,425 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,922 – $10,584 · median $8,338 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $8,600 – $18,491 · median $14,568 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,495 – $11,816 · median $9,309 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,961 – $23,569 · median $18,568 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,781 – $14,582 · median $11,487 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,827 – $18,981 · median $14,953 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,412 – $11,637 · median $9,167 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,096 – $8,807 · median $6,938 | 9 plans |
| 311 | ANGINA PECTORIS | $5,112 – $10,991 · median $8,659 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,378 – $13,714 · median $10,804 | 9 plans |
| 313 | CHEST PAIN | $5,222 – $11,229 · median $8,846 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,764 – $33,896 · median $26,703 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,044 – $15,147 · median $11,933 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,997 – $10,746 · median $8,465 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $45,284 – $97,374 · median $76,711 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,155 – $69,143 · median $54,471 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,944 – $36,435 · median $28,704 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,951 – $45,049 · median $35,490 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,178 – $79,943 · median $62,980 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,774 – $38,218 · median $30,108 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,664 – $25,082 · median $19,759 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,613 – $72,277 · median $56,940 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,302 – $37,205 · median $29,310 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,085 – $25,987 · median $20,472 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,391 – $54,597 · median $43,012 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $15,557 – $33,452 · median $26,354 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,141 – $26,106 · median $20,567 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,523 – $57,032 · median $44,930 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,462 – $33,248 · median $26,193 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,237 – $24,162 · median $19,035 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,724 – $42,411 · median $33,412 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,897 – $23,432 · median $18,460 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,116 – $19,601 · median $15,442 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,325 – $37,253 · median $29,348 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,215 – $19,815 · median $15,610 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,448 – $13,865 · median $10,923 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,705 – $38,070 · median $29,992 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,013 – $23,681 · median $18,656 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,071 – $17,355 · median $13,672 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,470 – $46,165 · median $36,369 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,452 – $26,775 · median $21,094 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,759 – $20,985 · median $16,532 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,225 – $67,142 · median $52,895 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,485 – $35,446 · median $27,925 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,919 – $21,329 · median $16,803 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,224 – $26,286 · median $20,708 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,449 – $16,017 · median $12,618 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,109 – $10,987 · median $8,655 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,795 – $27,514 · median $21,675 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,534 – $16,201 · median $12,763 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,310 – $11,418 · median $8,995 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,455 – $33,233 · median $26,181 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,994 – $19,340 · median $15,236 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,464 – $13,898 · median $10,949 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,309 – $28,618 · median $22,546 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,217 – $15,518 · median $12,225 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,661 – $10,022 · median $7,895 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,086 – $30,288 · median $23,861 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,972 – $17,142 · median $13,505 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,485 – $11,794 · median $9,291 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,254 – $19,899 · median $15,676 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,365 – $13,688 · median $10,783 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,894 – $25,574 · median $20,148 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,265 – $15,622 · median $12,307 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,907 – $10,551 · median $8,312 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,760 – $23,136 · median $18,227 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,868 – $12,617 · median $9,940 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,006 – $8,613 · median $6,785 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,403 – $20,218 · median $15,928 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,712 – $12,282 · median $9,676 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,122 – $26,065 · median $20,534 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,890 – $14,816 · median $11,672 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,658 – $10,017 · median $7,891 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,637 – $61,578 · median $48,511 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,738 – $85,448 · median $67,316 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,557 – $44,204 · median $34,824 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,634 – $33,617 · median $26,484 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,630 – $55,110 · median $43,416 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,346 – $32,999 · median $25,997 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,354 – $24,414 · median $19,234 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,030 – $43,071 · median $33,931 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,603 – $33,551 · median $26,432 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,170 – $26,168 · median $20,615 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,648 – $55,150 · median $43,447 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,480 – $31,135 · median $24,528 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,030 – $21,567 · median $16,990 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,836 – $55,554 · median $43,766 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,987 – $25,776 · median $20,306 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,756 – $23,128 · median $18,221 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,773 – $64,021 · median $50,436 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,714 – $35,939 · median $28,313 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,315 – $24,331 · median $19,168 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $61,053 – $131,281 · median $103,423 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,044 – $86,106 · median $67,834 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,341 – $30,836 · median $24,293 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,831 – $16,839 · median $13,266 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,098 – $10,963 · median $8,637 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,356 – $28,719 · median $22,625 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,255 – $17,750 · median $13,983 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,748 – $12,359 · median $9,736 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,178 – $26,187 · median $20,630 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,297 – $13,540 · median $10,666 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,503 – $9,682 · median $7,627 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,838 – $29,755 · median $23,441 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,073 – $15,208 · median $11,981 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,144 – $11,061 · median $8,713 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,330 – $26,512 · median $20,887 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,939 – $17,070 · median $13,448 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,836 – $12,550 · median $9,887 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,535 – $85,012 · median $66,972 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,584 – $46,411 · median $36,563 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,708 – $27,326 · median $21,528 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,828 – $70,589 · median $55,610 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,791 – $33,956 · median $26,751 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,514 – $18,307 · median $14,422 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,173 – $54,130 · median $42,644 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,119 – $36,810 · median $28,999 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,999 – $27,951 · median $22,020 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,528 – $46,291 · median $36,468 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,188 – $32,659 · median $25,729 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,612 – $24,970 · median $19,671 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,565 – $50,672 · median $39,919 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,525 – $33,383 · median $26,299 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,567 – $24,872 · median $19,594 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,387 – $30,935 · median $24,371 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,065 – $19,492 · median $15,356 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,995 – $55,896 · median $44,035 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,575 – $37,792 · median $29,772 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,801 – $29,676 · median $23,379 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,771 – $55,414 · median $43,655 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,442 – $31,055 · median $24,465 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,828 – $21,133 · median $16,648 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,482 – $39,742 · median $31,309 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,497 – $18,271 · median $14,394 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,195 – $49,875 · median $39,292 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,064 – $28,091 · median $22,130 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,228 – $21,992 · median $17,325 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,373 – $41,657 · median $32,818 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,847 – $27,624 · median $21,762 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,847 – $27,624 · median $21,762 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,973 – $23,596 · median $18,589 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,188 – $30,507 · median $24,034 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,447 – $20,314 · median $16,003 | 9 plans |
| 509 | ARTHROSCOPY | $12,859 – $27,650 · median $21,783 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,921 – $44,986 · median $35,440 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,356 – $30,869 · median $24,319 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,769 – $25,307 · median $19,937 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,021 – $23,698 · median $18,669 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,463 – $16,049 · median $12,643 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,636 – $48,674 · median $38,346 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,726 – $31,664 · median $24,945 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,927 – $23,495 · median $18,509 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,336 – $45,877 · median $36,142 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,431 – $33,181 · median $26,140 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,162 – $24,002 · median $18,909 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,958 – $12,812 · median $10,094 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,735 – $20,933 · median $16,491 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,936 – $12,764 · median $10,055 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,727 – $14,465 · median $11,396 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,915 – $10,569 · median $8,327 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,804 – $31,833 · median $25,078 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,473 – $20,369 · median $16,047 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,404 – $13,771 · median $10,849 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,653 – $29,357 · median $23,127 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,766 – $16,699 · median $13,155 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,532 – $11,895 · median $9,371 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,497 – $39,773 · median $31,334 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,474 – $18,222 · median $14,355 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,462 – $11,745 · median $9,253 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,747 – $31,710 · median $24,981 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,821 – $18,968 · median $14,943 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,311 – $13,569 · median $10,690 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,491 – $26,859 · median $21,159 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,055 – $15,170 · median $11,951 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,560 – $20,556 · median $16,194 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,109 – $13,137 · median $10,349 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,857 – $21,195 · median $16,698 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,977 – $12,852 · median $10,125 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,344 – $24,392 · median $19,216 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,323 – $13,596 · median $10,711 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,588 – $29,218 · median $23,018 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,335 – $17,923 · median $14,120 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,985 – $12,869 · median $10,138 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,713 – $23,035 · median $18,147 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,543 – $14,068 · median $11,083 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,487 – $24,699 · median $19,458 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,464 – $16,050 · median $12,644 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,476 – $11,775 · median $9,276 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,035 – $47,381 · median $37,326 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,256 – $26,353 · median $20,761 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,362 – $17,981 · median $14,166 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,078 – $96,930 · median $76,362 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,363 – $54,538 · median $42,965 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,616 – $31,428 · median $24,759 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,494 – $84,922 · median $66,902 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,492 – $41,912 · median $33,019 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,374 – $26,607 · median $20,961 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,859 – $51,303 · median $40,417 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,978 – $27,907 · median $21,985 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,535 – $22,653 · median $17,846 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,819 – $27,564 · median $21,715 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,025 – $25,856 · median $20,369 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,987 – $32,226 · median $25,388 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,531 – $31,245 · median $24,615 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $15,052 – $32,366 · median $25,498 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $8,950 – $19,245 · median $15,161 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,212 – $13,359 · median $10,524 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,483 – $33,292 · median $26,227 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,914 – $17,017 · median $13,406 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,859 – $27,650 · median $21,783 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,898 – $16,982 · median $13,378 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,258 – $13,456 · median $10,601 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,002 – $15,057 · median $11,862 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,388 – $9,436 · median $7,434 | 9 plans |
| 602 | CELLULITIS WITH MCC | $10,755 – $23,125 · median $18,218 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,447 – $13,864 · median $10,922 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,875 – $23,385 · median $18,423 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,761 – $14,539 · median $11,454 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,787 – $25,346 · median $19,968 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,326 – $13,603 · median $10,716 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,682 – $35,871 · median $28,260 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,490 – $22,555 · median $17,769 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,292 – $60,835 · median $47,926 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,139 – $30,403 · median $23,952 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,114 – $19,598 · median $15,439 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,391 – $58,899 · median $46,401 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,002 – $30,107 · median $23,719 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,343 – $15,789 · median $12,438 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,987 – $45,128 · median $35,552 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,048 – $23,756 · median $18,715 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,274 – $19,941 · median $15,710 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,883 – $62,105 · median $48,927 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,463 – $35,401 · median $27,889 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,258 – $22,056 · median $17,376 | 9 plans |
| 637 | DIABETES WITH MCC | $10,660 – $22,922 · median $18,058 | 9 plans |
| 638 | DIABETES WITH CC | $6,714 – $14,437 · median $11,373 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,587 – $9,863 · median $7,770 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,721 – $20,903 · median $16,467 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,720 – $12,299 · median $9,689 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,085 – $19,535 · median $15,390 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,131 – $26,086 · median $20,551 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,564 – $16,266 · median $12,814 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,700 – $12,257 · median $9,656 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,806 – $87,744 · median $69,125 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,658 – $44,420 · median $34,994 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,206 – $32,697 · median $25,759 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,849 – $51,281 · median $40,399 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,382 – $28,774 · median $22,668 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,009 – $23,673 · median $18,650 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,917 – $40,677 · median $32,045 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,809 – $21,092 · median $16,616 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,515 – $16,159 · median $12,730 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,835 – $49,103 · median $38,683 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,181 – $24,041 · median $18,940 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,904 – $16,996 · median $13,390 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,134 – $54,045 · median $42,577 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $12,058 – $25,929 · median $20,427 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,524 – $16,178 · median $12,745 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,347 – $45,903 · median $36,162 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,328 – $24,358 · median $19,189 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,996 – $15,043 · median $11,851 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,617 – $27,131 · median $21,374 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,011 – $17,226 · median $13,571 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,668 – $65,944 · median $51,951 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,897 – $36,334 · median $28,624 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,458 – $24,638 · median $19,410 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $10,994 – $23,640 · median $18,624 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $6,507 – $13,991 · median $11,022 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,446 – $9,560 · median $7,532 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,803 – $29,681 · median $23,383 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,706 – $16,570 · median $13,053 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,301 – $11,399 · median $8,980 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,567 – $18,421 · median $14,512 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,875 – $12,633 · median $9,952 | 9 plans |
| 693 | URINARY STONES WITH MCC | $10,763 – $23,144 · median $18,233 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,720 – $12,299 · median $9,689 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,256 – $17,752 · median $13,985 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,064 – $10,889 · median $8,578 | 9 plans |
| 697 | URETHRAL STRICTURE | $7,333 – $15,768 · median $12,422 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,304 – $26,457 · median $20,843 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,466 – $16,053 · median $12,647 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,082 – $10,927 · median $8,608 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,205 – $30,545 · median $24,063 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,852 – $23,335 · median $18,383 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,449 – $35,369 · median $27,864 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,990 – $23,632 · median $18,617 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,986 – $30,073 · median $23,691 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,829 – $16,836 · median $13,263 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,585 – $22,760 · median $17,930 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,879 – $14,791 · median $11,652 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,531 – $35,546 · median $28,003 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,389 – $22,340 · median $17,599 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,582 – $29,206 · median $23,008 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,018 – $19,390 · median $15,276 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,656 – $27,213 · median $21,438 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,220 – $17,674 · median $13,924 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,333 – $11,468 · median $9,035 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,242 – $19,873 · median $15,656 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,449 – $11,717 · median $9,231 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,756 – $23,128 · median $18,221 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,981 – $12,861 · median $10,132 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,059 – $17,328 · median $13,651 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,443 – $9,553 · median $7,526 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,393 – $33,098 · median $26,075 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,886 – $19,107 · median $15,052 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,823 – $61,978 · median $48,826 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,628 – $31,455 · median $24,780 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,104 – $23,876 · median $18,810 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,140 – $62,659 · median $49,363 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,310 – $28,620 · median $22,547 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,055 – $21,620 · median $17,033 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,303 – $30,756 · median $24,230 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,502 – $16,130 · median $12,708 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,258 – $26,358 · median $20,765 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,992 – $15,035 · median $11,844 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,972 – $21,443 · median $16,893 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,949 – $40,745 · median $32,099 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,439 – $20,297 · median $15,990 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,244 – $28,478 · median $22,435 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,126 – $17,473 · median $13,765 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,991 – $15,032 · median $11,842 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,360 – $22,277 · median $17,550 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,461 – $16,044 · median $12,639 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,685 – $10,074 · median $7,936 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,215 – $15,513 · median $12,221 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,640 – $9,978 · median $7,860 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,171 – $21,871 · median $17,230 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,876 – $16,936 · median $13,342 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,223 – $11,230 · median $8,847 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $6,843 – $14,714 · median $11,592 | 9 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,195 – $28,373 · median $22,352 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,805 – $74,841 · median $58,960 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,329 – $45,863 · median $36,131 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,017 – $25,840 · median $20,357 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,241 – $56,425 · median $44,452 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,030 – $28,017 · median $22,072 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,093 – $17,402 · median $13,709 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,765 – $36,049 · median $28,400 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,066 – $19,494 · median $15,357 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,967 – $14,981 · median $11,802 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,299 – $22,145 · median $17,446 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,756 – $14,526 · median $11,444 | 9 plans |
| 813 | COAGULATION DISORDERS | $11,331 – $24,366 · median $19,195 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,302 – $32,904 · median $25,922 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,438 – $15,993 · median $12,600 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,827 – $10,379 · median $8,177 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,557 – $39,902 · median $31,435 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,428 – $20,273 · median $15,971 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,977 – $12,852 · median $10,125 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,619 – $91,643 · median $72,197 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,341 – $35,138 · median $27,682 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,372 – $18,002 · median $14,182 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,254 – $73,655 · median $58,026 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,100 – $34,619 · median $27,273 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,009 – $19,373 · median $15,262 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,957 – $75,166 · median $59,216 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,274 – $37,145 · median $29,263 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,733 – $25,230 · median $19,876 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,573 – $48,539 · median $38,239 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,706 – $23,020 · median $18,135 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,425 – $18,117 · median $14,272 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,471 – $11,764 · median $9,268 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,805 – $8,182 · median $6,446 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $40,460 – $87,000 · median $68,539 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,635 – $33,619 · median $26,485 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,302 – $20,001 · median $15,757 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,653 – $78,813 · median $62,089 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,846 – $31,924 · median $25,150 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,031 – $21,570 · median $16,993 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,343 – $50,195 · median $39,544 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,478 – $24,680 · median $19,443 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,700 – $16,557 · median $13,044 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,859 – $29,801 · median $23,477 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,749 – $18,812 · median $14,820 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,125 – $13,171 · median $10,376 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,694 – $40,197 · median $31,667 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,302 – $20,001 · median $15,757 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,994 – $12,889 · median $10,154 | 9 plans |
| 849 | RADIOTHERAPY | $19,552 – $42,043 · median $33,122 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $67,431 – $144,995 · median $114,228 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,610 – $78,720 · median $62,016 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,626 – $31,450 · median $24,776 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,899 – $25,587 · median $20,157 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,025 – $71,013 · median $55,944 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,950 – $34,296 · median $27,018 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,431 – $20,279 · median $15,976 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,459 – $28,941 · median $22,800 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,319 – $15,738 · median $12,399 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,573 – $14,135 · median $11,135 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,804 – $23,231 · median $18,301 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,477 – $13,927 · median $10,972 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,696 – $33,751 · median $26,589 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,687 – $16,529 · median $13,021 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,267 – $11,327 · median $8,923 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,922 – $109,495 · median $86,261 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,363 – $30,883 · median $24,330 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,547 – $16,228 · median $12,784 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,431 – $69,736 · median $54,938 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,890 – $29,868 · median $23,530 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,924 – $19,189 · median $15,117 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,263 – $60,774 · median $47,878 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,065 – $25,943 · median $20,438 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,976 – $34,353 · median $27,063 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,161 – $62,703 · median $49,398 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,765 – $31,749 · median $25,012 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,284 – $19,963 · median $15,727 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,846 – $25,472 · median $20,067 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,708 – $14,424 · median $11,363 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,721 – $27,355 · median $21,550 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,861 – $10,453 · median $8,235 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,003 – $25,809 · median $20,332 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,475 – $13,924 · median $10,969 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,349 – $28,703 · median $22,613 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,436 – $15,990 · median $12,597 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,034 – $10,824 · median $8,527 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,366 – $26,591 · median $20,949 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,466 – $16,053 · median $12,647 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $173,651 – $373,397 · median $294,163 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,890 – $105,126 · median $82,818 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,281 – $50,060 · median $39,437 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,673 – $68,105 · median $53,654 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,707 – $33,775 · median $26,608 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $16,078 – $34,571 · median $27,235 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,234 – $49,959 · median $39,358 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,455 – $33,233 · median $26,181 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,305 – $30,761 · median $24,233 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,415 – $20,245 · median $15,949 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,816 – $12,505 · median $9,852 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,898 – $16,983 · median $13,380 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,290 – $9,225 · median $7,268 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,150 – $8,925 · median $7,031 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,983 – $107,477 · median $84,671 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,980 – $60,165 · median $47,398 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,638 – $117,487 · median $92,556 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,084 – $64,688 · median $50,962 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,353 – $41,615 · median $32,784 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,886 – $42,761 · median $33,687 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,981 – $23,612 · median $18,601 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,680 – $14,364 · median $11,316 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,294 – $99,544 · median $78,421 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,422 – $41,763 · median $32,901 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,859 – $47,003 · median $37,029 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,405 – $22,373 · median $17,625 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,342 – $15,787 · median $12,437 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,555 – $22,696 · median $17,880 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,799 – $74,826 · median $58,948 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,922 – $38,536 · median $30,359 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,211 – $26,257 · median $20,686 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,640 – $55,133 · median $43,433 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,561 – $27,010 · median $21,278 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,458 – $18,188 · median $14,328 | 9 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $206,192 – $443,369 · median $338,653 | 8 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,664 – $173,450 · median $132,484 | 8 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $77,954 – $167,622 · median $128,032 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,496 – $76,326 · median $58,300 | 8 plans |
| 007 | LUNG TRANSPLANT | $95,664 – $205,703 · median $157,120 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,829 – $85,643 · median $65,416 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $58,362 – $125,495 · median $95,855 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $95,905 – $206,222 · median $157,516 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,183 – $95,005 · median $72,567 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $44,183 – $95,005 · median $72,567 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $276,058 – $593,599 · median $453,402 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $58,028 – $124,776 · median $95,306 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,725 – $72,519 · median $55,391 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,419 – $54,657 · median $41,748 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $22,483 – $48,344 · median $36,926 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,516 – $93,571 · median $79,868 | 6 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,718 – $63,903 · median $54,545 | 6 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,932 – $38,558 · median $32,912 | 6 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,528 – $65,644 · median $56,031 | 6 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,806 – $23,235 · median $19,833 | 6 plans |
| 795 | NORMAL NEWBORN | $1,463 – $3,145 · median $2,684 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,765 – $53,545 · median $41,100 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,017 – $13,062 · median $10,026 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $6,691 – $12,456 · median $9,561 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,042 – $13,108 · median $10,062 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,571 – $25,261 · median $19,390 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,226 – $22,758 · median $17,469 | 5 plans |
| 885 | PSYCHOSES | $10,318 – $19,207 · median $14,743 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,150 – $24,479 · median $18,790 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,706 – $16,207 · median $12,440 | 5 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,568 – $8,504 · median $6,898 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,599 – $19,729 · median $16,002 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,035 – $24,265 · median $19,681 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,458 – $12,021 · median $9,750 | 4 plans |
| 459 | Spinal Fusion Except Cervical With MCC | $47,669 – $71,425 · median $47,669 | 3 plans |
| 460 | Spinal Fusion Except Cervical Without MCC | $28,485 – $42,680 · median $28,485 | 3 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 |
| 339 | Appendectomy With Complicated Principal Diagnosis With CC | $20,108 – $23,656 · median $21,882 | 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 |
| 453 | Combined Anterior And Posterior Spinal Fusion With MCC | $117,773 – $117,773 · median $117,773 | 1 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With CC | $83,803 – $83,803 · median $83,803 | 1 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without CC/MCC | $61,703 – $61,703 · median $61,703 | 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.