Lafayette Surgical Specialty Hospital (Kaliste Saloom Rd) — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $136,121 – $265,435 · median $136,121 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $88,831 – $173,221 · median $88,831 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,978 – $68,207 · median $34,978 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $27,038 – $52,724 · median $27,038 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,481 – $36,039 · median $18,481 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $276,938 – $540,029 · median $276,938 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $45,755 – $89,223 · median $45,755 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,464 – $98,404 · median $50,464 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,950 – $66,202 · median $33,950 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,377 – $39,735 · median $20,377 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,749 – $71,661 · median $36,749 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,088 – $48,921 · median $25,088 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,159 – $56,859 · median $29,159 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,940 – $38,883 · median $19,940 | 10 plans |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $16,180 – $31,551 · median $16,180 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,532 – $75,138 · median $38,532 | 10 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $21,879 – $42,664 · median $21,879 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,078 – $27,452 · median $14,078 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,734 – $56,032 · median $28,734 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,666 – $26,650 · median $13,666 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,664 – $20,796 · median $10,664 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,823 – $48,406 · median $24,823 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,331 – $29,895 · median $15,331 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,459 – $24,296 · median $12,459 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,113 – $41,170 · median $21,113 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,406 – $20,292 · median $10,406 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,539 – $14,700 · median $7,539 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,762 – $48,287 · median $24,762 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,101 – $27,496 · median $14,101 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,080 – $21,606 · median $11,080 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,616 – $22,651 · median $11,616 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,280 – $12,246 · median $6,280 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,792 – $19,095 · median $9,792 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,539 – $12,751 · median $6,539 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,898 – $29,052 · median $14,898 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,309 – $16,202 · median $8,309 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,963 – $21,378 · median $10,963 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,958 – $15,518 · median $7,958 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,899 – $11,503 · median $5,899 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,682 – $34,479 · median $17,682 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,269 – $21,975 · median $11,269 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,003 – $17,555 · median $9,003 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,897 – $25,149 · median $12,897 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,479 – $12,634 · median $6,479 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,389 – $8,559 · median $4,389 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,419 – $18,367 · median $9,419 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,544 – $10,810 · median $5,544 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,123 – $9,990 · median $5,123 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,677 – $20,819 · median $10,677 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,580 – $12,831 · median $6,580 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,850 – $9,457 · median $4,850 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,289 – $20,063 · median $10,289 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,611 – $12,891 · median $6,611 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,297 – $23,980 · median $12,297 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,292 – $10,320 · median $5,292 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,608 – $22,635 · median $11,608 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,744 – $11,200 · median $5,744 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,658 – $28,583 · median $14,658 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,951 – $17,455 · median $8,951 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,130 – $11,953 · median $6,130 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,570 – $28,412 · median $14,570 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,354 – $16,291 · median $8,354 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,866 – $11,439 · median $5,866 | 10 plans |
| 088 | CONCUSSION WITH MCC | $8,669 – $16,905 · median $8,669 | 10 plans |
| 089 | CONCUSSION WITH CC | $7,046 – $13,739 · median $7,046 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,279 – $10,295 · median $5,279 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,263 – $21,962 · median $11,263 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,561 – $12,793 · median $6,561 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,107 – $9,958 · median $5,107 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,570 – $44,012 · median $22,570 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,541 – $32,255 · median $16,541 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,541 – $32,255 · median $16,541 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,163 – $45,168 · median $23,163 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,718 – $28,699 · median $14,718 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,737 – $17,038 · median $8,737 | 10 plans |
| 100 | SEIZURES WITH MCC | $12,421 – $24,221 · median $12,421 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $5,789 – $11,288 · median $5,789 | 10 plans |
| 102 | HEADACHES WITH MCC | $7,189 – $14,018 · median $7,189 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $5,363 – $10,458 · median $5,363 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,078 – $29,402 · median $15,078 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,677 – $16,920 · median $8,677 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,844 – $19,195 · median $9,844 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,596 – $22,611 · median $11,596 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,958 – $13,567 · median $6,958 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,460 – $14,548 · median $7,460 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,039 – $9,827 · median $5,039 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,122 – $9,987 · median $5,122 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,485 – $16,546 · median $8,485 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $4,924 – $9,602 · median $4,924 | 10 plans |
| 135 | SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY | $13,917 – $27,137 · median $13,917 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,511 – $12,697 · median $6,511 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,576 – $18,673 · median $9,576 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $5,683 – $11,083 · median $5,683 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,925 – $15,453 · median $7,925 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,354 – $53,340 · median $27,354 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,988 – $27,276 · median $13,988 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,238 – $19,964 · median $10,238 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,028 – $46,854 · median $24,028 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,113 – $21,671 · median $11,113 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,711 – $15,036 · median $7,711 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,579 – $26,479 · median $13,579 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,154 – $15,901 · median $8,154 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,112 – $9,968 · median $5,112 | 10 plans |
| 149 | DYSEQUILIBRIUM | $4,820 – $9,399 · median $4,820 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $8,539 – $16,651 · median $8,539 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,707 – $9,179 · median $4,707 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,582 – $14,784 · median $7,582 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,734 – $9,232 · median $4,734 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,027 – $19,553 · median $10,027 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,878 – $11,461 · median $5,878 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,432 – $8,643 · median $4,432 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,010 – $21,470 · median $11,010 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,835 – $11,378 · median $5,835 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,544 – $8,860 · median $4,544 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,742 – $56,048 · median $28,742 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,187 – $31,564 · median $16,187 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,276 – $23,938 · median $12,276 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,970 – $46,742 · median $23,970 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,565 – $22,553 · median $11,565 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,763 – $17,088 · median $8,763 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,088 – $37,222 · median $19,088 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,809 – $17,178 · median $8,809 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,163 – $10,067 · median $5,163 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,022 – $19,543 · median $10,022 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,259 – $12,206 · median $6,259 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,842 – $9,442 · median $4,842 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,326 – $22,085 · median $11,326 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,868 – $13,394 · median $6,868 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,834 – $9,427 · median $4,834 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,811 – $19,132 · median $9,811 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,824 – $13,307 · median $6,824 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,044 – $9,836 · median $5,044 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,995 – $19,490 · median $9,995 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,343 – $12,369 · median $6,343 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,600 – $8,969 · median $4,600 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,923 – $15,449 · median $7,923 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,104 – $13,853 · median $7,104 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,406 – $10,542 · median $5,406 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,117 – $8,029 · median $4,117 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,429 – $16,437 · median $8,429 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,168 – $10,078 · median $5,168 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,031 – $7,860 · median $4,031 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,103 – $23,601 · median $12,103 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,087 – $11,869 · median $6,087 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,593 – $8,957 · median $4,593 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,313 – $22,061 · median $11,313 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,050 – $13,747 · median $7,050 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,586 – $8,943 · median $4,586 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,228 – $12,146 · median $6,228 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,297 – $8,379 · median $4,297 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,178 – $10,097 · median $5,178 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,742 – $22,898 · median $11,742 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,035 – $11,769 · median $6,035 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,267 – $80,470 · median $41,267 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,628 – $34,374 · median $17,628 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $69,737 – $135,988 · median $69,737 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $63,856 – $124,519 · median $63,856 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $62,739 – $122,340 · median $62,739 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $42,168 – $82,228 · median $42,168 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,168 – $82,228 · median $42,168 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,242 – $96,022 · median $49,242 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $34,200 – $66,690 · median $34,200 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,324 – $63,031 · median $32,324 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,728 – $61,870 · median $31,728 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,198 – $39,387 · median $20,198 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $54,062 – $105,421 · median $54,062 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,880 – $75,817 · median $38,880 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $49,030 – $95,608 · median $49,030 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $35,033 – $68,315 · median $35,033 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,636 – $73,391 · median $37,636 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,863 – $52,384 · median $26,863 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,564 – $61,549 · median $31,564 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,281 – $35,647 · median $18,281 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,878 – $17,313 · median $8,878 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,476 – $39,928 · median $20,476 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,666 – $26,648 · median $13,666 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,592 – $22,604 · median $11,592 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,259 – $57,056 · median $29,259 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,997 – $27,294 · median $13,997 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,584 – $18,690 · median $9,584 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,371 – $43,623 · median $22,371 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,646 – $32,460 · median $16,646 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,426 – $22,281 · median $11,426 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,299 – $33,733 · median $17,299 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,889 – $21,233 · median $10,889 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,004 – $13,659 · median $7,004 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,151 – $39,294 · median $20,151 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,968 – $25,288 · median $12,968 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,861 – $40,678 · median $20,861 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,124 – $23,642 · median $12,124 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,453 – $20,383 · median $10,453 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,608 – $38,235 · median $19,608 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,424 – $41,776 · median $21,424 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $23,204 – $45,248 · median $23,204 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $39,302 – $76,640 · median $39,302 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $30,532 – $59,537 · median $30,532 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,109 – $86,013 · median $44,109 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $27,084 – $52,814 · median $27,084 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,838 – $65,984 · median $33,838 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,807 – $44,474 · median $22,807 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,373 – $31,927 · median $16,373 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $26,457 – $51,592 · median $26,457 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,110 – $41,165 · median $21,110 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,728 – $89,170 · median $45,728 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $38,521 – $75,116 · median $38,521 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,619 – $57,757 · median $29,619 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,697 – $69,609 · median $35,697 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,128 – $45,100 · median $23,128 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,287 – $20,060 · median $10,287 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,894 – $11,494 · median $5,894 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,637 – $9,043 · median $4,637 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,703 – $24,771 · median $12,703 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,439 – $8,656 · median $4,439 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,841 – $7,490 · median $3,841 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,191 – $27,673 · median $14,191 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,863 – $13,382 · median $6,863 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,355 – $33,843 · median $17,355 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,947 – $21,346 · median $10,947 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,962 – $11,627 · median $5,962 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,233 – $16,055 · median $8,233 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,445 – $10,617 · median $5,445 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,630 – $7,078 · median $3,630 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,017 – $19,533 · median $10,017 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,066 – $7,929 · median $4,066 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,919 – $5,691 · median $2,919 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,471 – $20,418 · median $10,471 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,846 – $13,350 · median $6,846 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,616 – $9,000 · median $4,616 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,674 – $14,964 · median $7,674 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,317 – $8,419 · median $4,317 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $7,632 – $14,882 · median $7,632 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,843 – $9,443 · median $4,843 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,106 – $19,706 · median $10,106 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,856 – $11,420 · median $5,856 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,721 – $15,057 · median $7,721 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,718 – $9,200 · median $4,718 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,630 – $7,079 · median $3,630 | 10 plans |
| 311 | ANGINA PECTORIS | $4,501 – $8,778 · median $4,501 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,590 – $10,900 · median $5,590 | 10 plans |
| 313 | CHEST PAIN | $4,617 – $9,004 · median $4,617 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,373 – $26,077 · median $13,373 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,178 – $12,047 · median $6,178 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,374 – $8,530 · median $4,374 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,621 – $55,811 · median $28,621 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,426 – $30,080 · median $15,426 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,449 – $34,025 · median $17,449 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,306 – $22,047 · median $11,306 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,752 – $54,117 · median $27,752 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,208 – $39,405 · median $20,208 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,589 – $40,148 · median $20,589 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,985 – $62,371 · median $31,985 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,675 – $30,566 · median $15,675 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,276 – $20,038 · median $10,276 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,478 – $57,482 · median $29,478 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,374 – $29,979 · median $15,374 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,793 – $21,046 · median $10,793 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,220 – $45,279 · median $23,220 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $15,021 – $29,291 · median $15,021 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,504 – $20,483 · median $10,504 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,901 – $44,656 · median $22,901 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,523 – $26,371 · median $13,523 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,844 – $19,196 · median $9,844 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,564 – $32,300 · median $16,564 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,650 – $18,817 · median $9,650 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,607 – $14,834 · median $7,607 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,722 – $28,708 · median $14,722 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,394 – $16,367 · median $8,394 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,583 – $10,887 · median $5,583 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,981 – $31,163 · median $15,981 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,777 – $19,065 · median $9,777 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,489 – $14,604 · median $7,489 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,611 – $36,291 · median $18,611 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,789 – $21,040 · median $10,789 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,626 – $16,820 · median $8,626 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,172 – $54,935 · median $28,172 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,914 – $29,082 · median $14,914 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,965 – $17,482 · median $8,965 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,209 – $19,908 · median $10,209 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,414 – $12,508 · median $6,414 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,494 – $8,764 · median $4,494 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,371 – $22,174 · median $11,371 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,548 – $12,768 · median $6,548 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,665 – $9,097 · median $4,665 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,716 – $26,746 · median $13,716 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,757 – $15,127 · median $7,757 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,928 – $11,559 · median $5,928 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,723 – $22,860 · median $11,723 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,289 – $12,264 · median $6,289 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,043 – $7,884 · median $4,043 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,584 – $24,539 · median $12,584 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,949 – $13,550 · median $6,949 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,134 – $10,012 · median $5,134 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,855 – $17,267 · median $8,855 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,482 – $10,690 · median $5,482 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,148 – $19,788 · median $10,148 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,261 – $12,209 · median $6,261 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,369 – $8,520 · median $4,369 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,471 – $18,468 · median $9,471 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,065 – $9,877 · median $5,065 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,489 – $6,803 · median $3,489 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,134 – $15,861 · median $8,134 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,000 – $9,749 · median $5,000 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,257 – $20,000 · median $10,257 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,001 – $11,702 · median $6,001 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,162 – $8,116 · median $4,162 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,359 – $29,950 · median $15,359 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,707 – $18,929 · median $9,707 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,341 – $14,315 · median $7,341 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $35,083 – $68,412 · median $35,083 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,599 – $36,269 · median $18,599 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,235 – $27,758 · median $14,235 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,867 – $44,590 · median $22,867 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,963 – $27,229 · median $13,963 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,182 – $19,855 · median $10,182 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,185 – $41,310 · median $21,185 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,484 – $26,293 · median $13,484 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,649 – $20,766 · median $10,649 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,848 – $44,553 · median $22,848 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,254 – $25,845 · median $13,254 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,743 – $17,049 · median $8,743 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,304 – $29,843 · median $15,304 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,848 – $21,155 · median $10,848 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,759 – $17,080 · median $8,759 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,850 – $42,608 · median $21,850 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,143 – $21,729 · median $11,143 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,975 – $17,502 · median $8,975 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,634 – $51,936 · median $26,634 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,031 – $27,361 · median $14,031 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,622 – $18,762 · median $9,622 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,622 – $24,614 · median $12,622 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,774 – $13,208 · median $6,774 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,569 – $8,910 · median $4,569 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,779 – $22,969 · median $11,779 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,254 – $14,145 · median $7,254 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,472 – $10,671 · median $5,472 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,455 – $20,387 · median $10,455 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,395 – $10,520 · median $5,395 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,985 – $7,771 · median $3,985 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,510 – $22,444 · median $11,510 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,191 – $12,072 · median $6,191 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,487 – $8,750 · median $4,487 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,716 – $20,896 · median $10,716 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,019 – $13,686 · median $7,019 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,306 – $10,346 · median $5,306 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,892 – $105,090 · median $53,892 | 10 plans |
| 457 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION | $38,242 – $74,572 · median $38,242 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,760 – $52,181 · median $26,760 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $35,420 – $69,069 · median $35,420 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY | $17,059 – $33,265 · median $17,059 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,552 – $71,276 · median $36,552 | 10 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $19,975 – $38,951 · median $19,975 | 10 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $11,696 – $22,807 · median $11,696 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $33,383 – $65,097 · median $33,383 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $22,617 – $44,102 · median $22,617 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,623 – $34,366 · median $17,623 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $19,452 – $37,932 · median $19,452 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $12,370 – $24,122 · median $12,370 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,967 – $60,386 · median $30,967 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $18,894 – $36,843 · median $18,894 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $15,656 – $30,530 · median $15,656 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,531 – $53,686 · median $27,531 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,594 – $28,459 · median $14,594 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,569 – $14,759 · median $7,569 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,155 – $43,202 · median $22,155 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,771 – $30,754 · median $15,771 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,921 – $23,247 · median $11,921 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,677 – $36,420 · median $18,677 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,432 – $26,193 · median $13,432 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,460 – $20,397 · median $10,460 | 10 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $17,777 – $34,664 · median $17,777 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,696 – $40,357 · median $20,696 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,411 – $26,151 · median $13,411 | 10 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $10,044 – $19,586 · median $10,044 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $11,344 – $22,121 · median $11,344 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $7,162 – $13,966 · median $7,162 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,547 – $45,916 · median $23,547 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,264 – $31,716 · median $16,264 | 10 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $12,868 – $25,093 · median $12,868 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,252 – $45,342 · median $23,252 | 10 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION | $11,569 – $22,559 · median $11,569 | 10 plans |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $7,749 – $15,111 · median $7,749 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,347 – $37,727 · median $19,347 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,415 – $25,196 · median $12,921 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,296 – $39,578 · median $20,296 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,211 – $21,861 · median $11,211 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,631 – $16,831 · median $8,631 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,900 – $34,905 · median $17,900 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,987 – $23,376 · median $11,987 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,498 – $22,420 · median $11,498 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,653 – $16,873 · median $8,653 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,585 – $22,590 · median $11,585 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,712 – $18,939 · median $9,712 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $19,371 – $37,773 · median $19,371 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,336 – $26,004 · median $13,336 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,616 – $20,702 · median $10,616 | 10 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $10,096 – $19,688 · median $10,096 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,556 – $12,785 · median $6,556 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,438 – $39,854 · median $20,438 | 10 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $13,327 – $25,988 · median $13,327 | 10 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $9,855 – $19,217 · median $9,855 | 10 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $23,968 – $46,737 · median $23,968 | 10 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $12,828 – $25,014 · median $12,828 | 10 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $9,581 – $18,682 · median $9,581 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,407 – $35,894 · median $18,407 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,581 – $26,483 · median $13,581 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,054 – $19,605 · median $10,054 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,170 – $10,081 · median $5,170 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,222 – $16,032 · median $8,222 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,179 – $10,100 · median $5,179 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,120 – $11,934 · median $6,120 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,619 – $9,008 · median $4,619 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,632 – $24,632 · median $12,632 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,313 – $16,211 · median $8,313 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,050 – $9,847 · median $5,050 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,329 – $22,091 · median $11,329 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,593 – $12,856 · median $6,593 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,839 – $9,437 · median $4,839 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,916 – $31,035 · median $15,916 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,397 – $14,424 · median $7,397 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,363 – $10,457 · median $5,363 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,383 – $24,147 · median $12,383 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,742 – $15,097 · median $7,742 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,606 – $10,931 · median $5,606 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,749 – $20,961 · median $10,749 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $6,165 – $12,022 · median $6,165 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,313 – $16,211 · median $8,313 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,324 – $10,381 · median $5,324 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,477 – $16,530 · median $8,477 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,327 – $10,387 · median $5,327 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,536 – $18,595 · median $9,536 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,728 – $11,170 · median $5,728 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,960 – $23,322 · median $11,960 | 10 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,222 – $14,083 · median $7,222 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,156 – $10,053 · median $5,156 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,137 – $17,818 · median $9,137 | 10 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $5,743 – $11,199 · median $5,743 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,899 – $19,304 · median $9,899 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,249 – $12,186 · median $6,249 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $4,805 – $9,370 · median $4,805 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,862 – $36,780 · median $18,862 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,835 – $21,128 · median $10,835 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,351 – $14,335 · median $7,351 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,015 – $81,930 · median $42,015 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,263 – $43,412 · median $22,263 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,524 – $22,473 · median $11,524 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,432 – $61,293 · median $31,432 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,999 – $33,149 · median $16,999 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,302 – $20,089 · median $10,302 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,769 – $40,500 · median $20,769 | 10 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $11,082 – $21,610 · median $11,082 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,255 – $18,047 · median $9,255 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,356 – $24,093 · median $12,356 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $11,059 – $21,565 · median $11,059 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,729 – $26,771 · median $13,729 | 10 plans |
| 585 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,372 – $24,125 · median $12,372 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $12,411 – $24,202 · median $12,411 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $7,608 – $14,835 · median $7,608 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,559 – $10,840 · median $5,559 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,600 – $26,521 · median $13,600 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,942 – $13,537 · median $6,942 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,691 – $20,848 · median $10,691 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,255 – $14,148 · median $7,255 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,934 – $9,622 · median $4,934 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,680 – $13,026 · median $6,680 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,880 – $7,566 · median $3,880 | 10 plans |
| 602 | CELLULITIS WITH MCC | $9,115 – $17,774 · median $9,115 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,585 – $10,891 · median $5,585 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,441 – $18,410 · median $9,441 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,874 – $11,455 · median $5,874 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,704 – $18,924 · median $9,704 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,813 – $11,335 · median $5,813 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,056 – $27,410 · median $14,056 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,974 – $17,499 · median $8,974 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,365 – $43,612 · median $22,365 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,995 – $23,389 · median $11,995 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,096 – $17,737 · median $9,096 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,517 – $36,109 · median $18,517 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,263 – $20,013 · median $10,263 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,674 – $18,864 · median $9,674 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,826 – $44,510 · median $22,826 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,505 – $22,434 · median $11,505 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,029 – $15,656 · median $8,029 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,368 – $37,768 · median $19,368 | 10 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $9,616 – $18,751 · median $9,616 | 10 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,519 – $16,611 · median $8,519 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,901 – $46,606 · median $23,901 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,973 – $27,247 · median $13,973 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,360 – $18,252 · median $9,360 | 10 plans |
| 637 | DIABETES WITH MCC | $9,214 – $17,967 · median $9,214 | 10 plans |
| 638 | DIABETES WITH CC | $5,747 – $11,208 · median $5,747 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,984 – $7,769 · median $3,984 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,565 – $16,703 · median $8,565 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,991 – $9,732 · median $4,991 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,120 – $17,784 · median $9,120 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,557 – $20,586 · median $10,557 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,573 – $12,818 · median $6,573 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,927 – $9,608 · median $4,927 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,151 – $58,794 · median $30,151 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,766 – $46,343 · median $23,766 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,325 – $64,984 · median $33,325 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,952 – $35,007 · median $17,952 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,574 – $26,469 · median $13,574 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,418 – $39,816 · median $20,418 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,736 – $22,885 · median $11,736 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,952 – $19,406 · median $9,952 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,295 – $31,776 · median $16,295 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,476 – $16,529 · median $8,476 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,640 – $12,948 · median $6,640 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,634 – $38,286 · median $19,634 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,749 – $19,011 · median $9,749 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,714 – $13,092 · median $6,714 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,017 – $39,033 · median $20,017 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $11,219 – $21,876 · median $11,219 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,094 – $13,834 · median $7,094 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,726 – $36,517 · median $18,726 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,953 – $19,409 · median $9,953 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,268 – $12,222 · median $6,268 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,512 – $22,448 · median $11,512 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,923 – $13,500 · median $6,923 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,946 – $52,544 · median $26,946 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,998 – $29,246 · median $14,998 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,527 – $20,527 · median $10,527 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $9,498 – $18,521 · median $9,498 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $5,617 – $10,952 · median $5,617 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,850 – $7,507 · median $3,850 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,567 – $22,556 · median $11,567 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,720 – $13,103 · median $6,720 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,068 – $9,883 · median $5,068 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,441 – $14,510 · median $7,441 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,191 – $10,123 · median $5,191 | 10 plans |
| 693 | URINARY STONES WITH MCC | $8,622 – $16,814 · median $8,622 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,013 – $9,776 · median $5,013 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,335 – $14,304 · median $7,335 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,419 – $8,616 · median $4,419 | 10 plans |
| 697 | URETHRAL STRICTURE | $6,912 – $13,479 · median $6,912 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,610 – $20,689 · median $10,610 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,509 – $12,693 · median $6,509 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,424 – $8,628 · median $4,424 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,828 – $25,015 · median $12,828 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,839 – $19,186 · median $9,839 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,924 – $29,102 · median $14,924 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,986 – $17,523 · median $8,986 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,364 – $26,059 · median $13,364 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,053 – $13,752 · median $7,053 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,642 – $18,801 · median $9,642 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,781 – $13,223 · median $6,781 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,348 – $27,979 · median $14,348 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,434 – $18,396 · median $9,434 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,124 – $23,642 · median $12,124 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,614 – $16,796 · median $8,614 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,606 – $22,631 · median $11,606 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,328 – $14,290 · median $7,328 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,205 – $8,200 · median $4,205 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,505 – $14,634 · median $7,505 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,630 – $9,029 · median $4,630 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,510 – $18,545 · median $9,510 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,202 – $10,145 · median $5,202 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,790 – $13,240 · median $6,790 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,310 – $8,404 · median $4,310 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,660 – $26,637 · median $13,660 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,629 – $16,826 · median $8,629 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,924 – $44,701 · median $22,924 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,215 – $25,769 · median $13,215 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,418 – $18,365 · median $9,418 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,977 – $44,805 · median $22,977 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,605 – $22,630 · median $11,605 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,146 – $17,834 · median $9,146 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,767 – $22,945 · median $11,767 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,957 – $15,516 · median $7,957 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,141 – $25,625 · median $13,141 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,295 – $14,225 · median $7,295 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,140 – $21,724 · median $11,140 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,513 – $10,751 · median $5,513 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,897 – $17,349 · median $8,897 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,466 – $32,110 · median $16,466 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,465 – $18,456 · median $9,465 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,811 – $23,032 · median $11,811 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,976 – $13,604 · median $6,976 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,160 – $12,012 · median $6,160 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,183 – $17,907 · median $9,183 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,278 – $12,243 · median $6,278 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,256 – $8,299 · median $4,256 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,461 – $12,599 · median $6,461 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,659 – $7,134 · median $3,659 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,132 – $13,401 · median $6,872 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,837 – $21,132 · median $10,837 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,430 – $12,539 · median $6,430 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,199 – $8,187 · median $4,199 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $5,395 – $10,521 · median $5,395 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,680 – $30,703 · median $15,745 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,799 – $13,257 · median $6,799 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,143 – $11,978 · median $6,143 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,579 – $20,628 · median $10,579 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,162 – $13,966 · median $7,162 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,149 – $11,990 · median $6,149 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,558 – $22,538 · median $11,558 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $38,117 – $74,327 · median $38,117 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $26,031 – $50,760 · median $26,031 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,707 – $30,629 · median $15,707 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,740 – $52,144 · median $26,740 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,465 – $18,457 · median $9,465 | 10 plans |
| 795 | NORMAL NEWBORN | $1,281 – $2,499 · median $1,281 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,484 – $14,594 · median $7,484 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,416 – $12,511 · median $6,416 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,138 – $11,969 · median $6,138 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,045 – $56,637 · median $29,045 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,017 – $35,133 · median $18,017 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,242 – $23,872 · median $12,242 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,551 – $49,824 · median $25,551 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,921 – $23,247 · median $11,921 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,696 – $16,958 · median $8,696 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,921 – $13,496 · median $6,921 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,836 – $9,429 · median $4,836 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,324 – $8,431 · median $4,324 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,160 – $27,611 · median $14,160 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,118 – $15,831 · median $8,118 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,712 – $13,088 · median $6,712 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,006 – $17,562 · median $9,006 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,889 – $11,483 · median $5,889 | 10 plans |
| 813 | COAGULATION DISORDERS | $9,782 – $19,075 · median $9,782 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,639 – $26,596 · median $13,639 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,503 – $12,681 · median $6,503 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,053 – $7,904 · median $4,053 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,632 – $28,533 · median $14,632 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,434 – $14,497 · median $7,434 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,515 – $10,754 · median $5,515 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,612 – $73,343 · median $37,612 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,356 – $27,995 · median $14,356 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,721 – $15,057 · median $7,721 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,403 – $57,336 · median $29,403 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,530 – $28,333 · median $14,530 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,654 – $16,875 · median $8,654 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,999 – $58,499 · median $29,999 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,822 – $28,903 · median $14,822 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,927 – $21,307 · median $10,927 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $20,266 – $39,518 · median $20,266 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,652 – $18,821 · median $9,652 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,712 – $15,038 · median $7,712 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,628 – $9,024 · median $4,628 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,353 – $6,539 · median $3,353 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,208 – $68,655 · median $35,208 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,377 – $26,084 · median $13,377 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,821 – $15,251 · median $7,821 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,811 – $60,081 · median $30,811 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,387 – $26,104 · median $13,387 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,260 – $18,057 · median $9,260 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,746 – $40,455 · median $20,746 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,462 – $20,402 · median $10,462 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,480 – $12,636 · median $6,480 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,793 – $24,946 · median $12,793 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,807 – $15,224 · median $7,807 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,461 – $10,650 · median $5,461 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,626 – $32,421 · median $16,626 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,390 – $16,360 · median $8,390 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,447 – $10,622 · median $5,447 | 10 plans |
| 849 | RADIOTHERAPY | $17,376 – $33,884 · median $17,376 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,672 – $61,760 · median $31,672 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,814 – $24,988 · median $12,814 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,602 – $18,723 · median $9,602 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $29,172 – $56,884 · median $29,172 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,734 – $26,781 · median $13,734 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,933 – $17,419 · median $8,933 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,696 – $22,807 · median $11,696 | 10 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $6,400 – $12,479 · median $6,400 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,693 – $11,101 · median $5,693 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,609 – $18,737 · median $9,609 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,577 – $10,875 · median $5,577 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,424 – $26,177 · median $13,424 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,613 – $12,895 · median $6,613 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,680 – $9,125 · median $4,680 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,326 – $86,437 · median $44,326 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,458 – $24,292 · median $12,458 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,563 – $12,797 · median $6,563 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,786 – $48,333 · median $24,786 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,158 – $12,008 · median $6,158 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $6,034 – $11,767 · median $6,034 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,886 – $13,429 · median $6,886 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,610 – $24,590 · median $12,610 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,318 – $20,120 · median $10,318 | 10 plans |
| 885 | PSYCHOSES | $8,958 – $17,468 · median $8,958 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,309 – $25,953 · median $13,309 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,868 – $13,392 · median $6,868 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,956 – $7,715 · median $3,956 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,078 – $17,703 · median $9,078 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,192 – $21,824 · median $11,192 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,662 – $11,040 · median $5,662 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,913 – $52,481 · median $26,913 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,278 – $23,942 · median $12,278 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,501 – $14,627 · median $7,501 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,556 – $45,935 · median $23,556 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,513 – $18,551 · median $9,513 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,597 – $24,565 · median $12,597 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,622 – $48,013 · median $24,622 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,796 – $24,951 · median $12,796 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,419 – $16,416 · median $8,419 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,483 – $20,442 · median $10,483 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,679 – $11,074 · median $5,679 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,784 – $21,030 · median $10,784 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,273 – $8,333 · median $4,273 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,058 – $19,614 · median $10,058 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,497 – $10,719 · median $5,497 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,741 – $22,895 · median $11,741 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $6,428 – $12,534 · median $6,428 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,415 – $8,609 · median $4,415 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,219 – $21,877 · median $11,219 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,527 – $12,727 · median $6,527 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $136,924 – $267,002 · median $136,924 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $46,000 – $89,699 · median $46,000 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,655 – $40,278 · median $20,655 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $24,974 – $48,700 · median $24,974 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,177 – $27,645 · median $14,177 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $13,211 – $25,762 · median $13,211 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,270 – $45,377 · median $23,270 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,987 – $29,224 · median $14,987 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,004 – $25,358 · median $13,004 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,931 – $19,366 · median $9,931 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,355 – $14,341 · median $7,355 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,141 – $15,875 · median $8,141 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,134 – $10,011 · median $5,134 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,630 – $14,878 · median $7,630 | 10 plans |
| 950 | AFTERCARE WITHOUT COMPLICATION/COMORBITY | $4,026 – $7,850 · median $4,026 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,566 – $6,953 · median $3,566 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,168 – $84,177 · median $43,168 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,133 – $47,059 · median $24,133 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $48,868 – $95,292 · median $48,868 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,024 – $52,698 · median $27,024 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,881 – $36,818 · median $18,881 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,532 – $34,188 · median $17,532 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,829 – $19,166 · median $9,829 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,032 – $11,762 · median $6,032 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,257 – $76,551 · median $39,257 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,914 – $32,982 · median $16,914 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,508 – $36,091 · median $18,508 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,305 – $16,195 · median $8,305 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,789 – $11,289 · median $5,789 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,322 – $16,229 · median $8,322 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,089 – $58,674 · median $30,089 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $15,767 – $30,745 · median $15,767 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,992 – $21,435 · median $10,992 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,987 – $42,874 · median $21,987 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,541 – $20,554 · median $10,541 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,691 – $14,997 · median $7,691 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $179,722 – $350,457 · median $179,722 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $72,673 – $141,712 · median $72,673 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $66,123 – $128,940 · median $66,123 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,738 – $57,989 · median $29,738 | 9 plans |
| 007 | LUNG TRANSPLANT | $83,052 – $161,951 · median $83,052 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $35,943 – $70,089 · median $35,943 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $46,019 – $89,737 · median $46,019 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $77,073 – $150,292 · median $77,073 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,028 – $74,155 · median $38,028 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $34,838 – $67,934 · median $34,838 | 9 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $72,589 – $141,549 · median $72,589 | 9 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $36,599 – $71,369 · median $36,599 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $42,882 – $83,619 · median $42,882 | 9 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $15,534 – $30,291 · median $15,534 | 9 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $22,052 – $43,002 · median $22,052 | 9 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,483 – $30,192 · median $15,483 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $25,784 – $50,279 · median $25,784 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,681 – $137,827 · median $70,681 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $46,294 – $90,273 · median $46,294 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $36,055 – $70,307 · median $36,055 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $57,780 – $112,671 · median $57,780 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $36,985 – $72,121 · median $36,985 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,850 – $83,558 · median $42,850 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,197 – $53,034 · median $27,197 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $34,180 – $66,650 · median $34,180 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,717 – $40,398 · median $20,717 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $20,711 – $40,387 · median $20,711 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $55,535 – $108,293 · median $55,535 | 9 plans |
No procedures match that keyword.