Christus St Frances Cabrini Hospital (Acute Care) — 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 $137,765 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,646 – $158,459 · median $116,127 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,272 – $109,729 · median $81,109 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,368 – $94,838 · median $71,585 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,639 – $126,102 · median $93,101 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,772 – $84,435 · median $63,771 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,618 – $73,211 · median $55,260 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,478 – $122,228 · median $70,864 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,738 – $78,827 · median $44,844 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,150 – $135,082 · median $100,479 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,232 – $97,379 · median $73,503 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $56,114 – $124,601 · median $92,683 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,859 – $84,809 · median $64,015 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,072 – $93,800 · median $69,772 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,755 – $65,551 · median $49,479 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,829 – $58,129 · median $40,814 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,491 – $40,637 · median $28,220 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,210 – $31,488 · median $22,982 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,873 – $77,900 · median $55,233 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,928 – $46,960 · median $30,896 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,438 – $27,928 · median $19,101 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,640 – $54,684 · median $40,676 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,035 – $40,697 · median $30,272 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,340 – $27,887 · median $20,812 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,536 – $44,722 · median $33,266 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,866 – $28,020 · median $20,842 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,933 – $54,298 · median $40,389 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,504 – $30,250 · median $21,448 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,121 – $24,195 · median $16,414 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,262 – $55,715 · median $38,771 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,396 – $38,877 · median $28,333 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,139 – $26,437 · median $19,664 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,011 – $21,004 · median $14,892 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,000 – $13,068 · median $6,335 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,000 – $21,958 · median $9,376 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,000 – $13,516 · median $9,376 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,000 – $13,516 · median $9,376 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,000 – $19,262 · median $9,376 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,000 – $13,516 · median $9,376 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,000 – $13,516 · median $9,376 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,000 – $15,217 · median $6,335 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,000 – $11,541 · median $6,335 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,000 – $11,541 · median $6,335 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,000 – $11,896 · median $6,335 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,000 – $8,625 · median $6,335 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,000 – $7,750 · median $6,335 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $41,535 – $96,913 · median $72,088 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,354 – $53,509 · median $39,802 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,308 – $35,475 · median $25,201 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,309 – $52,938 · median $39,378 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,795 – $25,686 · median $19,388 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,332 – $18,144 · median $13,700 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,034 – $80,293 · median $59,725 | 12 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,317 – $46,423 · median $34,531 | 12 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,052 – $24,681 · median $18,168 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,153 – $41,710 · median $31,025 | 12 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,398 – $26,999 · median $20,083 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,529 – $16,102 · median $10,732 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,332 – $42,755 · median $30,314 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $26,112 – $56,865 · median $42,152 | 12 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,815 – $35,282 · median $26,244 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,977 – $17,371 · median $12,921 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,297 – $77,430 · median $57,595 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,867 – $46,184 · median $34,354 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,311 – $37,739 · median $28,071 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,275 – $57,133 · median $40,508 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,434 – $31,434 · median $23,382 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,491 – $22,847 · median $16,199 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,807 – $106,288 · median $79,478 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,456 – $66,326 · median $49,075 | 11 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,138 – $39,499 · median $30,093 | 11 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,077 – $24,122 · median $18,214 | 11 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,226 – $17,915 · median $13,396 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,699 – $93,541 · median $62,548 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,590 – $55,896 · median $39,869 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,958 – $51,882 · median $33,113 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,690 – $29,262 · median $19,396 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,700 – $23,303 · median $17,425 | 11 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,465 – $61,990 · median $46,791 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,652 – $36,263 · median $27,372 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,418 – $29,221 · median $22,057 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,574 – $81,825 · median $61,763 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,213 – $54,907 · median $41,445 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,316 – $45,941 · median $34,720 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,623 – $62,334 · median $46,366 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,846 – $49,752 · median $37,007 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,730 – $112,655 · median $86,374 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,343 – $98,745 · median $74,534 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,052 – $74,156 · median $59,564 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,015 – $30,463 · median $21,598 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,748 – $19,171 · median $12,917 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,308 – $13,652 · median $9,615 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,314 – $31,171 · median $23,528 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,424 – $14,303 · median $9,960 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,109 – $9,503 · median $7,037 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,839 – $45,381 · median $34,254 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,243 – $31,257 · median $24,270 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,179 – $67,899 · median $50,506 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,388 – $50,933 · median $37,886 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,078 – $106,880 · median $79,501 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,891 – $65,095 · median $48,420 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,995 – $135,008 · median $102,319 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,012 – $91,492 · median $69,059 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,608 – $73,408 · median $54,247 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,921 – $97,825 · median $72,766 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,963 – $49,352 · median $36,233 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,292 – $81,213 · median $61,301 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,072 – $54,601 · median $41,214 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,203 – $41,818 · median $31,565 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,927 – $52,106 · median $39,568 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,802 – $31,518 · median $23,483 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,653 – $40,621 · median $30,661 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,294 – $29,119 · median $21,660 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,310 – $19,108 · median $14,214 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $76,680 – $166,988 · median $127,224 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,992 – $113,224 · median $86,262 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,290 – $87,741 · median $66,847 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $156,879 – $341,641 · median $257,876 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $103,432 – $225,246 · median $170,019 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $39,498 – $86,016 · median $64,926 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,039 – $65,417 · median $49,378 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,398 – $42,244 · median $31,886 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,007 – $128,502 · median $96,995 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,460 – $88,111 · median $66,507 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,843 – $56,278 · median $42,480 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,761 – $90,945 · median $68,647 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,828 – $60,603 · median $45,744 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,737 – $71,293 · median $53,813 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,389 – $48,757 · median $36,803 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,064 – $39,339 · median $29,694 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,675 – $66,802 · median $50,423 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,633 – $34,044 · median $25,697 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,679 – $25,434 · median $19,198 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,612 – $60,131 · median $45,388 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,530 – $35,998 · median $27,172 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,866 – $28,018 · median $21,148 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,732 – $32,081 · median $24,215 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,745 – $14,688 · median $11,087 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,973 – $23,897 · median $18,038 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,986 – $17,392 · median $13,127 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,330 – $39,918 · median $30,131 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,768 – $21,272 · median $16,056 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,512 – $29,425 · median $22,211 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,957 – $19,505 · median $14,723 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,532 – $14,226 · median $10,738 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,789 – $43,095 · median $32,529 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,036 – $28,389 · median $21,429 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,283 – $22,394 · median $16,903 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,561 – $31,710 · median $23,935 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,444 – $16,210 · median $12,236 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,038 – $10,972 · median $8,282 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,650 – $23,193 · median $17,506 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,453 – $14,052 · median $10,607 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,857 – $12,754 · median $9,627 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,728 – $27,718 · median $20,922 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,715 – $16,800 · median $12,681 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,491 – $11,959 · median $9,027 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,314 – $24,638 · median $18,597 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,630 – $16,617 · median $12,543 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,608 – $27,457 · median $20,725 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,712 – $14,616 · median $11,033 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,319 – $24,650 · median $18,606 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,305 – $15,908 · median $12,007 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,880 – $10,628 · median $8,022 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,551 – $31,688 · median $23,918 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,623 – $14,423 · median $10,887 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,984 – $36,986 · median $27,918 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,178 – $22,164 · median $16,730 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,999 – $15,241 · median $11,504 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,587 – $36,122 · median $27,266 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,601 – $20,908 · median $15,782 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,471 – $14,092 · median $10,637 | 8 plans |
| 088 | CONCUSSION WITH MCC | $10,326 – $22,488 · median $16,974 | 8 plans |
| 089 | CONCUSSION WITH CC | $7,848 – $17,090 · median $12,900 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,275 – $13,666 · median $10,315 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,344 – $29,059 · median $21,934 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,750 – $16,877 · median $12,739 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,778 – $12,582 · median $9,497 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,708 – $58,164 · median $43,903 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,548 – $38,214 · median $28,844 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,548 – $38,214 · median $28,844 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,239 – $57,142 · median $43,132 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,879 – $34,581 · median $26,102 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,199 – $22,211 · median $16,765 | 8 plans |
| 100 | SEIZURES WITH MCC | $14,532 – $31,648 · median $23,888 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $6,747 – $14,693 · median $11,090 | 8 plans |
| 102 | HEADACHES WITH MCC | $8,488 – $18,484 · median $13,952 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $6,223 – $13,553 · median $10,230 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,518 – $35,972 · median $27,153 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,653 – $18,844 · median $14,224 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,207 – $24,406 · median $18,422 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,214 – $26,599 · median $20,077 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,895 – $17,194 · median $12,978 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,515 – $18,543 · median $13,996 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,965 – $10,813 · median $8,162 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,879 – $12,804 · median $9,665 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,545 – $20,785 · median $15,689 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,044 – $13,162 · median $9,935 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,649 – $38,435 · median $29,012 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,160 – $15,593 · median $11,770 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,238 – $22,295 · median $16,829 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,955 – $12,968 · median $9,788 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,050 – $21,887 · median $16,521 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,958 – $67,418 · median $50,888 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,727 – $34,249 · median $25,852 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,510 – $25,066 · median $18,920 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,170 – $52,636 · median $39,730 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,859 – $28,004 · median $21,137 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,673 – $18,887 · median $14,256 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,793 – $36,570 · median $27,604 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,112 – $19,843 · median $14,978 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,861 – $12,764 · median $9,634 | 8 plans |
| 149 | DYSEQUILIBRIUM | $5,472 – $11,916 · median $8,994 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $10,118 – $22,034 · median $16,631 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,549 – $12,083 · median $9,121 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,307 – $18,090 · median $13,654 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,210 – $11,345 · median $8,564 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,905 – $25,925 · median $19,568 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,834 – $14,883 · median $11,234 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,922 – $10,719 · median $8,091 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,987 – $26,103 · median $19,703 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,885 – $14,994 · median $11,318 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,828 – $10,515 · median $7,937 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,739 – $73,475 · median $55,460 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,424 – $40,124 · median $30,286 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,644 – $29,714 · median $22,429 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,184 – $61,378 · median $46,329 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,375 – $29,127 · median $21,986 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,911 – $21,583 · median $16,291 | 8 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,462 – $48,917 · median $36,923 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,315 – $22,462 · median $16,955 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,962 – $12,984 · median $9,800 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,833 – $25,769 · median $19,451 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,262 – $15,815 · median $11,937 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,634 – $12,270 · median $9,261 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,794 – $27,862 · median $21,030 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,127 – $17,699 · median $13,360 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,131 – $13,351 · median $10,077 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,619 – $25,303 · median $19,099 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,818 – $17,027 · median $12,852 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,693 – $12,397 · median $9,358 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,566 – $25,187 · median $19,011 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,349 – $16,005 · median $12,081 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,374 – $11,704 · median $8,834 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,058 – $19,725 · median $14,889 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,220 – $17,902 · median $13,513 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,289 – $13,695 · median $10,337 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,738 – $10,317 · median $7,787 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,646 – $21,005 · median $15,855 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,002 – $13,072 · median $9,867 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,558 – $9,926 · median $7,493 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,792 – $30,034 · median $22,670 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,247 – $15,782 · median $11,912 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,127 – $11,165 · median $8,428 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,922 – $28,141 · median $21,241 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,107 – $17,655 · median $13,326 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,956 – $10,794 · median $8,147 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,076 – $15,410 · median $11,632 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,099 – $11,105 · median $8,382 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,937 – $12,928 · median $9,758 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,819 – $30,093 · median $22,715 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,630 – $14,439 · median $10,899 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,340 – $103,094 · median $77,817 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,645 – $42,782 · median $32,293 | 8 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,743 – $173,660 · median $131,081 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,853 – $95,499 · median $72,084 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,438 – $74,998 · median $56,609 | 8 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $36,624 – $79,758 · median $60,202 | 8 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,456 – $51,081 · median $38,557 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,995 – $43,543 · median $32,867 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,541 – $25,134 · median $18,972 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,166 – $15,606 · median $11,780 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,551 – $20,800 · median $15,700 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,304 – $13,728 · median $10,362 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,016 – $8,747 · median $6,602 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,989 – $19,576 · median $14,776 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,781 – $12,590 · median $9,503 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,993 – $26,118 · median $19,714 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,156 – $11,229 · median $8,476 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,233 – $7,041 · median $5,315 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,841 – $25,786 · median $19,464 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,837 – $17,066 · median $12,882 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,222 – $11,372 · median $8,584 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,515 – $18,544 · median $13,997 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,922 – $10,719 · median $8,091 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $8,600 – $18,727 · median $14,136 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,495 – $11,967 · median $9,033 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,961 – $23,870 · median $18,017 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,781 – $14,768 · median $11,147 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,827 – $19,223 · median $14,510 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,412 – $11,785 · median $8,896 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,096 – $8,919 · median $6,732 | 8 plans |
| 311 | ANGINA PECTORIS | $5,112 – $11,132 · median $8,402 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,378 – $13,889 · median $10,484 | 8 plans |
| 313 | CHEST PAIN | $5,222 – $11,372 · median $8,584 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,764 – $34,329 · median $25,912 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,044 – $15,340 · median $11,579 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,997 – $10,883 · median $8,215 | 8 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $45,284 – $98,617 · median $74,438 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,155 – $70,026 · median $52,856 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,944 – $36,900 · median $27,853 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,951 – $45,625 · median $34,438 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,178 – $80,964 · median $61,113 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,774 – $38,706 · median $29,216 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,664 – $25,402 · median $19,174 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,613 – $73,199 · median $55,252 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,302 – $37,680 · median $28,441 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,085 – $26,319 · median $19,866 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,391 – $55,295 · median $41,737 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $15,557 – $33,879 · median $25,573 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,141 – $26,440 · median $19,957 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,523 – $57,761 · median $43,599 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,462 – $33,672 · median $25,416 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,237 – $24,471 · median $18,471 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,724 – $42,953 · median $32,422 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,897 – $23,731 · median $17,913 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,116 – $19,851 · median $14,984 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,325 – $37,729 · median $28,479 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,215 – $20,068 · median $15,148 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,448 – $14,042 · median $10,599 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,705 – $38,557 · median $29,103 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,013 – $23,983 · median $18,103 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,071 – $17,577 · median $13,267 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,470 – $46,755 · median $35,291 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,452 – $27,117 · median $20,468 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,759 – $21,253 · median $16,042 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,225 – $68,000 · median $51,327 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,485 – $35,899 · median $27,097 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,919 – $21,602 · median $16,305 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,224 – $26,621 · median $20,094 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,449 – $16,222 · median $12,244 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,109 – $11,127 · median $8,399 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,795 – $27,865 · median $21,033 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,534 – $16,408 · median $12,385 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,310 – $11,564 · median $8,728 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,455 – $33,658 · median $25,405 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,994 – $19,587 · median $14,784 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,464 – $14,076 · median $10,625 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,309 – $28,984 · median $21,877 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,217 – $15,716 · median $11,863 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,661 – $10,150 · median $7,661 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,086 – $30,675 · median $23,154 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,972 – $17,361 · median $13,105 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,485 – $11,945 · median $9,016 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,254 – $20,153 · median $15,211 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,365 – $13,862 · median $10,463 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,894 – $25,901 · median $19,550 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,265 – $15,821 · median $11,942 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,907 – $10,685 · median $8,065 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,760 – $23,432 · median $17,687 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,868 – $12,778 · median $9,645 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,006 – $8,723 · median $6,584 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,403 – $20,476 · median $15,456 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,712 – $12,439 · median $9,389 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,122 – $26,398 · median $19,926 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,890 – $15,005 · median $11,326 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,658 – $10,145 · median $7,657 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,637 – $62,364 · median $47,074 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,738 – $86,539 · median $65,321 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,557 – $44,769 · median $33,792 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,634 – $34,047 · median $25,699 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,630 – $55,814 · median $42,129 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,346 – $33,420 · median $25,226 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,354 – $24,726 · median $18,664 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,030 – $43,621 · median $32,926 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,603 – $33,980 · median $25,648 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,170 – $26,502 · median $20,004 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,648 – $55,854 · median $42,159 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,480 – $31,533 · median $23,801 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,030 – $21,842 · median $16,487 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,836 – $56,264 · median $42,469 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,987 – $26,105 · median $19,704 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,756 – $23,424 · median $17,681 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,773 – $64,838 · median $48,941 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,714 – $36,398 · median $27,474 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,315 – $24,642 · median $18,600 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $61,053 – $132,958 · median $100,358 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,044 – $87,205 · median $65,824 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,341 – $31,230 · median $23,573 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,831 – $17,054 · median $12,872 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,098 – $11,103 · median $8,381 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,356 – $29,086 · median $21,955 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,255 – $17,977 · median $13,569 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,748 – $12,517 · median $9,448 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,178 – $26,521 · median $20,018 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,297 – $13,712 · median $10,350 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,503 – $9,805 · median $7,401 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,838 – $30,135 · median $22,746 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,073 – $15,402 · median $11,626 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,144 – $11,202 · median $8,455 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,330 – $26,851 · median $20,268 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,939 – $17,288 · median $13,049 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,836 – $12,710 · median $9,594 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,535 – $86,097 · median $64,988 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,584 – $47,004 · median $35,479 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,708 – $27,675 · median $20,890 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,828 – $71,491 · median $53,962 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,791 – $34,390 · median $25,958 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,514 – $18,541 · median $13,995 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,173 – $54,821 · median $41,380 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,119 – $37,280 · median $28,139 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,999 – $28,308 · median $21,367 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,528 – $46,882 · median $35,388 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,188 – $33,076 · median $24,966 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,612 – $25,289 · median $19,088 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,565 – $51,319 · median $38,736 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,525 – $33,809 · median $25,520 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,567 – $25,190 · median $19,014 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,387 – $31,330 · median $23,649 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,065 – $19,741 · median $14,901 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,995 – $56,610 · median $42,730 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,575 – $38,274 · median $28,890 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,801 – $30,055 · median $22,686 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,771 – $56,122 · median $42,362 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,442 – $31,452 · median $23,740 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,828 – $21,402 · median $16,155 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,482 – $40,249 · median $30,381 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,497 – $18,504 · median $13,967 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,195 – $50,512 · median $38,127 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,064 – $28,450 · median $21,474 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,228 – $22,273 · median $16,812 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,373 – $42,189 · median $31,845 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,847 – $27,976 · median $21,117 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,847 – $27,976 · median $21,117 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,973 – $23,897 · median $18,038 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,188 – $30,897 · median $23,321 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,447 – $20,573 · median $15,529 | 8 plans |
| 509 | ARTHROSCOPY | $12,859 – $28,004 · median $21,137 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,921 – $45,561 · median $34,390 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,356 – $31,263 · median $23,598 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,769 – $25,630 · median $19,346 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,021 – $24,001 · median $18,116 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,463 – $16,253 · median $12,268 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,636 – $49,296 · median $37,209 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,726 – $32,069 · median $24,206 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,927 – $23,795 · median $17,961 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,336 – $46,463 · median $35,071 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,431 – $33,605 · median $25,366 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,162 – $24,308 · median $18,348 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,958 – $12,976 · median $9,794 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,735 – $21,200 · median $16,002 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,936 – $12,927 · median $9,757 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,727 – $14,650 · median $11,058 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,915 – $10,704 · median $8,080 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,804 – $32,239 · median $24,335 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,473 – $20,629 · median $15,571 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,404 – $13,947 · median $10,527 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,653 – $29,732 · median $22,442 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,766 – $16,912 · median $12,765 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,532 – $12,047 · median $9,093 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,497 – $40,281 · median $30,405 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,474 – $18,455 · median $13,930 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,462 – $11,895 · median $8,979 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,747 – $32,115 · median $24,241 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,821 – $19,211 · median $14,500 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,311 – $13,743 · median $10,373 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,491 – $27,202 · median $20,532 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,055 – $15,364 · median $11,597 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,560 – $20,819 · median $15,714 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,109 – $13,304 · median $10,042 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,857 – $21,466 · median $16,203 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,977 – $13,016 · median $9,825 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,344 – $24,704 · median $18,647 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,323 – $13,770 · median $10,394 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,588 – $29,591 · median $22,336 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,335 – $18,152 · median $13,701 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,985 – $13,033 · median $9,838 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,713 – $23,330 · median $17,610 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,543 – $14,248 · median $10,755 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,487 – $25,015 · median $18,881 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,464 – $16,255 · median $12,270 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,476 – $11,925 · median $9,002 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,035 – $47,986 · median $36,220 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,256 – $26,690 · median $20,146 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,362 – $18,211 · median $13,746 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,078 – $98,168 · median $74,099 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,363 – $55,234 · median $41,691 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,616 – $31,829 · median $24,025 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,494 – $86,006 · median $64,919 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,492 – $42,448 · median $32,040 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,374 – $26,947 · median $20,340 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,859 – $51,958 · median $39,219 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,978 – $28,263 · median $21,334 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,535 – $22,942 · median $17,317 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,819 – $27,916 · median $21,071 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,025 – $26,186 · median $19,766 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,987 – $32,638 · median $24,635 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,531 – $31,644 · median $23,886 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $15,052 – $32,779 · median $24,742 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $8,950 – $19,491 · median $14,712 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,212 – $13,529 · median $10,212 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,483 – $33,717 · median $25,450 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,914 – $17,234 · median $13,008 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,859 – $28,004 · median $21,137 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,898 – $17,199 · median $12,982 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,258 – $13,628 · median $10,287 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,002 – $15,249 · median $11,510 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,388 – $9,557 · median $7,213 | 8 plans |
| 602 | CELLULITIS WITH MCC | $10,755 – $23,421 · median $17,678 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,447 – $14,041 · median $10,598 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,875 – $23,684 · median $17,877 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,761 – $14,725 · median $11,114 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,787 – $25,670 · median $19,376 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,326 – $13,776 · median $10,398 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,682 – $36,330 · median $27,422 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,490 – $22,843 · median $17,243 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,292 – $61,612 · median $46,506 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,139 – $30,792 · median $23,242 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,114 – $19,848 · median $14,982 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,391 – $59,651 · median $45,026 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,002 – $30,492 · median $23,016 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,343 – $15,990 · median $12,070 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,987 – $45,704 · median $34,498 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,048 – $24,060 · median $18,161 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,274 – $20,196 · median $15,244 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,883 – $62,898 · median $47,477 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,463 – $35,853 · median $27,062 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,258 – $22,338 · median $16,861 | 8 plans |
| 637 | DIABETES WITH MCC | $10,660 – $23,215 · median $17,523 | 8 plans |
| 638 | DIABETES WITH CC | $6,714 – $14,621 · median $11,036 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,587 – $9,989 · median $7,540 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,721 – $21,170 · median $15,979 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,720 – $12,456 · median $9,402 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,085 – $19,784 · median $14,934 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,131 – $26,419 · median $19,941 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,564 – $16,473 · median $12,434 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,700 – $12,413 · median $9,370 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,806 – $88,865 · median $67,076 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,658 – $44,987 · median $33,957 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,206 – $33,114 · median $24,995 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,849 – $51,936 · median $39,202 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,382 – $29,142 · median $21,997 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,009 – $23,975 · median $18,097 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,917 – $41,196 · median $31,096 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,809 – $21,361 · median $16,124 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,515 – $16,365 · median $12,353 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,835 – $49,730 · median $37,537 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,181 – $24,348 · median $18,378 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,904 – $17,213 · median $12,993 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,134 – $54,735 · median $41,315 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $12,058 – $26,260 · median $19,821 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,524 – $16,384 · median $12,367 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,347 – $46,489 · median $35,090 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,328 – $24,669 · median $18,620 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,996 – $15,235 · median $11,499 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,617 – $27,478 · median $20,740 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,011 – $17,446 · median $13,168 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,668 – $66,786 · median $50,411 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,897 – $36,798 · median $27,776 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,458 – $24,952 · median $18,834 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $10,994 – $23,942 · median $18,072 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $6,507 – $14,170 · median $10,696 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,446 – $9,683 · median $7,309 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,803 – $30,060 · median $22,690 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,706 – $16,781 · median $12,667 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,301 – $11,544 · median $8,714 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,567 – $18,656 · median $14,082 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,875 – $12,794 · median $9,657 | 8 plans |
| 693 | URINARY STONES WITH MCC | $10,763 – $23,440 · median $17,693 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,720 – $12,456 · median $9,402 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,256 – $17,978 · median $13,570 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,064 – $11,028 · median $8,324 | 8 plans |
| 697 | URETHRAL STRICTURE | $7,333 – $15,970 · median $12,054 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,304 – $26,795 · median $20,225 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,466 – $16,258 · median $12,272 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,082 – $11,066 · median $8,353 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,205 – $30,935 · median $23,350 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,852 – $23,633 · median $17,838 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,449 – $35,821 · median $27,038 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,990 – $23,934 · median $18,066 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,986 – $30,457 · median $22,989 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,829 – $17,050 · median $12,870 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,585 – $23,051 · median $17,399 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,879 – $14,980 · median $11,307 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,531 – $36,000 · median $27,173 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,389 – $22,625 · median $17,078 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,582 – $29,579 · median $22,326 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,018 – $19,638 · median $14,823 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,656 – $27,560 · median $20,803 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,220 – $17,900 · median $13,511 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,333 – $11,615 · median $8,767 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,242 – $20,127 · median $15,192 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,449 – $11,866 · median $8,957 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,756 – $23,424 · median $17,681 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,981 – $13,025 · median $9,832 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,059 – $17,549 · median $13,247 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,443 – $9,675 · median $7,303 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,393 – $33,521 · median $25,302 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,886 – $19,351 · median $14,606 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,823 – $62,769 · median $47,379 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,628 – $31,856 · median $24,046 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,104 – $24,181 · median $18,252 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,140 – $63,460 · median $47,900 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,310 – $28,986 · median $21,879 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,055 – $21,897 · median $16,528 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,303 – $31,149 · median $23,512 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,502 – $16,336 · median $12,331 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,258 – $26,695 · median $20,150 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,992 – $15,227 · median $11,493 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,972 – $21,716 · median $16,392 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,949 – $41,265 · median $31,147 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,439 – $20,556 · median $15,516 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,244 – $28,842 · median $21,770 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,126 – $17,696 · median $13,357 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,991 – $15,224 · median $11,491 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,360 – $22,561 · median $17,030 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,461 – $16,249 · median $12,265 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,685 – $10,202 · median $7,701 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,215 – $15,711 · median $11,859 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,640 – $10,105 · median $7,627 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,171 – $22,150 · median $16,719 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,876 – $17,153 · median $12,947 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,223 – $11,374 · median $8,585 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $6,843 – $14,902 · median $11,248 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,195 – $28,735 · median $21,690 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,805 – $75,796 · median $57,212 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,329 – $46,449 · median $35,060 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,017 – $26,170 · median $19,754 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,241 – $57,145 · median $43,134 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,030 – $28,375 · median $21,418 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,093 – $17,624 · median $13,303 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,765 – $36,510 · median $27,558 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,066 – $19,743 · median $14,902 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,967 – $15,173 · median $11,453 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,299 – $22,427 · median $16,929 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,756 – $14,712 · median $11,105 | 8 plans |
| 813 | COAGULATION DISORDERS | $11,331 – $24,677 · median $18,626 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,302 – $33,325 · median $25,154 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,438 – $16,198 · median $12,226 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,827 – $10,512 · median $7,934 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,557 – $40,412 · median $30,504 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,428 – $20,532 · median $15,498 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,977 – $13,016 · median $9,825 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,619 – $92,813 · median $70,057 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,341 – $35,587 · median $26,861 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,372 – $18,232 · median $13,762 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,254 – $74,596 · median $56,306 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,100 – $35,061 · median $26,464 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,009 – $19,620 · median $14,810 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,957 – $76,126 · median $57,461 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,274 – $37,619 · median $28,396 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,733 – $25,552 · median $19,287 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,573 – $49,159 · median $37,106 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,706 – $23,314 · median $17,598 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,425 – $18,348 · median $13,849 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,471 – $11,914 · median $8,993 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,805 – $8,286 · median $6,255 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $40,460 – $88,111 · median $66,507 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,635 – $34,048 · median $25,700 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,302 – $20,256 · median $15,290 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,653 – $79,820 · median $60,249 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,846 – $32,332 · median $24,404 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,031 – $21,846 · median $16,489 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,343 – $50,836 · median $38,372 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,478 – $24,995 · median $18,867 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,700 – $16,768 · median $12,657 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,859 – $30,181 · median $22,781 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,749 – $19,053 · median $14,381 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,125 – $13,339 · median $10,069 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,694 – $40,710 · median $30,729 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,302 – $20,256 · median $15,290 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,994 – $13,054 · median $9,853 | 8 plans |
| 849 | RADIOTHERAPY | $19,552 – $42,580 · median $32,140 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $67,431 – $146,847 · median $110,842 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,610 – $79,726 · median $60,178 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,626 – $31,852 · median $24,042 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,899 – $25,914 · median $19,560 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,025 – $71,919 · median $54,286 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,950 – $34,734 · median $26,218 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,431 – $20,538 · median $15,503 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,459 – $29,311 · median $22,124 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,319 – $15,939 · median $12,031 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,573 – $14,315 · median $10,805 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,804 – $23,527 · median $17,759 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,477 – $14,105 · median $10,646 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,696 – $34,182 · median $25,801 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,687 – $16,740 · median $12,635 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,267 – $11,471 · median $8,659 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,922 – $110,894 · median $83,704 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,363 – $31,278 · median $23,609 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,547 – $16,435 · median $12,406 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,431 – $70,627 · median $53,310 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,890 – $30,250 · median $22,833 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,924 – $19,434 · median $14,669 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,263 – $61,550 · median $46,459 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,065 – $26,274 · median $19,832 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,976 – $34,791 · median $26,261 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,161 – $63,504 · median $47,934 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,765 – $32,155 · median $24,271 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,284 – $20,218 · median $15,261 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,846 – $25,797 · median $19,472 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,708 – $14,608 · median $11,027 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,721 – $27,704 · median $20,911 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,861 – $10,586 · median $7,991 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,003 – $26,138 · median $19,730 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,475 – $14,101 · median $10,644 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,349 – $29,070 · median $21,942 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,436 – $16,194 · median $12,224 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,034 – $10,963 · median $8,275 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,366 – $26,931 · median $20,328 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,466 – $16,258 · median $12,272 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $173,651 – $378,165 · median $285,445 | 8 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,890 – $106,468 · median $80,364 | 8 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,281 – $50,699 · median $38,268 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,673 – $68,975 · median $52,063 | 8 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,707 – $34,206 · median $25,819 | 8 plans |
| 935 | NON-EXTENSIVE BURNS | $16,078 – $35,013 · median $26,428 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,234 – $50,597 · median $38,191 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,455 – $33,658 · median $25,405 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,305 – $31,154 · median $23,515 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,415 – $20,503 · median $15,476 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,816 – $12,665 · median $9,560 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,898 – $17,200 · median $12,983 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,290 – $9,343 · median $7,052 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,150 – $9,039 · median $6,822 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,983 – $108,850 · median $82,162 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,980 – $60,933 · median $45,993 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,638 – $118,987 · median $89,813 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,084 – $65,514 · median $49,451 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,353 – $42,146 · median $31,813 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,886 – $43,307 · median $32,689 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,981 – $23,913 · median $18,050 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,680 – $14,548 · median $10,981 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,294 – $100,816 · median $76,097 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,422 – $42,296 · median $31,926 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,859 – $47,603 · median $35,931 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,405 – $22,659 · median $17,103 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,342 – $15,989 · median $12,069 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,555 – $22,985 · median $17,350 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,799 – $75,782 · median $57,201 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,922 – $39,028 · median $29,459 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,211 – $26,593 · median $20,073 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,640 – $55,837 · median $42,146 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,561 – $27,355 · median $20,648 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,458 – $18,420 · median $13,904 | 8 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $206,192 – $449,031 · median $342,104 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,664 – $175,665 · median $133,834 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $77,954 – $169,762 · median $129,337 | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,496 – $77,301 · median $58,894 | 7 plans |
| 007 | LUNG TRANSPLANT | $95,664 – $208,330 · median $158,721 | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,829 – $86,737 · median $66,082 | 7 plans |
| 010 | PANCREAS TRANSPLANT | $58,362 – $127,098 · median $96,832 | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $95,905 – $208,856 · median $159,121 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,183 – $96,218 · median $73,306 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $44,183 – $96,218 · median $73,306 | 7 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $276,058 – $601,180 · median $458,022 | 7 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $58,028 – $126,369 · median $96,277 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,725 – $73,445 · median $55,956 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,419 – $55,355 · median $42,174 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $22,483 – $48,961 · median $37,302 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,516 – $94,766 · median $94,766 | 5 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,718 – $64,719 · median $64,719 | 5 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,932 – $39,051 · median $39,051 | 5 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,528 – $66,482 · median $66,482 | 5 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,806 – $23,532 · median $23,532 | 5 plans |
| 795 | NORMAL NEWBORN | $1,463 – $3,185 · median $3,185 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,765 – $47,725 · median $46,350 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,017 – $11,642 · median $11,307 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $6,691 – $11,102 · median $10,782 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,042 – $11,683 · median $11,347 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,571 – $22,516 · median $21,867 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,226 – $20,285 · median $19,700 | 5 plans |
| 885 | PSYCHOSES | $10,318 – $17,120 · median $16,626 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,150 – $21,818 · median $21,190 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,706 – $14,445 · median $14,029 | 5 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,568 – $7,439 · median $7,054 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,599 – $17,259 · median $16,365 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,035 – $21,227 · median $20,128 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,458 – $10,516 · median $9,971 | 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 | $17,947 – $21,114 · median $19,531 | 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.