Sabine Medical Center — Pricing
824 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 824 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 824
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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 824 procedures
Procedures with negotiated rates only
These 824 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | — | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | — | 7 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $858 – $188,885 · median $129,131 | 7 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $858 – $123,265 · median $84,270 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 7 plans |
| 007 | LUNG TRANSPLANT | — | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 7 plans |
| 009 | BONE MARROW TRANSPLANT | $858 – $1,144 · median $949 | 7 plans |
| 010 | PANCREAS TRANSPLANT | — | 7 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 7 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 7 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | — | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $71,299 – $106,949 · median $79,023 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $35,179 – $52,769 · median $38,991 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $30,167 – $48,343 · median $34,019 | 7 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $256,192 – $384,288 · median $283,947 | 7 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $41,321 – $63,492 · median $45,249 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 7 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 7 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | — | 7 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | — | 7 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | — | 7 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 7 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 7 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | — | 7 plans |
| 028 | SPINAL PROCEDURES WITH MCC | — | 7 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | — | 7 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | — | 7 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | — | 7 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | — | 7 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | — | 7 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | — | 7 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | — | 7 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 7 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 7 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | — | 7 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | — | 7 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $858 – $8,714 · median $5,957 | 7 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | — | 7 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $858 – $9,074 · median $6,203 | 7 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $961 – $20,674 · median $14,133 | 7 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $953 – $11,530 · median $7,882 | 7 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | — | 7 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | — | 7 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $858 – $8,185 · median $5,596 | 7 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 7 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 7 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | — | 7 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | — | 7 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $858 – $8,991 · median $6,147 | 7 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $858 – $6,091 · median $4,164 | 7 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | — | 7 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT M | $858 – $7,692 · median $5,259 | 7 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $858 – $7,109 · median $4,860 | 7 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | — | 7 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $858 – $9,130 · median $6,242 | 7 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $858 – $6,729 · median $4,601 | 7 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | — | 7 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $858 – $9,173 · median $6,271 | 7 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | — | 7 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $858 – $7,344 · median $4,782 | 7 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | — | 7 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $858 – $8,880 · median $3,532 | 7 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $858 – $5,933 · median $2,550 | 7 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | — | 7 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $918 – $7,970 · median $5,449 | 7 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | — | 7 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | — | 7 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $858 – $8,506 · median $5,815 | 7 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | — | 7 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | — | 7 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $858 – $8,140 · median $5,565 | 7 plans |
| 088 | CONCUSSION WITH MCC | — | 7 plans |
| 089 | CONCUSSION WITH CC | $858 – $9,777 · median $6,684 | 7 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $858 – $7,326 · median $5,008 | 7 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | — | 7 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $858 – $9,104 · median $6,224 | 7 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $858 – $7,086 · median $4,845 | 7 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 7 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 7 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | — | 7 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | — | 7 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | — | 7 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | — | 7 plans |
| 100 | SEIZURES WITH MCC | — | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $858 – $8,032 · median $5,491 | 7 plans |
| 102 | HEADACHES WITH MCC | $858 – $9,975 · median $6,819 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $858 – $7,442 · median $5,088 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | — | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | — | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | — | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $858 – $9,655 · median $6,600 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $858 – $10,352 · median $7,077 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $858 – $6,993 · median $4,781 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $858 – $7,107 · median $4,859 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | — | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $858 – $6,833 · median $4,671 | 7 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | — | 7 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $858 – $12,865 · median $4,860 | 7 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | — | 7 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | — | 7 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $858 – $19,105 · median $6,941 | 7 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $858 – $10,760 · median $4,159 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | — | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $858 – $9,035 · median $6,177 | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | — | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $858 – $7,886 · median $5,392 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | — | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $25,305 – $37,957 · median $28,046 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,940 – $19,410 · median $14,342 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,471 – $14,207 · median $10,497 | 7 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $22,228 – $33,341 · median $24,636 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $10,281 – $15,421 · median $11,395 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $7,133 – $10,699 · median $7,906 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | — | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | — | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $858 – $7,093 · median $4,849 | 7 plans |
| 149 | DYSEQUILIBRIUM | $858 – $6,689 · median $4,573 | 7 plans |
| 150 | EPISTAXIS WITH MCC | — | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $858 – $6,532 · median $4,466 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $858 – $10,521 · median $7,192 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $858 – $6,569 · median $4,491 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | — | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $858 – $8,156 · median $5,576 | 7 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $858 – $6,150 · median $4,205 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | — | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $858 – $8,096 · median $5,535 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $858 – $6,305 · median $4,310 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | — | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | — | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | — | 7 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | — | 7 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | — | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $17,658 – $26,487 · median $19,571 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | — | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $858 – $7,164 · median $4,898 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | — | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $858 – $8,686 · median $5,938 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $858 – $6,719 · median $4,593 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | — | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $858 – $9,531 · median $6,516 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $858 – $6,708 · median $4,555 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | — | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $858 – $9,470 · median $6,474 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $858 – $6,999 · median $4,785 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | — | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $858 – $8,802 · median $6,018 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $858 – $6,382 · median $4,363 | 7 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $858 – $10,994 · median $7,516 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $858 – $9,858 · median $6,739 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $858 – $7,502 · median $5,129 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $858 – $5,713 · median $3,906 | 7 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | — | 7 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $858 – $7,172 · median $4,903 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $858 – $5,593 · median $3,824 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | — | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $858 – $8,446 · median $5,774 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $858 – $6,374 · median $4,357 | 7 plans |
| 199 | PNEUMOTHORAX WITH MCC | — | 7 plans |
| 200 | PNEUMOTHORAX WITH CC | $858 – $9,783 · median $6,688 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $858 – $6,364 · median $4,351 | 7 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $858 – $8,643 · median $5,909 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $858 – $5,962 · median $4,076 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $858 – $7,185 · median $4,912 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | — | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $858 – $8,375 · median $5,726 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $858 – $57,263 · median $39,148 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | — | 7 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $67,151 – $100,727 · median $74,426 | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $64,513 – $96,770 · median $71,502 | 7 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PRO | $33,858 – $50,786 · median $37,526 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | — | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $858 – $87,058 · median $59,517 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | — | 7 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | — | 7 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | — | 7 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $858 – $63,088 · median $21,601 | 7 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | — | 7 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $858 – $56,962 · median $19,560 | 7 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | — | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | — | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | — | 7 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $858 – $38,282 · median $13,333 | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | — | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | — | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $858 – $68,035 · median $46,512 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | — | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | — | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | — | 7 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC OR THORACIC AORT | $858 – $1,144 · median $949 | 7 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | — | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | — | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | — | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | — | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | — | 7 plans |
| 245 | AICD GENERATOR PROCEDURES | — | 7 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | — | 7 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | — | 7 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | — | 7 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $858 – $16,167 · median $5,961 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | — | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | — | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | — | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | — | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | — | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | — | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $858 – $9,720 · median $6,645 | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | — | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | — | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | — | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | — | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | — | 7 plans |
| 265 | AICD LEAD PROCEDURES | — | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $36,358 – $54,537 · median $40,297 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $28,245 – $42,367 · median $31,304 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $40,805 – $61,207 · median $45,225 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $25,055 – $37,583 · median $27,770 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $31,303 – $46,954 · median $34,694 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,099 – $31,648 · median $23,384 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $15,146 – $22,719 · median $16,787 | 7 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $24,476 – $36,713 · median $27,127 | 7 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $19,529 – $29,293 · median $21,644 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $42,303 – $63,454 · median $46,886 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $35,636 – $53,453 · median $39,496 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $27,400 – $41,101 · median $30,369 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $33,023 – $49,534 · median $36,600 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $21,396 – $32,094 · median $23,714 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | — | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $858 – $8,179 · median $5,592 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $858 – $6,435 · median $4,399 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | — | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $858 – $6,160 · median $4,211 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $858 – $5,330 · median $3,644 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | — | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $858 – $9,523 · median $6,510 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | — | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | — | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $858 – $8,273 · median $5,656 | 7 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | — | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $858 – $7,555 · median $5,165 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $858 – $5,037 · median $3,443 | 7 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | — | 7 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $858 – $7,029 · median $2,915 | 7 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | — | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $858 – $5,642 · median $3,824 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $858 – $4,050 · median $2,769 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | — | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $858 – $9,500 · median $6,495 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $858 – $6,405 · median $4,379 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $858 – $10,649 · median $7,280 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $858 – $5,991 · median $4,096 | 7 plans |
| 304 | HYPERTENSION WITH MCC | $858 – $10,590 · median $7,240 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $858 – $6,720 · median $4,594 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | — | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $858 – $8,127 · median $5,556 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | $858 – $10,715 · median $7,325 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $858 – $6,547 · median $4,476 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $858 – $5,038 · median $3,444 | 7 plans |
| 311 | ANGINA PECTORIS | $858 – $6,246 · median $4,270 | 7 plans |
| 312 | SYNCOPE AND COLLAPSE | $858 – $7,756 · median $5,303 | 7 plans |
| 313 | CHEST PAIN | $858 – $6,407 · median $4,380 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | — | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $858 – $8,573 · median $5,861 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $858 – $6,070 · median $4,150 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $39,669 – $59,504 · median $43,967 | 7 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUM | $14,370 – $21,555 · median $15,927 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $26,477 – $39,716 · median $29,346 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $14,270 – $21,405 · median $15,816 | 7 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $16,142 – $24,213 · median $17,891 | 7 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $10,459 – $15,689 · median $11,593 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $25,673 – $38,510 · median $28,455 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $18,694 – $28,041 · median $20,719 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $19,046 – $28,570 · median $21,110 | 7 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | — | 7 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | — | 7 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | — | 7 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | — | 7 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | — | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | — | 7 plans |
| 333 | RECTAL RESECTION WITH CC | — | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | — | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | — | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | — | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | — | 7 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 7 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 7 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | — | 7 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | — | 7 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $858 – $12,932 · median $4,883 | 7 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | — | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | — | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | — | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | — | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | — | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | — | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $858 – $7,748 · median $5,297 | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | — | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | — | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | $858 – $10,392 · median $7,105 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | — | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | — | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | — | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | — | 7 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $20,400 – $30,600 · median $22,610 | 7 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $14,323 – $21,485 · median $15,875 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | — | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $858 – $8,901 · median $6,085 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $858 – $6,236 · median $4,264 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | — | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $858 – $9,086 · median $6,212 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $858 – $6,473 · median $4,425 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | — | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $858 – $10,764 · median $7,359 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $858 – $8,225 · median $5,623 | 7 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | — | 7 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $858 – $8,727 · median $5,966 | 7 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $858 – $5,610 · median $3,835 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | — | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $858 – $9,642 · median $6,592 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $858 – $7,125 · median $4,871 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | — | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $858 – $7,607 · median $5,200 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | — | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $858 – $8,688 · median $5,940 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $858 – $6,063 · median $4,145 | 7 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | — | 7 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $858 – $7,029 · median $4,805 | 7 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $858 – $4,841 · median $3,310 | 7 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $858 – $11,287 · median $7,716 | 7 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $858 – $6,938 · median $4,743 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | — | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $858 – $8,327 · median $5,693 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $858 – $5,776 · median $3,948 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,208 – $21,312 · median $15,748 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,980 – $13,470 · median $9,953 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,791 – $10,187 · median $7,527 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $23,853 – $35,779 · median $26,437 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | — | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | — | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | — | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | — | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | — | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | — | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | — | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | — | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | — | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | — | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | — | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | — | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | — | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | — | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $65,386 – $98,079 · median $72,470 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $42,826 – $64,239 · median $47,466 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $33,354 – $50,031 · median $36,967 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $53,452 – $80,177 · median $59,242 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $34,215 – $51,322 · median $37,921 | 7 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | — | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $858 – $9,399 · median $6,426 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $858 – $6,341 · median $4,335 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | — | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $858 – $10,066 · median $6,881 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $858 – $7,594 · median $5,191 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | — | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $858 – $7,486 · median $5,118 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $858 – $5,530 · median $3,781 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | — | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $858 – $8,590 · median $5,873 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $858 – $6,227 · median $4,257 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | — | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $858 – $9,739 · median $6,658 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $858 – $7,362 · median $5,033 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $39,640 – $59,460 · median $43,935 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $25,160 – $37,739 · median $27,885 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $31,619 – $47,429 · median $35,045 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $19,165 – $28,748 · median $21,241 | 7 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $858 – $78,859 · median $26,858 | 7 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | — | 7 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | — | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 7 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 7 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | — | 7 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | — | 7 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | — | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | — | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 7 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | — | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | — | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | — | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | — | 7 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | — | 7 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | — | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | — | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | — | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | — | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | — | 7 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | — | 7 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | — | 7 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | — | 7 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | — | 7 plans |
| 484 | MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTR | — | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | — | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | — | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | — | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 7 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 7 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | — | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | — | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | — | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | — | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | — | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | — | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | — | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | — | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | — | 7 plans |
| 509 | ARTHROSCOPY | — | 7 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 7 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 7 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | — | 7 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | — | 7 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $858 – $9,098 · median $6,220 | 7 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $22,172 – $33,259 · median $24,574 | 7 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $11,867 – $17,800 · median $13,152 | 7 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $8,863 – $13,294 · median $9,823 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $17,028 – $25,542 · median $18,873 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $12,564 – $18,846 · median $13,925 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | — | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $858 – $7,174 · median $4,904 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | — | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $858 – $7,187 · median $4,913 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $858 – $8,492 · median $5,806 | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $858 – $6,410 · median $4,382 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | — | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | — | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $858 – $7,007 · median $4,741 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | — | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $858 – $9,148 · median $6,254 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $858 – $6,715 · median $4,591 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | — | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $858 – $10,264 · median $7,017 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $858 – $7,441 · median $5,087 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | — | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $858 – $10,743 · median $7,344 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $858 – $7,779 · median $5,318 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | — | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $858 – $8,555 · median $5,848 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | — | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $858 – $7,387 · median $5,050 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | — | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $858 – $7,392 · median $5,053 | 7 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | — | 7 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $858 – $7,949 · median $5,434 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | — | 7 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $858 – $10,021 · median $6,851 | 7 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $858 – $7,154 · median $4,891 | 7 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | — | 7 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $858 – $7,969 · median $5,448 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | — | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $858 – $8,671 · median $5,928 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $858 – $6,668 · median $4,559 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,449 – $26,173 · median $19,339 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,023 – $15,035 · median $11,109 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,801 – $10,201 · median $7,537 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | — | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | — | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | — | 7 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 7 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 7 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | — | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | — | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | — | 7 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | — | 7 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | — | 7 plans |
| 592 | SKIN ULCERS WITH MCC | — | 7 plans |
| 593 | SKIN ULCERS WITH CC | $858 – $10,557 · median $7,217 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $858 – $7,714 · median $5,273 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | — | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $858 – $9,633 · median $6,586 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | — | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $858 – $10,068 · median $6,883 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $858 – $6,847 · median $4,568 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $858 – $9,269 · median $6,337 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $858 – $5,384 · median $3,681 | 7 plans |
| 602 | CELLULITIS WITH MCC | — | 7 plans |
| 603 | CELLULITIS WITHOUT MCC | $858 – $7,750 · median $5,298 | 7 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | — | 7 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $858 – $8,152 · median $5,573 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | — | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $858 – $8,066 · median $5,514 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | — | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | — | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | — | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | — | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | — | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | — | 7 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | — | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $858 – $11,141 · median $7,616 | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 7 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | — | 7 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | — | 7 plans |
| 637 | DIABETES WITH MCC | — | 7 plans |
| 638 | DIABETES WITH CC | $858 – $7,975 · median $5,452 | 7 plans |
| 639 | DIABETES WITHOUT CC/MCC | $858 – $5,528 · median $3,779 | 7 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $858 – $11,886 · median $8,126 | 7 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $858 – $6,925 · median $4,734 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | — | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | — | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $858 – $9,122 · median $6,236 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $858 – $6,837 · median $4,674 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $27,892 – $41,838 · median $30,914 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,986 – $32,978 · median $24,367 | 7 plans |
| 652 | KIDNEY TRANSPLANT | — | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | — | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | — | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | — | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | — | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | — | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | — | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | — | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $858 – $9,214 · median $6,299 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | — | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | — | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $858 – $9,316 · median $6,369 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | — | 7 plans |
| 666 | PROSTATECTOMY WITH CC | — | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $858 – $9,844 · median $6,730 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | — | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | — | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $858 – $8,697 · median $5,946 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | — | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $858 – $9,607 · median $6,568 | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | — | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | — | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | — | 7 plans |
| 682 | RENAL FAILURE WITH MCC | — | 7 plans |
| 683 | RENAL FAILURE WITH CC | $858 – $7,794 · median $5,328 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $858 – $5,342 · median $3,652 | 7 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $858 – $9,389 · median $3,702 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | — | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $858 – $9,324 · median $6,375 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $858 – $7,033 · median $4,808 | 7 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $858 – $10,326 · median $7,059 | 7 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $858 – $7,204 · median $4,925 | 7 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | — | 7 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | — | 7 plans |
| 693 | URINARY STONES WITH MCC | — | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $858 – $6,956 · median $4,756 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | $858 – $10,179 · median $6,959 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $858 – $6,131 · median $4,192 | 7 plans |
| 697 | URETHRAL STRICTURE | $858 – $9,591 · median $6,557 | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | — | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $858 – $9,033 · median $6,175 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $858 – $6,139 · median $4,197 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | — | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | — | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | — | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $858 – $9,786 · median $6,690 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | — | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $858 – $9,410 · median $6,433 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | — | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | — | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | — | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | — | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | — | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $858 – $10,169 · median $6,952 | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $858 – $5,835 · median $3,852 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | — | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $858 – $6,425 · median $4,393 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | — | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $858 – $7,219 · median $4,935 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | $858 – $9,421 · median $6,441 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $858 – $5,980 · median $4,088 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | — | 7 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | — | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | — | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | — | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | — | 7 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | — | 7 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | — | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $858 – $10,123 · median $6,920 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | — | 7 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $858 – $7,651 · median $5,167 | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | — | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | — | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | — | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | — | 7 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $858 – $9,680 · median $6,618 | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $858 – $8,548 · median $5,844 | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | — | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $858 – $8,712 · median $5,956 | 7 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $858 – $5,905 · median $4,037 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $858 – $8,966 · median $6,129 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $858 – $5,077 · median $3,468 | 7 plans |
| 765 | CESAREAN SECTION W CC/MCC | $858 – $10,474 · median $3,000 | 7 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $858 – $7,449 · median $3,000 | 7 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $858 – $8,286 · median $2,500 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $858 – $9,536 · median $6,358 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | — | 7 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $858 – $8,923 · median $6,100 | 7 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $858 – $7,390 · median $2,500 | 7 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $858 – $5,743 · median $2,500 | 7 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $858 – $5,826 · median $3,983 | 7 plans |
| 777 | ECTOPIC PREGNANCY | $858 – $7,814 · median $3,177 | 7 plans |
| 778 | THREATENED ABORTION | $858 – $5,416 · median $2,378 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $858 – $7,487 · median $4,562 | 7 plans |
| 780 | FALSE LABOR | $858 – $4,342 · median $2,020 | 7 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $858 – $7,667 · median $3,128 | 7 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $858 – $5,442 · median $2,386 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,565 – $21,848 · median $16,143 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,289 – $9,434 · median $6,971 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,682 – $8,524 · median $6,298 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,786 – $14,679 · median $10,846 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,626 – $9,939 · median $7,343 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $5,688 – $8,532 · median $6,305 | 7 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $858 – $16,038 · median $10,964 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $858 – $52,892 · median $36,159 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $858 – $36,121 · median $24,694 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $858 – $21,796 · median $14,901 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $858 – $37,106 · median $25,367 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $858 – $13,134 · median $8,979 | 7 plans |
| 795 | NORMAL NEWBORN | $858 – $1,778 · median $1,216 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $6,924 – $10,385 · median $7,674 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,935 – $8,903 · median $6,578 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,678 – $8,517 · median $6,293 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | — | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | — | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | — | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | — | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $6,403 – $9,604 · median $7,096 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $4,473 – $6,710 · median $4,958 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $4,000 – $6,000 · median $4,433 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | — | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | — | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $858 – $9,314 · median $6,367 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | — | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $858 – $8,171 · median $5,586 | 7 plans |
| 813 | COAGULATION DISORDERS | — | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | — | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $858 – $9,024 · median $6,169 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $858 – $5,624 · median $3,845 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $10,525 – $20,304 · median $14,288 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $6,573 – $10,316 · median $7,278 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $5,102 – $7,652 · median $5,654 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | — | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | — | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | — | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $7,134 – $10,701 · median $7,907 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $4,281 – $6,422 · median $4,745 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $3,102 – $4,653 · median $3,438 | 7 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $858 – $48,855 · median $33,400 | 7 plans |
| 835 | ACUTE LEUKEMIA WITH CC | — | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | — | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | — | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | — | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | — | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $858 – $8,992 · median $6,147 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | — | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $858 – $10,834 · median $7,406 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $858 – $7,578 · median $5,181 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | — | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | — | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $858 – $7,559 · median $5,168 | 7 plans |
| 849 | RADIOTHERAPY | — | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $51,375 – $77,062 · median $56,940 | 7 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | — | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | — | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | — | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | $858 – $8,880 · median $6,071 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $858 – $7,900 · median $5,401 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | — | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $858 – $7,739 · median $5,291 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | — | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $858 – $9,176 · median $6,273 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $858 – $6,494 · median $4,439 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $858 – $61,509 · median $42,050 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | — | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $858 – $9,106 · median $6,226 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $1,107 – $34,394 · median $23,514 | 7 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $927 – $8,545 · median $5,842 | 7 plans |
| 881 | DEPRESSIVE NEUROSES | $910 – $8,373 · median $5,724 | 7 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $875 – $9,556 · median $6,533 | 7 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,004 – $17,498 · median $11,963 | 7 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $927 – $14,318 · median $9,788 | 7 plans |
| 885 | PSYCHOSES | $858 – $12,430 · median $8,498 | 7 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $918 – $18,468 · median $12,626 | 7 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $858 – $9,530 · median $6,515 | 7 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $738 – $5,490 · median $3,753 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $772 – $12,598 · median $8,612 | 7 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $858 – $15,530 · median $10,617 | 7 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $815 – $7,856 · median $5,371 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | — | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | — | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | — | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | — | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | — | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | — | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | — | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | — | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | — | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $858 – $7,880 · median $5,387 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | — | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $858 – $5,929 · median $4,054 | 7 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,021 – $13,957 · median $9,542 | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $961 – $7,627 · median $5,214 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | — | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $858 – $8,920 · median $6,098 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $858 – $6,126 · median $4,188 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | — | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $858 – $9,057 · median $6,192 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $858 – $190,000 · median $117,898 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | — | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | — | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | — | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $858 – $19,672 · median $13,449 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | — | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | — | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $858 – $13,781 · median $9,421 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $858 – $10,205 · median $6,977 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $961 – $11,297 · median $7,723 | 7 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $936 – $7,124 · median $4,870 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $858 – $10,587 · median $7,238 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $858 – $5,586 · median $3,819 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $858 – $4,948 · median $3,383 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | — | 7 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | — | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | — | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | — | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | — | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $858 – $8,370 · median $5,722 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | — | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | — | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | — | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | — | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $858 – $8,033 · median $5,466 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | — | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | — | 7 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | — | 7 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | — | 7 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $858 – $9,903 · median $3,873 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | — | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | — | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $858 – $10,672 · median $7,296 | 7 plans |
No procedures match that keyword.