Oakdale Community Hospital — Pricing
826 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 826 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 826
Lowest published price —
Average published price —
Highest published price —
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 826 procedures
Procedures with negotiated rates only
These 826 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 |
|---|---|---|---|
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $546 – $21,038 · median $11,701 | 145 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $935 – $69,382 · median $38,588 | 145 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $935 – $47,383 · median $26,353 | 145 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $546 – $28,590 · median $15,901 | 145 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $935 – $48,674 · median $27,071 | 145 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $546 – $17,229 · median $9,582 | 145 plans |
| 795 | NORMAL NEWBORN | $323 – $2,332 · median $1,297 | 143 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $935 – $11,802 · median $6,783 | 139 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | — | 134 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $935 – $250,128 · median $137,803 | 134 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $935 – $164,911 · median $89,929 | 134 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 134 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 134 plans |
| 007 | LUNG TRANSPLANT | — | 134 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 134 plans |
| 010 | PANCREAS TRANSPLANT | — | 134 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 134 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 134 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 134 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 134 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 134 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 134 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | — | 134 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | — | 134 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 134 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 134 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 134 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 134 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | — | 134 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | — | 134 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | — | 134 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | — | 134 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | — | 134 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | — | 134 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | — | 134 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $935 – $13,284 · median $7,632 | 134 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 134 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 134 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 134 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | — | 134 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $935 – $17,728 · median $6,181 | 134 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | — | 134 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $935 – $12,733 · median $6,620 | 134 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,047 – $29,225 · median $15,083 | 134 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,038 – $15,574 · median $8,412 | 134 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | — | 134 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $935 – $14,281 · median $8,056 | 134 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $935 – $10,415 · median $5,972 | 134 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 134 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 134 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 134 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | — | 134 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $935 – $15,742 · median $6,559 | 134 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $935 – $13,880 · median $4,443 | 134 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | — | 134 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT M | $935 – $12,265 · median $5,612 | 134 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $935 – $9,578 · median $5,186 | 134 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | — | 134 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $935 – $12,300 · median $6,661 | 134 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $935 – $9,276 · median $4,910 | 134 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | — | 134 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $935 – $12,166 · median $6,692 | 134 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | — | 134 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $935 – $18,355 · median $5,358 | 134 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | — | 134 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,000 – $10,560 · median $5,815 | 134 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | — | 134 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | — | 134 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $935 – $17,535 · median $6,205 | 134 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | — | 134 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $935 – $15,308 · median $8,458 | 134 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $935 – $10,317 · median $5,930 | 134 plans |
| 088 | CONCUSSION WITH MCC | — | 134 plans |
| 089 | CONCUSSION WITH CC | $935 – $12,512 · median $7,133 | 134 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $935 – $10,006 · median $5,345 | 134 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | — | 134 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $935 – $12,356 · median $6,642 | 134 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $935 – $9,212 · median $5,170 | 134 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 134 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 134 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 134 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $935 – $41,836 · median $23,449 | 134 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | — | 134 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $935 – $28,821 · median $8,845 | 134 plans |
| 100 | SEIZURES WITH MCC | — | 134 plans |
| 101 | SEIZURES WITHOUT MCC | $935 – $10,757 · median $5,860 | 134 plans |
| 102 | HEADACHES WITH MCC | $935 – $13,533 · median $7,277 | 134 plans |
| 103 | HEADACHES WITHOUT MCC | $935 – $9,923 · median $5,430 | 134 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | — | 134 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $935 – $15,671 · median $8,524 | 134 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | — | 134 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | — | 134 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $935 – $11,813 · median $6,835 | 134 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $935 – $13,576 · median $7,553 | 134 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $935 – $9,335 · median $4,951 | 134 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $935 – $9,657 · median $5,185 | 134 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | $935 – $15,218 · median $8,590 | 134 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $935 – $9,637 · median $4,985 | 134 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | — | 134 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $935 – $11,417 · median $6,562 | 134 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | — | 134 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $935 – $9,975 · median $5,583 | 134 plans |
| 139 | SALIVARY GLAND PROCEDURES | $935 – $16,024 · median $8,023 | 134 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | — | 134 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $935 – $16,235 · median $8,255 | 134 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $935 – $16,235 · median $5,120 | 134 plans |
| 149 | DYSEQUILIBRIUM | $935 – $8,724 · median $4,880 | 134 plans |
| 150 | EPISTAXIS WITH MCC | — | 134 plans |
| 151 | EPISTAXIS WITHOUT MCC | $935 – $8,847 · median $4,765 | 134 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $935 – $13,244 · median $7,612 | 134 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $935 – $8,306 · median $4,774 | 134 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | — | 134 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $935 – $11,042 · median $5,950 | 134 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $935 – $7,848 · median $4,487 | 134 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | — | 134 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $935 – $10,978 · median $5,907 | 134 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $935 – $10,939 · median $4,464 | 134 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 134 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | — | 134 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | — | 134 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | — | 134 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | — | 134 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | — | 134 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $935 – $14,020 · median $5,226 | 134 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | — | 134 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $935 – $11,617 · median $6,337 | 134 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $935 – $20,237 · median $4,902 | 134 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | — | 134 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $935 – $16,174 · median $6,953 | 134 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $935 – $18,343 · median $4,894 | 134 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | — | 134 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $935 – $12,466 · median $6,909 | 134 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $935 – $9,077 · median $5,106 | 134 plans |
| 186 | PLEURAL EFFUSION WITH MCC | — | 134 plans |
| 187 | PLEURAL EFFUSION WITH CC | $935 – $11,718 · median $6,422 | 134 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $935 – $9,265 · median $4,656 | 134 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $935 – $15,850 · median $8,021 | 134 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $935 – $13,107 · median $7,192 | 134 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $935 – $10,073 · median $5,473 | 134 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $935 – $10,073 · median $4,168 | 134 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $935 – $15,379 · median $8,534 | 134 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $935 – $9,570 · median $5,232 | 134 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $935 – $7,268 · median $4,080 | 134 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | — | 134 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $935 – $11,554 · median $6,162 | 134 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $935 – $9,661 · median $4,514 | 134 plans |
| 199 | PNEUMOTHORAX WITH MCC | — | 134 plans |
| 200 | PNEUMOTHORAX WITH CC | $935 – $12,926 · median $7,137 | 134 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $935 – $7,902 · median $4,542 | 134 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $935 – $11,282 · median $6,305 | 134 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $935 – $8,130 · median $4,350 | 134 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $935 – $9,465 · median $5,242 | 134 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | — | 134 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $935 – $10,572 · median $6,076 | 134 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $935 – $75,479 · median $41,777 | 134 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $935 – $31,323 · median $17,846 | 134 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $935 – $158,828 · median $64,645 | 134 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $935 – $112,638 · median $63,514 | 134 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 134 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 134 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 134 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 134 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 134 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | — | 134 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | — | 134 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $935 – $98,899 · median $54,730 | 134 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | — | 134 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $935 – $91,225 · median $49,636 | 134 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | — | 134 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | — | 134 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | — | 134 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 134 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 134 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 134 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | — | 134 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | — | 134 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | — | 134 plans |
| 245 | AICD GENERATOR PROCEDURES | — | 134 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | — | 134 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | — | 134 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | — | 134 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | — | 134 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | — | 134 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | — | 134 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $935 – $22,768 · median $6,881 | 134 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | — | 134 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | — | 134 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 134 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 134 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 134 plans |
| 263 | VEIN LIGATION AND STRIPPING | — | 134 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | — | 134 plans |
| 265 | AICD LEAD PROCEDURES | — | 134 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | — | 134 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $935 – $14,357 · median $5,967 | 134 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $935 – $14,356 · median $4,695 | 134 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | — | 134 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $935 – $19,358 · median $4,494 | 134 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $935 – $19,358 · median $3,773 | 134 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | — | 134 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $935 – $13,082 · median $6,948 | 134 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | — | 134 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | — | 134 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $935 – $34,623 · median $6,036 | 134 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $935 – $15,228 · median $8,335 | 134 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $935 – $13,627 · median $5,512 | 134 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $935 – $12,015 · median $3,675 | 134 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | — | 134 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $935 – $13,143 · median $4,116 | 134 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $935 – $13,143 · median $2,955 | 134 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | — | 134 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $935 – $12,495 · median $6,931 | 134 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $935 – $8,326 · median $4,673 | 134 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $935 – $13,577 · median $7,769 | 134 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $935 – $7,848 · median $4,371 | 134 plans |
| 304 | HYPERTENSION WITH MCC | $935 – $13,711 · median $7,726 | 134 plans |
| 305 | HYPERTENSION WITHOUT MCC | $935 – $8,761 · median $4,902 | 134 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | — | 134 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $935 – $10,812 · median $5,929 | 134 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | $935 – $14,074 · median $7,817 | 134 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $935 – $8,628 · median $4,776 | 134 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $935 – $6,530 · median $3,675 | 134 plans |
| 311 | ANGINA PECTORIS | $935 – $8,150 · median $4,557 | 134 plans |
| 312 | SYNCOPE AND COLLAPSE | $935 – $10,169 · median $5,659 | 134 plans |
| 313 | CHEST PAIN | $935 – $8,326 · median $4,675 | 134 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | — | 134 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $935 – $11,231 · median $6,254 | 134 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $935 – $7,968 · median $4,428 | 134 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | — | 134 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | — | 134 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | — | 134 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 134 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | — | 134 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | — | 134 plans |
| 332 | RECTAL RESECTION WITH MCC | — | 134 plans |
| 333 | RECTAL RESECTION WITH CC | — | 134 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | — | 134 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | — | 134 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | — | 134 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | — | 134 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 134 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | — | 134 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $935 – $14,534 · median $7,701 | 134 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | — | 134 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $935 – $14,693 · median $8,445 | 134 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $935 – $10,281 · median $5,652 | 134 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | — | 134 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | — | 134 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | $935 – $12,868 · median $7,396 | 134 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 134 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 134 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 134 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | — | 134 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | — | 134 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | — | 134 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | — | 134 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $935 – $14,431 · median $6,494 | 134 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $935 – $14,431 · median $4,550 | 134 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | — | 134 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $935 – $17,378 · median $6,629 | 134 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $935 – $17,378 · median $4,723 | 134 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | — | 134 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $935 – $14,340 · median $7,853 | 134 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $935 – $10,305 · median $5,923 | 134 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | — | 134 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $935 – $11,506 · median $6,367 | 134 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $935 – $7,545 · median $4,093 | 134 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | — | 134 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $935 – $14,646 · median $7,035 | 134 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $935 – $14,646 · median $5,044 | 134 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $935 – $14,754 · median $8,698 | 134 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $935 – $10,149 · median $5,550 | 134 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | — | 134 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $935 – $14,035 · median $6,339 | 134 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $935 – $12,375 · median $4,423 | 134 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | — | 134 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $935 – $9,355 · median $5,128 | 134 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $935 – $6,625 · median $3,532 | 134 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $935 – $14,991 · median $8,234 | 134 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $935 – $9,107 · median $5,061 | 134 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | — | 134 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $935 – $10,986 · median $6,075 | 134 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $935 – $7,427 · median $4,214 | 134 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | — | 134 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | — | 134 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | — | 134 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 134 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 134 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 134 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | — | 134 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | — | 134 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | — | 134 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 134 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 134 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 134 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | — | 134 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | — | 134 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | — | 134 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | — | 134 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | — | 134 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 134 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 134 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 134 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | — | 134 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $935 – $15,489 · median $6,857 | 134 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $935 – $15,489 · median $4,626 | 134 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | — | 134 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $935 – $15,660 · median $7,344 | 134 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $935 – $15,808 · median $5,376 | 134 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | — | 134 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $935 – $12,706 · median $5,461 | 134 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $935 – $12,468 · median $4,034 | 134 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | — | 134 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $935 – $11,277 · median $6,267 | 134 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $935 – $8,425 · median $4,543 | 134 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | — | 134 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $935 – $12,657 · median $7,105 | 134 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $935 – $9,305 · median $5,348 | 134 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 134 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 134 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 134 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | — | 134 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | — | 134 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 134 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 134 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 134 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | — | 134 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | — | 134 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | — | 134 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | — | 134 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | — | 134 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 134 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | — | 134 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | — | 134 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 134 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 134 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $935 – $24,482 · median $7,662 | 134 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 134 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 134 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 134 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | — | 134 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | — | 134 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | — | 134 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | — | 134 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 134 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 134 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 134 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | — | 134 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $935 – $14,453 · median $7,251 | 134 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 134 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 134 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 134 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 134 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 134 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 134 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 134 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 134 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | — | 134 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | — | 134 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 503 | FOOT PROCEDURES WITH MCC | — | 134 plans |
| 504 | FOOT PROCEDURES WITH CC | — | 134 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | — | 134 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | — | 134 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | — | 134 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 134 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 134 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 134 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | — | 134 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $935 – $11,900 · median $6,637 | 134 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 134 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 134 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 134 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | — | 134 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $935 – $9,511 · median $5,234 | 134 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $935 – $15,521 · median $8,323 | 134 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $935 – $9,464 · median $5,243 | 134 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $935 – $10,726 · median $6,165 | 134 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $935 – $7,837 · median $4,538 | 134 plans |
| 539 | OSTEOMYELITIS WITH MCC | — | 134 plans |
| 540 | OSTEOMYELITIS WITH CC | $935 – $16,303 · median $8,416 | 134 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $935 – $16,303 · median $5,112 | 134 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | — | 134 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $935 – $12,953 · median $6,674 | 134 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $935 – $12,953 · median $4,899 | 134 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | — | 134 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $935 – $13,512 · median $7,488 | 134 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $935 – $8,709 · median $5,268 | 134 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | — | 134 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $935 – $14,065 · median $7,838 | 134 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $935 – $12,771 · median $5,675 | 134 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | — | 134 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $935 – $11,249 · median $6,241 | 134 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $935 – $15,242 · median $8,416 | 134 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $935 – $9,741 · median $5,389 | 134 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $935 – $15,716 · median $8,582 | 134 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $935 – $9,529 · median $5,393 | 134 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | — | 134 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $935 – $10,167 · median $5,794 | 134 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | — | 134 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $935 – $13,290 · median $7,311 | 134 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $935 – $9,542 · median $5,219 | 134 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $935 – $17,081 · median $9,250 | 134 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $935 – $10,432 · median $5,814 | 134 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 134 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $935 – $11,901 · median $6,326 | 134 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $935 – $9,981 · median $4,865 | 134 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 134 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | — | 134 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | — | 134 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 134 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 134 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 134 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 134 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 134 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 134 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | — | 134 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | — | 134 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | — | 134 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | — | 134 plans |
| 592 | SKIN ULCERS WITH MCC | — | 134 plans |
| 593 | SKIN ULCERS WITH CC | $935 – $14,270 · median $7,702 | 134 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $935 – $12,444 · median $5,628 | 134 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | — | 134 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $935 – $12,618 · median $7,028 | 134 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | — | 134 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $935 – $12,381 · median $7,122 | 134 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $935 – $9,978 · median $4,995 | 134 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $935 – $11,164 · median $6,562 | 134 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $935 – $8,591 · median $3,928 | 134 plans |
| 602 | CELLULITIS WITH MCC | — | 134 plans |
| 603 | CELLULITIS WITHOUT MCC | $935 – $10,280 · median $5,654 | 134 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | — | 134 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $935 – $10,781 · median $5,947 | 134 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | — | 134 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $935 – $10,086 · median $5,797 | 134 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | — | 134 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 134 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 134 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $935 – $25,176 · median $8,935 | 134 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | — | 134 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | — | 134 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | — | 134 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | — | 134 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | — | 134 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $935 – $22,554 · median $7,887 | 134 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 134 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 134 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 134 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 134 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 134 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 134 plans |
| 637 | DIABETES WITH MCC | $935 – $16,996 · median $9,328 | 134 plans |
| 638 | DIABETES WITH CC | $935 – $10,705 · median $5,818 | 134 plans |
| 639 | DIABETES WITHOUT CC/MCC | $935 – $9,456 · median $4,033 | 134 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $935 – $15,499 · median $8,671 | 134 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $935 – $9,120 · median $5,052 | 134 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $935 – $14,485 · median $8,959 | 134 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | — | 134 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $935 – $12,061 · median $6,655 | 134 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $935 – $9,088 · median $4,988 | 134 plans |
| 652 | KIDNEY TRANSPLANT | — | 134 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | — | 134 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | — | 134 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | — | 134 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | — | 134 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | — | 134 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | — | 134 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | — | 134 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $935 – $35,154 · median $6,722 | 134 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | — | 134 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | — | 134 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $935 – $12,602 · median $6,797 | 134 plans |
| 665 | PROSTATECTOMY WITH MCC | — | 134 plans |
| 666 | PROSTATECTOMY WITH CC | — | 134 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $935 – $11,995 · median $6,969 | 134 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | — | 134 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | — | 134 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $935 – $11,154 · median $6,345 | 134 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | — | 134 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $935 – $12,773 · median $7,009 | 134 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | — | 134 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | — | 134 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | — | 134 plans |
| 682 | RENAL FAILURE WITH MCC | — | 134 plans |
| 683 | RENAL FAILURE WITH CC | $935 – $14,571 · median $5,686 | 134 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $935 – $14,571 · median $3,897 | 134 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | — | 134 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $935 – $12,286 · median $6,803 | 134 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $935 – $8,452 · median $4,979 | 134 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $935 – $13,659 · median $7,533 | 134 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $935 – $9,367 · median $5,256 | 134 plans |
| 693 | URINARY STONES WITH MCC | — | 134 plans |
| 694 | URINARY STONES WITHOUT MCC | $935 – $9,120 · median $5,075 | 134 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | $935 – $13,163 · median $7,426 | 134 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $935 – $8,074 · median $4,473 | 134 plans |
| 697 | URETHRAL STRICTURE | $935 – $11,354 · median $6,658 | 134 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | — | 134 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $935 – $11,903 · median $6,590 | 134 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $935 – $11,759 · median $4,479 | 134 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | — | 134 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | — | 134 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | — | 134 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $935 – $10,710 · median $6,928 | 134 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | — | 134 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $935 – $10,967 · median $6,662 | 134 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | — | 134 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | — | 134 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | — | 134 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $935 – $15,016 · median $8,462 | 134 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | — | 134 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $935 – $13,105 · median $7,419 | 134 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $935 – $7,667 · median $4,257 | 134 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $935 – $14,736 · median $7,597 | 134 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $935 – $8,688 · median $4,688 | 134 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | — | 134 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $935 – $9,536 · median $5,267 | 134 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | $935 – $12,849 · median $6,874 | 134 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $935 – $9,041 · median $4,234 | 134 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | — | 134 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | — | 134 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 134 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 134 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 134 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 134 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 134 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 134 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | — | 134 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $935 – $14,884 · median $8,041 | 134 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | — | 134 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $935 – $11,960 · median $7,166 | 134 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | — | 134 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $935 – $11,148 · median $5,582 | 134 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | — | 134 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | — | 134 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | — | 134 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | — | 134 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $935 – $12,956 · median $7,062 | 134 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $935 – $11,146 · median $6,236 | 134 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | — | 134 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $935 – $13,524 · median $6,356 | 134 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $935 – $13,524 · median $4,293 | 134 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $935 – $11,503 · median $6,541 | 134 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $935 – $7,629 · median $3,704 | 134 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | — | 134 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $935 – $12,558 · median $6,510 | 134 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $935 – $8,327 · median $4,251 | 134 plans |
| 779 | ABORTION WITHOUT D&C | $935 – $10,910 · median $5,462 | 134 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | — | 134 plans |
| 800 | SPLENIC PROCEDURES WITH CC | — | 134 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | — | 134 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 134 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 134 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $935 – $22,314 · median $8,543 | 134 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | — | 134 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $935 – $14,688 · median $8,219 | 134 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $935 – $14,688 · median $6,594 | 134 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $935 – $16,420 · median $9,117 | 134 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $935 – $10,771 · median $5,961 | 134 plans |
| 813 | COAGULATION DISORDERS | — | 134 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | — | 134 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $935 – $11,859 · median $6,583 | 134 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $935 – $7,770 · median $4,103 | 134 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 134 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 134 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $935 – $13,596 · median $7,672 | 134 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 134 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 134 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 134 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 134 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 134 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 134 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 134 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 134 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $935 – $64,509 · median $35,643 | 134 plans |
| 835 | ACUTE LEUKEMIA WITH CC | — | 134 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $935 – $38,876 · median $7,917 | 134 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 134 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 134 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 134 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | — | 134 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | — | 134 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $935 – $12,277 · median $6,560 | 134 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | — | 134 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $935 – $13,949 · median $7,904 | 134 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $935 – $12,155 · median $5,529 | 134 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | — | 134 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $935 – $14,830 · median $8,493 | 134 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $935 – $12,612 · median $5,493 | 134 plans |
| 849 | RADIOTHERAPY | — | 134 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 134 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 134 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 134 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 134 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 134 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 134 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | — | 134 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | $935 – $12,710 · median $6,479 | 134 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $935 – $10,481 · median $5,763 | 134 plans |
| 865 | VIRAL ILLNESS WITH MCC | — | 134 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $935 – $10,327 · median $5,646 | 134 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | — | 134 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $935 – $21,250 · median $6,694 | 134 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $935 – $21,250 · median $4,738 | 134 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $935 – $81,189 · median $44,874 | 134 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | — | 134 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $935 – $18,322 · median $6,644 | 134 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $1,206 – $45,862 · median $25,093 | 134 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $1,010 – $11,188 · median $6,234 | 134 plans |
| 881 | DEPRESSIVE NEUROSES | $991 – $10,668 · median $6,109 | 134 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $954 – $11,228 · median $6,609 | 134 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,094 – $21,637 · median $12,436 | 134 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,010 – $19,493 · median $10,446 | 134 plans |
| 885 | PSYCHOSES | $935 – $16,451 · median $9,069 | 134 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,000 – $20,967 · median $12,563 | 134 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $935 – $13,881 · median $6,953 | 134 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $804 – $7,284 · median $4,005 | 134 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $841 – $16,378 · median $9,191 | 134 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $935 – $20,784 · median $11,330 | 134 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $888 – $10,296 · median $5,731 | 134 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 134 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | — | 134 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $935 – $22,305 · median $7,594 | 134 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | — | 134 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | — | 134 plans |
| 906 | HAND PROCEDURES FOR INJURIES | — | 134 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | — | 134 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | — | 134 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | — | 134 plans |
| 913 | TRAUMATIC INJURY WITH MCC | — | 134 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $935 – $10,695 · median $5,749 | 134 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | — | 134 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $935 – $7,751 · median $4,326 | 134 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,112 – $19,137 · median $10,183 | 134 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,047 – $10,324 · median $5,565 | 134 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | — | 134 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $935 – $11,857 · median $6,507 | 134 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $935 – $8,026 · median $4,469 | 134 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | — | 134 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $935 – $11,903 · median $6,607 | 134 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $935 – $234,731 · median $134,913 | 134 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | — | 134 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | — | 134 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | — | 134 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $935 – $25,044 · median $14,352 | 134 plans |
| 935 | NON-EXTENSIVE BURNS | — | 134 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 134 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 134 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 134 plans |
| 945 | REHABILITATION WITH CC/MCC | $935 – $17,816 · median $10,054 | 134 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $935 – $13,031 · median $7,445 | 134 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,047 – $15,011 · median $8,241 | 134 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,019 – $9,273 · median $5,197 | 134 plans |
| 949 | AFTERCARE WITH CC/MCC | $935 – $12,593 · median $7,367 | 134 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $935 – $8,827 · median $3,955 | 134 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $935 – $6,617 · median $3,610 | 134 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | — | 134 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | — | 134 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 134 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 134 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 134 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 134 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | — | 134 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $935 – $21,887 · median $6,106 | 134 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | — | 134 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | — | 134 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | — | 134 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | — | 134 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $935 – $20,721 · median $5,861 | 134 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $935 – $16,828 · median $8,425 | 134 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 134 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 134 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 134 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | — | 134 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | — | 134 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $935 – $24,177 · median $7,751 | 134 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | — | 133 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | — | 130 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $935 – $15,136 · median $6,479 | 130 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $935 – $15,136 · median $4,328 | 130 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $935 – $14,332 · median $7,973 | 130 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $935 – $9,741 · median $5,128 | 130 plans |
| 509 | ARTHROSCOPY | — | 130 plans |
| 765 | CESAREAN SECTION W CC/MCC | $935 – $11,462 · median $5,763 | 120 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $935 – $8,152 · median $5,435 | 120 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $935 – $9,068 · median $4,611 | 120 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $935 – $8,087 · median $4,611 | 120 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $935 – $6,285 · median $4,190 | 120 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | — | 115 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $935 – $21,673 · median $9,385 | 115 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | — | 115 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | — | 115 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $935 – $20,908 · median $13,939 | 115 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $935 – $11,775 · median $7,850 | 115 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $935 – $95,791 · median $49,710 | 115 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | — | 115 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $935 – $85,791 · median $46,026 | 115 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | — | 115 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $935 – $67,930 · median $41,557 | 115 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | — | 115 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | — | 115 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | — | 115 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | — | 115 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $935 – $23,686 · median $11,795 | 115 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 115 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 115 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 115 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | — | 115 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $935 – $14,152 · median $9,435 | 115 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $935 – $10,641 · median $7,094 | 115 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $935 – $86,298 · median $57,532 | 115 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $935 – $73,746 · median $39,710 | 115 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | — | 115 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | — | 115 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 115 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $935 – $10,274 · median $6,849 | 115 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | — | 115 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $935 – $11,010 · median $7,340 | 115 plans |
| 777 | ECTOPIC PREGNANCY | $935 – $8,551 · median $5,701 | 115 plans |
| 778 | THREATENED ABORTION | $935 – $5,927 · median $3,951 | 115 plans |
| 780 | FALSE LABOR | $935 – $4,751 · median $3,168 | 115 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $935 – $8,390 · median $5,593 | 115 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $935 – $5,955 · median $3,970 | 115 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | — | 115 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | — | 115 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $935 – $25,037 · median $7,225 | 115 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $935 – $41,894 · median $27,929 | 113 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,500 – $23,909 · median $15,940 | 83 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,500 – $12,640 · median $6,883 | 83 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,500 – $10,195 · median $6,218 | 83 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,500 – $18,859 · median $10,709 | 83 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,500 – $12,392 · median $7,251 | 83 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $2,500 – $10,559 · median $6,225 | 83 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $2,100 – $12,383 · median $7,577 | 83 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $2,100 – $11,300 · median $6,495 | 83 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $2,100 – $11,300 · median $6,214 | 83 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $2,100 – $11,648 · median $7,007 | 83 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $2,100 – $8,445 · median $4,895 | 83 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $2,100 – $7,438 · median $4,377 | 83 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $75,713 – $152,911 · median $78,025 | 80 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,357 – $70,445 · median $38,498 | 80 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $30,481 – $70,445 · median $35,269 | 80 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $38,609 – $75,439 · median $39,788 | 80 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $29,993 – $58,170 · median $30,909 | 80 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $43,331 – $77,818 · median $44,654 | 80 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $26,606 – $48,560 · median $27,419 | 80 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,241 – $59,907 · median $34,256 | 80 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,405 – $40,200 · median $23,089 | 80 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $16,084 – $29,203 · median $16,575 | 80 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $25,991 – $45,637 · median $26,784 | 80 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $20,738 – $36,425 · median $21,371 | 80 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $23,545 – $41,829 · median $24,264 | 80 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $12,601 – $23,014 · median $12,986 | 80 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $9,412 – $16,727 · median $9,699 | 80 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,529 – $35,132 · median $19,095 | 80 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,644 – $19,541 · median $10,969 | 80 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,222 – $13,333 · median $7,442 | 80 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $252,977 – $440,146 · median $280,360 | 78 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $41,751 – $92,520 · median $46,321 | 78 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,871 – $49,359 · median $27,692 | 78 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,741 – $25,075 · median $14,161 | 78 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,057 – $18,351 · median $10,364 | 78 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $22,149 – $38,536 · median $24,324 | 78 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $10,917 – $20,502 · median $11,251 | 78 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $7,574 – $13,828 · median $7,806 | 78 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $18,751 – $35,814 · median $19,324 | 78 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $68,507 – $127,143 · median $70,599 | 78 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $44,922 – $82,479 · median $46,293 | 78 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $37,842 – $72,295 · median $38,997 | 78 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,097 – $54,292 · median $29,985 | 78 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $33,562 – $58,394 · median $36,138 | 78 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $21,495 – $37,399 · median $23,414 | 78 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $41,498 – $72,201 · median $43,411 | 78 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $28,116 – $51,268 · median $28,975 | 78 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $15,153 – $27,016 · median $15,616 | 78 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $17,141 – $33,225 · median $17,665 | 78 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $11,107 – $21,115 · median $11,446 | 78 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $27,263 – $49,711 · median $28,095 | 78 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $19,851 – $37,290 · median $20,458 | 78 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $19,199 – $33,404 · median $20,843 | 78 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,088 – $28,918 · median $15,549 | 78 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,536 – $17,661 · median $9,827 | 78 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,212 – $13,116 · median $7,432 | 78 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $25,329 – $45,659 · median $26,103 | 78 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $69,434 – $122,258 · median $71,554 | 78 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $45,477 – $82,896 · median $46,866 | 78 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $35,419 – $64,238 · median $36,500 | 78 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $55,949 – $97,343 · median $58,494 | 78 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $36,333 – $63,846 · median $37,442 | 78 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $42,094 – $78,251 · median $43,380 | 78 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $26,717 – $47,659 · median $27,533 | 78 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $33,576 – $60,107 · median $34,602 | 78 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $20,352 – $36,017 · median $20,973 | 78 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $18,082 – $34,017 · median $18,635 | 78 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $13,342 – $24,604 · median $13,749 | 78 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,619 – $53,772 · median $30,523 | 78 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,294 – $40,528 · median $24,060 | 78 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $10,634 – $25,512 · median $14,813 | 78 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $6,637 – $11,547 · median $7,526 | 78 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $4,531 – $8,374 · median $5,583 | 78 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $7,576 – $13,433 · median $7,807 | 78 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $4,546 – $8,723 · median $4,685 | 78 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $3,294 – $6,067 · median $3,395 | 78 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $54,555 – $107,512 · median $56,221 | 78 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $71,308 – $110,229 · median $73,486 | 63 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PRO | $35,953 – $55,577 · median $37,052 | 63 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUM | $15,260 – $23,589 · median $15,726 | 63 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $21,663 – $33,487 · median $22,325 | 63 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $15,210 – $23,512 · median $15,675 | 63 plans |
| 009 | BONE MARROW TRANSPLANT | $935 – $1,402 · median $935 | 54 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC OR THORACIC AORT | $935 – $1,402 · median $935 | 54 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | — | 54 plans |
| 484 | MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTR | — | 54 plans |
| 490 | BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DIS | — | 54 plans |
| 491 | BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC | — | 54 plans |
No procedures match that keyword.