St Joseph Hospital — Pricing
755 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 755 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 755 procedures
Procedures with negotiated rates only
These 755 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $149,174 – $457,726 · median $155,201 | 23 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $97,648 – $304,517 · median $101,593 | 23 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,970 – $128,098 · median $40,544 | 23 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,318 – $104,153 · median $31,543 | 23 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,995 – $61,872 · median $21,844 | 23 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,843 – $235,532 · median $58,099 | 23 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,850 – $178,105 · median $39,379 | 23 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,061 – $125,308 · median $23,993 | 23 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,900 – $131,226 · median $42,552 | 23 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,193 – $93,268 · median $29,333 | 23 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,629 – $96,089 · median $33,948 | 23 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,584 – $66,011 · median $23,497 | 23 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,488 – $56,905 · median $19,235 | 23 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,842 – $125,838 · median $44,574 | 23 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,698 – $72,665 · median $25,695 | 23 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,198 – $45,976 · median $16,852 | 23 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,167 – $93,840 · median $33,466 | 23 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,749 – $45,714 · median $16,385 | 23 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,478 – $38,233 · median $12,982 | 23 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,906 – $120,219 · median $29,033 | 23 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,562 – $56,353 · median $18,272 | 23 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,434 – $40,690 · median $15,017 | 23 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,862 – $86,738 · median $24,827 | 23 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,197 – $46,726 · median $12,689 | 23 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,072 – $31,120 · median $9,439 | 23 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,839 – $80,869 · median $28,964 | 23 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,222 – $55,955 · median $16,878 | 23 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,931 – $36,185 · median $13,453 | 23 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,515 – $58,346 · median $14,061 | 23 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,701 – $30,507 · median $8,012 | 23 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,528 – $31,979 · median $11,994 | 23 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,983 – $23,363 · median $8,305 | 23 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,091 – $53,441 · median $17,782 | 23 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,912 – $34,002 · median $10,312 | 23 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,804 – $50,436 · median $13,321 | 23 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,529 – $26,337 · median $9,914 | 23 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,286 – $23,424 · median $7,580 | 23 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,124 – $71,040 · median $20,937 | 23 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,137 – $52,827 · median $13,668 | 23 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,668 – $49,516 · median $11,099 | 23 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,911 – $43,047 · median $15,513 | 23 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,918 – $27,042 · median $8,238 | 23 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,641 – $21,125 · median $5,869 | 23 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,121 – $43,813 · median $11,570 | 23 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,898 – $23,302 · median $7,177 | 23 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,440 – $20,972 · median $6,700 | 23 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,491 – $47,769 · median $12,996 | 23 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,028 – $26,245 · median $8,352 | 23 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,142 – $20,297 · median $6,391 | 23 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,069 – $37,436 · median $12,556 | 23 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,061 – $24,252 · median $8,387 | 23 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,257 – $40,160 · median $14,833 | 23 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,625 – $18,641 · median $6,892 | 23 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,506 – $63,957 · median $14,052 | 23 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,116 – $20,144 · median $7,404 | 23 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,829 – $53,594 · median $17,509 | 23 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,612 – $33,665 · median $11,040 | 23 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,537 – $21,002 · median $7,842 | 23 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,734 – $47,583 · median $17,410 | 23 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,961 – $27,284 · median $10,364 | 23 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,250 – $19,157 · median $7,543 | 23 plans |
| 088 | CONCUSSION WITH MCC | $10,304 – $39,460 · median $10,721 | 23 plans |
| 089 | CONCUSSION WITH CC | $8,535 – $23,009 · median $8,880 | 23 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,611 – $18,059 · median $6,878 | 23 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,130 – $38,754 · median $13,661 | 23 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,007 – $27,564 · median $8,330 | 23 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,423 – $21,064 · median $6,682 | 23 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,451 – $87,228 · median $26,479 | 23 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,881 – $67,882 · median $19,644 | 23 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,881 – $62,485 · median $19,644 | 23 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,096 – $94,679 · median $27,151 | 23 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,894 – $50,712 · median $17,577 | 23 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,378 – $28,534 · median $10,798 | 23 plans |
| 100 | SEIZURES WITH MCC | $14,392 – $40,564 · median $14,974 | 23 plans |
| 101 | SEIZURES WITHOUT MCC | $7,165 – $18,904 · median $7,455 | 23 plans |
| 102 | HEADACHES WITH MCC | $8,691 – $27,502 · median $9,042 | 23 plans |
| 103 | HEADACHES WITHOUT MCC | $6,702 – $19,806 · median $6,973 | 23 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,287 – $71,622 · median $17,986 | 23 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,313 – $38,693 · median $10,729 | 23 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,584 – $46,665 · median $12,052 | 23 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,493 – $55,372 · median $14,038 | 23 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,439 – $33,726 · median $8,780 | 23 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,987 – $32,530 · median $9,350 | 23 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,349 – $18,703 · median $6,606 | 23 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,439 – $21,922 · median $6,699 | 23 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,104 – $41,238 · median $10,512 | 23 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,223 – $17,814 · median $6,475 | 23 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,022 – $75,547 · median $16,669 | 23 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,953 – $33,297 · median $8,274 | 23 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,292 – $31,274 · median $11,749 | 23 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,051 – $18,561 · median $7,336 | 23 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,493 – $38,387 · median $9,877 | 23 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,663 – $122,641 · median $31,902 | 23 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,099 – $56,629 · median $16,750 | 23 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,013 – $48,228 · median $12,499 | 23 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,038 – $78,469 · median $28,131 | 23 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,967 – $37,313 · median $13,491 | 23 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,260 – $27,288 · median $9,634 | 23 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,654 – $64,877 · median $16,287 | 23 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,743 – $37,252 · median $10,137 | 23 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,428 – $25,540 · median $6,688 | 23 plans |
| 149 | DYSEQUILIBRIUM | $6,110 – $17,875 · median $6,357 | 23 plans |
| 150 | EPISTAXIS WITH MCC | $10,162 – $41,269 · median $10,573 | 23 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,987 – $17,967 · median $6,229 | 23 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,119 – $24,760 · median $9,488 | 23 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,017 – $15,461 · median $6,260 | 23 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,784 – $47,002 · median $12,260 | 23 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,263 – $19,195 · median $7,556 | 23 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,687 – $14,717 · median $5,917 | 23 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,855 – $42,648 · median $13,374 | 23 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,216 – $19,055 · median $7,507 | 23 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,809 – $15,391 · median $6,044 | 23 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,176 – $100,657 · median $33,476 | 23 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,495 – $61,014 · median $19,243 | 23 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,234 – $44,181 · median $14,809 | 23 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,976 – $81,035 · median $28,066 | 23 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,460 – $41,943 · median $14,004 | 23 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,406 – $32,408 · median $10,827 | 23 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,656 – $81,525 · median $22,531 | 23 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,457 – $30,231 · median $10,879 | 23 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,483 – $18,733 · median $6,745 | 23 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,778 – $33,174 · median $12,254 | 23 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,678 – $22,842 · median $7,989 | 23 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,134 – $17,108 · median $6,382 | 23 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,199 – $40,747 · median $13,732 | 23 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,342 – $28,177 · median $8,679 | 23 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,126 – $24,191 · median $6,373 | 23 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,549 – $32,346 · median $12,015 | 23 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,294 – $23,455 · median $8,629 | 23 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,354 – $18,335 · median $6,611 | 23 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,749 – $32,641 · median $12,223 | 23 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,770 – $23,516 · median $8,084 | 23 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,870 – $18,273 · median $6,107 | 23 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,491 – $27,073 · median $9,874 | 23 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,599 – $23,200 · median $8,946 | 23 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,749 – $19,776 · median $7,022 | 23 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,344 – $15,790 · median $5,560 | 23 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,043 – $27,529 · median $10,449 | 23 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,490 – $18,733 · median $6,752 | 23 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,250 – $14,073 · median $5,462 | 23 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,045 – $43,200 · median $14,613 | 23 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,490 – $25,172 · median $7,793 | 23 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,863 – $19,347 · median $6,100 | 23 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,185 – $36,947 · median $13,718 | 23 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,540 – $23,024 · median $8,885 | 23 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,855 – $14,977 · median $6,092 | 23 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,645 – $20,341 · median $7,954 | 23 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,540 – $14,032 · median $5,764 | 23 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,500 – $17,967 · median $6,763 | 23 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,653 – $38,348 · median $14,204 | 23 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,434 – $19,710 · median $7,735 | 23 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,822 – $173,414 · median $47,673 | 23 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,065 – $59,941 · median $20,876 | 23 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $76,843 – $331,191 · median $79,948 | 23 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,435 – $208,539 · median $73,281 | 23 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,218 – $210,268 · median $72,014 | 23 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,805 – $137,940 · median $48,696 | 23 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,805 – $137,713 · median $48,696 | 23 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,512 – $160,814 · median $56,714 | 23 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,122 – $114,148 · median $39,663 | 23 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,078 – $105,562 · median $37,535 | 23 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,429 – $157,072 · median $36,861 | 23 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,866 – $83,856 · median $23,790 | 23 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,764 – $217,135 · median $62,179 | 23 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,222 – $146,249 · median $44,968 | 23 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $54,281 – $160,121 · median $56,474 | 23 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $39,030 – $116,969 · median $40,607 | 23 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,866 – $122,912 · median $43,558 | 23 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,128 – $89,804 · median $31,346 | 23 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,250 – $103,080 · median $36,674 | 23 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,777 – $61,075 · median $21,616 | 23 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,532 – $45,561 · median $10,958 | 23 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,169 – $80,851 · median $24,105 | 23 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,748 – $59,757 · median $16,385 | 23 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,489 – $52,245 · median $14,034 | 23 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,739 – $147,629 · median $34,062 | 23 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,109 – $55,924 · median $16,760 | 23 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,301 – $45,346 · median $11,758 | 23 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,233 – $90,417 · median $26,253 | 23 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,996 – $64,325 · median $19,763 | 23 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,308 – $44,519 · median $13,846 | 23 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,707 – $57,580 · median $20,503 | 23 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,723 – $35,561 · median $13,237 | 23 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,490 – $22,875 · median $8,833 | 23 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,814 – $87,136 · median $23,736 | 23 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,988 – $58,438 · median $15,594 | 23 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,588 – $88,731 · median $24,541 | 23 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,069 – $47,094 · median $14,637 | 23 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,248 – $41,851 · median $12,742 | 23 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,222 – $82,353 · median $23,120 | 23 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,201 – $69,966 · median $25,179 | 23 plans |
| 265 | AICD LEAD PROCEDURES | $26,141 – $106,483 · median $27,197 | 23 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,682 – $136,407 · median $45,447 | 23 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,125 – $122,855 · median $35,504 | 23 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,919 – $168,846 · median $50,896 | 23 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,369 – $89,712 · median $31,596 | 23 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,727 – $110,507 · median $39,252 | 23 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,709 – $88,547 · median $26,747 | 23 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,698 – $64,478 · median $19,453 | 23 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,686 – $112,431 · median $30,885 | 23 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,860 – $78,306 · median $24,824 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,683 – $189,848 · median $52,731 | 23 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,831 – $163,603 · median $44,561 | 23 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,131 – $126,259 · median $34,470 | 23 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,753 – $140,914 · median $41,359 | 23 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,059 – $98,174 · median $27,112 | 23 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,067 – $33,604 · median $12,555 | 23 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,281 – $23,179 · median $7,575 | 23 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,911 – $20,910 · median $6,150 | 23 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,700 – $47,707 · median $15,293 | 23 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,695 – $22,627 · median $5,925 | 23 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,043 – $15,974 · median $5,247 | 23 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,321 – $46,345 · median $16,980 | 23 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,336 – $26,276 · median $8,673 | 23 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,768 – $64,754 · median $20,567 | 23 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,786 – $35,749 · median $13,302 | 23 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,355 – $30,936 · median $7,652 | 23 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,829 – $26,888 · median $10,226 | 23 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,791 – $17,781 · median $7,065 | 23 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,813 – $15,851 · median $5,008 | 23 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,772 – $45,592 · median $12,248 | 23 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,288 – $21,462 · median $5,502 | 23 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,038 – $14,073 · median $4,202 | 23 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,267 – $34,195 · median $12,763 | 23 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,318 – $22,358 · median $8,654 | 23 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,887 – $16,005 · median $6,125 | 23 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,220 – $35,198 · median $9,592 | 23 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,562 – $15,269 · median $5,787 | 23 plans |
| 304 | HYPERTENSION WITH MCC | $9,174 – $24,923 · median $9,544 | 23 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,135 – $17,660 · median $6,383 | 23 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,870 – $44,365 · median $12,349 | 23 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,239 – $27,349 · median $7,532 | 23 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,271 – $25,217 · median $9,646 | 23 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,999 – $15,409 · median $6,242 | 23 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,814 – $11,865 · median $5,009 | 23 plans |
| 311 | ANGINA PECTORIS | $5,763 – $15,054 · median $5,996 | 23 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,949 – $19,806 · median $7,230 | 23 plans |
| 313 | CHEST PAIN | $5,889 – $15,080 · median $6,127 | 23 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,429 – $44,549 · median $16,052 | 23 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,590 – $23,179 · median $7,896 | 23 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,625 – $20,266 · median $5,852 | 23 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,582 – $189,664 · median $49,504 | 23 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,044 – $133,096 · median $33,338 | 23 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,666 – $71,346 · median $18,380 | 23 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,870 – $75,639 · median $20,673 | 23 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,178 – $56,108 · median $13,710 | 23 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,097 – $119,697 · median $32,353 | 23 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,877 – $92,716 · median $23,801 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,292 – $82,752 · median $24,233 | 23 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,709 – $112,063 · median $37,152 | 23 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,938 – $60,493 · median $18,662 | 23 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,055 – $37,497 · median $12,542 | 23 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,977 – $96,269 · median $34,310 | 23 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,609 – $54,299 · median $18,321 | 23 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,618 – $40,809 · median $13,128 | 23 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,159 – $115,252 · median $27,216 | 23 plans |
| 333 | RECTAL RESECTION WITH CC | $17,225 – $64,417 · median $17,921 | 23 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,303 – $38,019 · median $12,801 | 23 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,811 – $74,789 · median $26,854 | 23 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,593 – $45,806 · median $16,223 | 23 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,584 – $35,229 · median $12,052 | 23 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,906 – $83,549 · median $19,670 | 23 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,373 – $34,922 · median $11,832 | 23 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,147 – $29,587 · median $9,517 | 23 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,899 – $76,344 · median $17,582 | 23 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,004 – $29,372 · median $10,408 | 23 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,942 – $22,474 · median $7,222 | 23 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,271 – $73,799 · median $19,009 | 23 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,511 – $43,997 · median $11,976 | 23 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,019 – $26,368 · median $9,383 | 23 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,137 – $69,721 · median $21,991 | 23 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,614 – $37,620 · median $13,124 | 23 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,257 – $31,427 · median $10,671 | 23 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,554 – $92,003 · median $32,829 | 23 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,108 – $48,705 · median $17,799 | 23 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,626 – $32,163 · median $11,056 | 23 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,982 – $37,221 · median $12,466 | 23 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,847 – $24,681 · median $8,164 | 23 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,755 – $21,094 · median $5,988 | 23 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,248 – $37,957 · median $13,783 | 23 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,993 – $22,106 · median $8,316 | 23 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,941 – $16,342 · median $6,181 | 23 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,803 – $46,603 · median $16,441 | 23 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,311 – $27,533 · median $9,687 | 23 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,317 – $22,964 · median $7,613 | 23 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,632 – $41,085 · median $14,183 | 23 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,711 – $23,608 · median $8,023 | 23 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,263 – $16,648 · median $5,476 | 23 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,570 – $42,035 · median $15,158 | 23 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,429 – $23,302 · median $8,770 | 23 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,453 – $18,427 · median $6,713 | 23 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,506 – $41,177 · median $10,931 | 23 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,831 – $19,500 · median $7,107 | 23 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,915 – $33,140 · median $12,396 | 23 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,680 – $22,750 · median $7,991 | 23 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,619 – $16,342 · median $5,846 | 23 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,178 – $30,930 · median $11,629 | 23 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,377 – $16,542 · median $6,635 | 23 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,660 – $12,325 · median $4,848 | 23 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,721 – $26,797 · median $10,114 | 23 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,306 – $16,328 · median $6,561 | 23 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,034 – $37,773 · median $12,520 | 23 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,397 – $20,297 · median $7,696 | 23 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,393 – $16,587 · median $5,611 | 23 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,593 – $50,159 · median $18,304 | 23 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,435 – $37,896 · median $11,897 | 23 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,857 – $27,226 · median $9,215 | 23 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,952 – $84,205 · median $30,122 | 23 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,085 – $132,851 · median $40,664 | 23 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,124 – $69,599 · median $21,978 | 23 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,368 – $52,981 · median $17,030 | 23 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,774 – $104,306 · median $26,815 | 23 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,073 – $54,023 · median $16,722 | 23 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,953 – $45,101 · median $12,436 | 23 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,941 – $97,009 · median $24,908 | 23 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,550 – $66,533 · median $16,178 | 23 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,461 – $49,271 · median $12,965 | 23 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,753 – $95,108 · median $26,793 | 23 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,300 – $46,849 · median $15,918 | 23 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,385 – $35,504 · median $10,804 | 23 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,534 – $49,981 · median $18,242 | 23 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,679 – $39,122 · median $13,191 | 23 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,402 – $32,530 · median $10,822 | 23 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,666 – $102,466 · median $25,663 | 23 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,999 – $51,509 · median $13,525 | 23 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,638 – $43,660 · median $11,067 | 23 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,878 – $107,341 · median $31,085 | 23 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,147 – $65,153 · median $16,799 | 23 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,342 – $47,309 · median $11,800 | 23 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $77,871 – $230,828 · median $81,017 | 23 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,300 – $151,186 · median $53,372 | 23 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,143 – $117,747 · median $41,765 | 23 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,815 – $255,706 · median $66,393 | 23 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,157 – $120,786 · median $42,820 | 23 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,611 – $44,856 · median $15,202 | 23 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,239 – $24,436 · median $8,572 | 23 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,837 – $20,665 · median $6,073 | 23 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,693 – $39,214 · median $14,246 | 23 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,762 – $25,693 · median $9,116 | 23 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,821 – $24,344 · median $7,096 | 23 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,250 – $42,403 · median $12,745 | 23 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,736 – $20,052 · median $7,009 | 23 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,200 – $14,410 · median $5,411 | 23 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,399 – $46,450 · median $13,940 | 23 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,604 – $23,823 · median $7,911 | 23 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,748 – $19,684 · median $5,980 | 23 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,534 – $36,608 · median $13,040 | 23 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,506 – $25,417 · median $8,849 | 23 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,639 – $21,585 · median $6,907 | 23 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,547 – $139,939 · median $49,468 | 23 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,492 – $88,819 · median $31,724 | 23 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,100 – $117,362 · median $39,639 | 23 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,431 – $68,563 · median $24,378 | 23 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,579 – $208,980 · median $61,986 | 23 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,527 – $151,983 · median $44,245 | 23 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,015 – $137,388 · median $31,228 | 23 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,451 – $195,857 · median $41,045 | 23 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,446 – $58,500 · median $20,231 | 23 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,685 – $119,370 · median $42,329 | 23 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,623 – $65,234 · median $23,537 | 23 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,602 – $42,679 · median $14,151 | 23 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,232 – $109,022 · median $38,736 | 23 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,501 – $73,861 · median $26,531 | 23 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,060 – $57,554 · median $20,871 | 23 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,053 – $68,096 · median $22,944 | 23 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,337 – $40,399 · median $14,916 | 23 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,600 – $101,132 · median $35,998 | 23 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,445 – $61,703 · median $22,311 | 23 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,917 – $51,131 · median $18,641 | 23 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,856 – $89,911 · median $32,102 | 23 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,760 – $47,891 · median $17,437 | 23 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,105 – $36,148 · median $9,473 | 23 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,998 – $74,811 · median $26,008 | 23 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,042 – $51,505 · median $18,771 | 23 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,848 – $38,933 · median $14,407 | 23 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,209 – $78,153 · median $22,065 | 23 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,494 – $54,820 · median $16,120 | 23 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,255 – $39,705 · median $12,750 | 23 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,227 – $58,055 · median $21,045 | 23 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,408 – $100,657 · median $24,354 | 23 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,470 – $43,796 · median $16,095 | 23 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,802 – $32,802 · median $12,279 | 23 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,219 – $56,783 · median $13,753 | 23 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,662 – $33,665 · median $9,012 | 23 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,514 – $76,898 · median $27,586 | 23 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,580 – $57,978 · median $19,330 | 23 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,879 – $42,024 · median $15,480 | 23 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,194 – $109,641 · median $27,252 | 23 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,463 – $40,870 · median $14,007 | 23 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,302 – $32,469 · median $9,677 | 23 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,939 – $78,521 · median $22,825 | 23 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,937 – $42,198 · median $15,541 | 23 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,973 – $66,284 · median $23,901 | 23 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,073 – $39,797 · median $13,602 | 23 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,263 – $29,771 · median $10,678 | 23 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,362 – $73,952 · median $21,184 | 23 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,920 – $39,149 · median $14,482 | 23 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,386 – $37,548 · median $13,927 | 23 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,286 – $44,611 · median $10,702 | 23 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,481 – $61,780 · median $14,026 | 23 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,440 – $43,047 · median $11,903 | 23 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,965 – $85,481 · median $22,852 | 23 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,389 – $45,592 · median $16,010 | 23 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,426 – $34,671 · median $12,928 | 23 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,859 – $32,972 · median $12,338 | 23 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,002 – $22,351 · median $8,325 | 23 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,127 – $77,417 · median $24,062 | 23 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,379 – $50,804 · median $16,001 | 23 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,596 – $32,224 · median $12,065 | 23 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,973 – $78,274 · median $28,063 | 23 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,835 – $42,188 · median $15,434 | 23 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,297 – $31,288 · median $11,754 | 23 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,914 – $81,924 · median $21,759 | 23 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,656 – $50,773 · median $16,289 | 23 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,813 – $46,849 · median $12,290 | 23 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,491 – $21,738 · median $6,753 | 23 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,817 – $35,351 · median $10,213 | 23 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,502 – $18,427 · median $6,764 | 23 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,527 – $29,250 · median $7,831 | 23 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,892 – $21,462 · median $6,130 | 23 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,622 – $41,253 · median $15,213 | 23 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,916 – $27,150 · median $10,317 | 23 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,360 – $17,170 · median $6,617 | 23 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,202 – $46,481 · median $13,735 | 23 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,042 – $29,280 · median $8,367 | 23 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,131 – $23,547 · median $6,379 | 23 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,200 – $73,247 · median $18,935 | 23 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,918 – $29,986 · median $9,278 | 23 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,701 – $25,019 · median $6,972 | 23 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,351 – $58,592 · median $14,931 | 23 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,294 – $27,533 · median $9,669 | 23 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,966 – $23,578 · median $7,248 | 23 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,570 – $37,712 · median $13,078 | 23 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,576 – $20,133 · median $7,882 | 23 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,916 – $40,502 · median $10,317 | 23 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,659 – $18,580 · median $6,928 | 23 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,095 – $41,851 · median $10,502 | 23 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,662 – $20,236 · median $6,931 | 23 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,248 – $31,142 · median $11,703 | 23 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,100 – $18,707 · median $7,387 | 23 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,890 – $43,353 · median $14,451 | 23 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,727 – $25,233 · median $9,080 | 23 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,476 – $20,328 · median $6,737 | 23 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,814 – $36,455 · median $11,251 | 23 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,116 – $18,764 · median $7,403 | 23 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,644 – $43,997 · median $12,115 | 23 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,667 – $22,566 · median $7,977 | 23 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,094 – $19,837 · median $6,340 | 23 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,410 – $61,598 · median $22,275 | 23 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,664 – $35,385 · median $13,176 | 23 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,868 – $26,552 · median $9,227 | 23 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,638 – $179,546 · median $48,522 | 23 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,115 – $99,799 · median $26,130 | 23 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,415 – $57,672 · median $13,957 | 23 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,106 – $167,803 · median $36,525 | 23 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,381 – $71,438 · median $20,164 | 23 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,083 – $49,853 · median $12,572 | 23 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,488 – $67,827 · median $24,437 | 23 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,933 – $40,993 · median $13,456 | 23 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,942 – $34,370 · median $11,384 | 23 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,321 – $64,448 · median $14,899 | 23 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,908 – $58,193 · median $13,429 | 23 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,817 – $70,212 · median $16,456 | 23 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,338 – $61,228 · median $14,918 | 23 plans |
| 592 | SKIN ULCERS WITH MCC | $14,382 – $40,533 · median $14,963 | 23 plans |
| 593 | SKIN ULCERS WITH CC | $9,148 – $24,846 · median $9,517 | 23 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,915 – $18,154 · median $7,195 | 23 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,677 – $65,153 · median $16,311 | 23 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,422 – $22,672 · median $8,763 | 23 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,507 – $50,620 · median $13,013 | 23 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,763 – $26,184 · median $9,118 | 23 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,235 – $22,566 · median $6,487 | 23 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,137 – $21,815 · median $8,465 | 23 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,086 – $12,671 · median $5,291 | 23 plans |
| 602 | CELLULITIS WITH MCC | $10,790 – $33,052 · median $11,226 | 23 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,944 – $18,240 · median $7,224 | 23 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,145 – $44,887 · median $11,595 | 23 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,259 – $19,185 · median $7,552 | 23 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,432 – $43,691 · median $11,894 | 23 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,192 – $18,984 · median $7,483 | 23 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,174 – $56,568 · median $16,827 | 23 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,636 – $42,004 · median $11,066 | 23 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,227 – $73,040 · median $26,246 | 23 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,927 – $39,172 · median $14,490 | 23 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,769 – $29,705 · median $11,204 | 23 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,035 – $67,084 · median $21,884 | 23 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,041 – $39,153 · median $12,527 | 23 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,399 – $31,611 · median $11,859 | 23 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,729 – $74,544 · median $26,768 | 23 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,394 – $37,571 · median $13,935 | 23 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,606 – $26,644 · median $9,994 | 23 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,962 – $88,424 · median $22,849 | 23 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,336 – $40,441 · median $11,794 | 23 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,140 – $29,097 · median $10,550 | 23 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,900 – $78,054 · median $27,987 | 23 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,083 – $45,633 · median $16,733 | 23 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,057 – $30,568 · median $11,504 | 23 plans |
| 637 | DIABETES WITH MCC | $10,898 – $30,090 · median $11,338 | 23 plans |
| 638 | DIABETES WITH CC | $7,121 – $18,770 · median $7,408 | 23 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,199 – $13,010 · median $5,409 | 23 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,191 – $29,618 · median $10,603 | 23 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,296 – $16,299 · median $6,550 | 23 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,795 – $29,784 · median $11,232 | 23 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,361 – $35,934 · median $12,860 | 23 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,021 – $21,468 · median $8,345 | 23 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,227 – $16,091 · median $6,479 | 23 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,169 – $167,956 · median $38,671 | 23 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,419 – $65,950 · median $21,244 | 23 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,648 – $54,299 · median $16,281 | 23 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,106 – $74,136 · median $24,039 | 23 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,646 – $43,844 · median $14,197 | 23 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,702 – $37,804 · median $12,175 | 23 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,613 – $53,217 · median $19,365 | 23 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,094 – $27,682 · median $10,502 | 23 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,093 – $22,137 · median $8,420 | 23 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,251 – $92,962 · median $23,150 | 23 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,481 – $46,420 · median $11,945 | 23 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,174 – $33,757 · median $8,504 | 23 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,668 – $96,947 · median $23,584 | 23 plans |
| 666 | PROSTATECTOMY WITH CC | $13,082 – $52,306 · median $13,610 | 23 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,588 – $31,335 · median $8,935 | 23 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,262 – $76,773 · median $22,121 | 23 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,703 – $32,505 · median $12,176 | 23 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,687 – $24,773 · median $7,998 | 23 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,401 – $53,594 · median $13,943 | 23 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,402 – $31,611 · median $8,741 | 23 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,218 – $87,998 · median $31,439 | 23 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,200 – $49,179 · median $17,895 | 23 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,328 – $45,684 · median $12,826 | 23 plans |
| 682 | RENAL FAILURE WITH MCC | $11,207 – $31,018 · median $11,660 | 23 plans |
| 683 | RENAL FAILURE WITH CC | $6,978 – $18,343 · median $7,260 | 23 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,053 – $12,573 · median $5,257 | 23 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,462 – $47,125 · median $14,006 | 23 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,180 – $24,651 · median $8,510 | 23 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,381 – $18,948 · median $6,638 | 23 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,966 – $27,962 · median $9,328 | 23 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,515 – $16,954 · median $6,778 | 23 plans |
| 693 | URINARY STONES WITH MCC | $10,253 – $43,262 · median $10,668 | 23 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,321 – $16,372 · median $6,576 | 23 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,851 – $35,596 · median $9,208 | 23 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,673 – $15,177 · median $5,902 | 23 plans |
| 697 | URETHRAL STRICTURE | $8,390 – $31,887 · median $8,729 | 23 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,419 – $37,160 · median $12,921 | 23 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,951 – $21,769 · median $8,272 | 23 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,679 – $19,193 · median $5,909 | 23 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,836 – $44,764 · median $15,435 | 23 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,579 – $41,361 · median $12,047 | 23 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,119 – $69,292 · median $17,811 | 23 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,649 – $43,875 · median $11,080 | 23 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,419 – $63,068 · median $16,042 | 23 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,543 – $35,075 · median $8,888 | 23 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,364 – $36,578 · median $11,823 | 23 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,247 – $25,571 · median $8,580 | 23 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,492 – $67,360 · median $17,158 | 23 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,137 – $42,342 · median $11,587 | 23 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,069 – $39,595 · median $14,637 | 23 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,243 – $28,130 · median $10,657 | 23 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,504 – $54,452 · median $14,050 | 23 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,843 – $34,339 · median $9,200 | 23 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,440 – $23,056 · median $5,660 | 23 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,035 – $38,509 · median $9,400 | 23 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,903 – $22,842 · median $6,142 | 23 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,220 – $46,328 · median $11,674 | 23 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,527 – $16,990 · median $6,790 | 23 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,256 – $32,071 · median $8,590 | 23 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,554 – $18,948 · median $5,778 | 23 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,742 – $45,254 · median $16,378 | 23 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,260 – $36,455 · median $10,675 | 23 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,836 – $123,591 · median $26,880 | 23 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,257 – $46,450 · median $15,874 | 23 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,120 – $33,818 · median $11,569 | 23 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,894 – $116,263 · median $26,940 | 23 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,503 – $45,408 · median $14,049 | 23 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,823 – $31,825 · median $11,261 | 23 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,679 – $38,428 · median $14,232 | 23 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,528 – $26,766 · median $9,913 | 23 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,177 – $42,916 · median $15,790 | 23 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,807 – $23,824 · median $9,163 | 23 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,997 – $36,382 · median $13,522 | 23 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,866 – $22,627 · median $7,143 | 23 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,552 – $41,330 · median $10,979 | 23 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,800 – $53,776 · median $19,559 | 23 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,171 – $41,820 · median $11,622 | 23 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,728 – $39,368 · median $14,282 | 23 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,459 – $23,639 · median $8,801 | 23 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,570 – $20,818 · median $7,876 | 23 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,864 – $44,549 · median $11,303 | 23 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,699 – $20,504 · median $8,010 | 23 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,495 – $15,023 · median $5,717 | 23 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,898 – $21,101 · median $8,218 | 23 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,845 – $13,674 · median $5,041 | 23 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,346 – $22,444 · median $8,684 | 23 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,666 – $35,391 · median $13,178 | 23 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,865 – $21,001 · median $8,183 | 23 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,433 – $13,712 · median $5,653 | 23 plans |
| 779 | ABORTION WITHOUT D&C | $6,737 – $18,138 · median $7,009 | 23 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,014 – $51,420 · median $18,742 | 23 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,266 – $22,290 · median $8,600 | 23 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,551 – $20,060 · median $7,856 | 23 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,384 – $34,547 · median $12,885 | 23 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,662 – $23,390 · median $9,012 | 23 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,558 – $20,081 · median $7,863 | 23 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,104 – $35,872 · median $9,286 | 23 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,849 – $25,130 · median $8,166 | 23 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,546 – $20,113 · median $7,851 | 23 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $18,270 – $92,624 · median $33,162 | 23 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,490 – $93,598 · median $21,317 | 23 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,197 – $57,358 · median $14,771 | 23 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,698 – $109,457 · median $29,568 | 23 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,848 – $70,567 · median $14,407 | 23 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,334 – $35,039 · median $10,751 | 23 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,399 – $21,764 · median $8,739 | 23 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,127 – $19,646 · median $6,375 | 23 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,569 – $14,244 · median $5,794 | 23 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,026 – $49,639 · median $16,615 | 23 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,704 – $45,085 · median $10,096 | 23 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,172 – $24,380 · median $8,502 | 23 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,671 – $31,580 · median $11,102 | 23 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,274 – $27,695 · median $7,568 | 23 plans |
| 813 | COAGULATION DISORDERS | $11,517 – $41,974 · median $11,982 | 23 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,719 – $41,851 · median $16,354 | 23 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,944 – $41,151 · median $8,265 | 23 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,275 – $20,002 · median $5,488 | 23 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $11,731 – $41,144 · median $17,141 | 23 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,958 – $49,903 · median $9,320 | 23 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,867 – $25,354 · median $7,144 | 23 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $14,526 – $145,942 · median $42,685 | 23 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,501 – $114,612 · median $17,168 | 23 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,271 – $43,945 · median $9,646 | 23 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $20,346 – $109,886 · median $33,560 | 23 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,690 – $92,116 · median $17,364 | 23 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,287 – $43,295 · median $10,703 | 23 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $21,896 – $148,119 · median $34,223 | 23 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,008 – $94,006 · median $17,695 | 23 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,764 – $46,455 · median $13,280 | 23 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,939 – $56,984 · median $23,866 | 23 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,375 – $60,705 · median $11,834 | 23 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,261 – $28,789 · median $9,635 | 23 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,901 – $22,657 · median $6,139 | 23 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,512 – $14,713 · median $4,694 | 23 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $9,247 – $208,765 · median $40,012 | 23 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,433 – $108,805 · median $16,057 | 23 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,380 – $49,240 · median $9,759 | 23 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $22,606 – $99,360 · median $35,125 | 23 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,444 – $98,567 · median $16,068 | 23 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,948 – $39,925 · median $11,390 | 23 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,463 – $95,997 · median $24,379 | 23 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,258 – $62,775 · median $12,753 | 23 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,919 – $32,868 · median $8,239 | 23 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,797 – $54,330 · median $15,395 | 23 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,365 – $37,270 · median $9,743 | 23 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,809 – $26,153 · median $7,084 | 23 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,887 – $46,751 · median $19,357 | 23 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,000 – $50,272 · median $10,404 | 23 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,794 – $25,014 · median $7,068 | 23 plans |
| 849 | RADIOTHERAPY | $14,568 – $78,490 · median $20,191 | 23 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $47,519 – $282,411 · median $62,608 | 23 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,368 – $181,336 · median $36,797 | 23 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,820 – $98,451 · median $15,419 | 23 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,320 – $39,333 · median $11,778 | 23 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,919 – $84,162 · median $33,303 | 23 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,822 – $88,811 · median $16,462 | 23 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,591 – $42,892 · median $11,019 | 23 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,602 – $32,887 · median $14,151 | 23 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,831 – $36,195 · median $8,148 | 23 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,061 – $19,683 · median $7,347 | 23 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,328 – $29,188 · median $11,786 | 23 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,935 – $29,053 · median $7,215 | 23 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,485 – $50,651 · median $15,954 | 23 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,063 – $42,211 · median $8,389 | 23 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,957 – $20,671 · median $6,198 | 23 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $12,802 – $159,433 · median $50,149 | 23 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,432 – $136,939 · median $15,015 | 23 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,009 – $38,624 · median $8,332 | 23 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $18,341 – $110,530 · median $28,428 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,568 – $77,354 · median $7,874 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $7,433 – $18,870 · median $7,733 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,362 – $19,364 · median $8,700 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,598 – $35,458 · median $15,188 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,101 – $36,494 · median $12,590 | 23 plans |
| 885 | PSYCHOSES | $10,619 – $32,878 · median $11,048 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,360 – $37,743 · median $15,980 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,341 – $35,364 · median $8,678 | 23 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,169 – $23,413 · median $5,378 | 23 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,750 – $45,806 · median $11,103 | 23 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,053 – $34,830 · median $13,580 | 23 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,027 – $35,055 · median $7,311 | 23 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $15,694 – $98,327 · median $30,793 | 23 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,236 – $87,214 · median $14,811 | 23 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,031 – $37,354 · median $9,396 | 23 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,688 – $89,589 · median $27,061 | 23 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,224 – $76,006 · median $11,677 | 23 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,584 – $39,644 · median $15,173 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,686 – $84,224 · median $28,805 | 23 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,800 – $78,419 · median $15,398 | 23 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,031 – $39,707 · median $10,436 | 23 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,280 – $47,431 · median $12,777 | 23 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,046 – $31,856 · median $7,331 | 23 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,609 – $32,071 · median $13,118 | 23 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,514 – $34,211 · median $5,737 | 23 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,814 – $30,415 · median $12,176 | 23 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,847 – $32,277 · median $7,124 | 23 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,651 – $34,002 · median $14,203 | 23 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,862 – $35,898 · median $8,180 | 23 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,669 – $19,998 · median $5,898 | 23 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,234 – $45,592 · median $13,479 | 23 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,970 – $33,256 · median $8,292 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $18,144 – $665,203 · median $153,081 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,979 – $466,983 · median $53,039 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,364 – $131,474 · median $24,308 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,070 – $99,646 · median $29,204 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,305 – $85,175 · median $16,964 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $15,253 – $42,240 · median $15,869 | 23 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,213 – $98,695 · median $27,272 | 23 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,188 – $62,480 · median $17,882 | 23 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,027 – $41,563 · median $15,634 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,679 – $46,144 · median $12,151 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,872 – $32,990 · median $9,230 | 23 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,728 – $27,349 · median $10,122 | 23 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,452 – $25,319 · median $6,713 | 23 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,172 – $32,009 · median $9,542 | 23 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,244 – $21,240 · median $5,456 | 23 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,743 – $11,537 · median $4,935 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $10,087 – $183,409 · median $48,861 | 23 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,153 – $145,881 · median $28,250 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,104 – $175,897 · median $56,290 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,304 – $146,933 · median $31,528 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,431 – $80,901 · median $22,297 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,961 – $73,799 · median $20,768 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,568 – $53,478 · median $12,035 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,430 – $29,529 · median $7,730 | 23 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $16,235 – $202,572 · median $44,514 | 23 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,288 – $124,494 · median $20,067 | 23 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,025 – $78,766 · median $21,874 | 23 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,907 – $58,783 · median $10,308 | 23 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,166 – $27,980 · median $7,456 | 23 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,926 – $42,250 · median $10,327 | 23 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,651 – $120,188 · median $34,323 | 23 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,038 – $93,581 · median $18,766 | 23 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,835 – $48,195 · median $13,354 | 23 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,815 – $79,195 · median $25,818 | 23 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,343 – $68,951 · median $12,842 | 23 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,238 – $33,779 · median $9,611 | 23 plans |
| 795 | NORMAL NEWBORN | $2,254 – $4,783 · median $2,334 | 22 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $79,951 – $237,061 · median $82,373 | 20 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $40,736 – $119,525 · median $41,971 | 20 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,784 – $50,731 · median $18,323 | 20 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,886 – $72,018 · median $25,640 | 20 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,729 – $50,565 · median $18,266 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,452 – $34,953 · median $13,859 | 19 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,390 – $200,058 · median $43,674 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,221 – $67,476 · median $30,107 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,673 – $40,714 · median $18,154 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $20,358 – $69,312 · median $30,297 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,568 – $24,533 · median $11,284 | 19 plans |
No procedures match that keyword.