Centerpoint Medical Center (Acute Care) — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,375 – $13,947 · median $9,292 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,180 – $18,098 · median $12,407 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,157 – $13,947 · median $9,356 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,785 – $13,947 · median $9,356 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $60,603 – $218,778 · median $92,358 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $56,656 – $104,529 · median $70,837 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $57,683 – $106,637 · median $65,678 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,603 – $200,713 · median $110,201 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $60,603 – $197,513 · median $89,653 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $60,603 – $204,160 · median $98,174 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $60,552 – $106,637 · median $70,984 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,548 – $102,327 · median $73,906 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $51,648 – $111,715 · median $65,678 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $28,295 – $77,675 · median $42,773 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $22,667 – $94,885 · median $42,773 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,457 – $97,086 · median $30,987 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,457 – $43,943 · median $23,600 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,679 – $66,007 · median $38,806 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,578 – $31,694 · median $15,945 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,457 – $35,859 · median $18,423 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,457 – $35,859 · median $15,480 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A | $12,457 – $67,845 · median $39,528 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,457 – $51,354 · median $21,459 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $34,491 – $302,224 · median $48,295 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $28,582 – $60,006 · median $35,777 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $21,973 – $51,193 · median $33,104 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,426 – $42,773 · median $34,491 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,426 – $61,810 · median $25,026 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,381 – $48,498 · median $34,491 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $22,381 – $42,949 · median $27,018 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $19,064 – $42,949 · median $26,453 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $12,457 – $97,086 · median $52,623 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $12,457 – $54,458 · median $27,064 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $13,357 – $155,107 · median $75,147 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $60,603 – $142,470 · median $120,848 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $60,603 – $142,470 · median $81,111 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $60,603 – $142,470 · median $75,147 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,583 – $84,447 · median $62,590 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $36,583 – $84,447 · median $60,603 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,491 – $69,578 · median $42,773 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $34,491 – $67,996 · median $42,773 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $34,491 – $145,233 · median $88,762 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $60,603 – $145,233 · median $77,802 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $58,428 – $145,233 · median $66,234 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,457 – $53,244 · median $20,019 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,107 – $31,694 · median $12,457 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $12,457 – $60,645 · median $15,444 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,457 – $45,492 · median $15,444 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $12,457 – $44,504 · median $15,444 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $28,582 – $49,763 · median $33,545 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $60,603 – $94,933 · median $71,070 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $52,258 – $75,147 · median $60,603 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $60,603 – $75,147 · median $64,471 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $43,262 – $75,147 · median $60,603 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $31,428 – $75,147 · median $60,603 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $28,582 – $71,237 · median $37,228 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $28,582 – $45,624 · median $37,228 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $49,814 – $182,355 · median $131,571 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $49,814 – $137,500 · median $101,128 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $49,814 – $137,500 · median $78,367 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $49,814 – $145,193 · median $112,750 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $49,814 – $137,500 · median $77,889 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $49,814 – $137,500 · median $112,750 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $49,814 – $137,500 · median $81,718 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $49,814 – $137,500 · median $68,882 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $9,436 – $36,657 · median $24,644 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,436 – $36,657 · median $14,679 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,436 – $30,000 · median $14,386 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $49,137 – $137,500 · median $59,349 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL | $49,814 – $116,715 · median $84,211 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,492 – $71,085 · median $51,439 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY | $49,814 – $89,653 · median $64,685 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,492 – $53,721 · median $43,939 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,274 – $41,250 · median $35,832 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $29,735 – $35,832 · median $31,209 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,785 – $36,095 · median $14,969 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,785 – $18,339 · median $14,969 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,493 – $14,969 · median $10,255 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,370 – $16,388 · median $14,457 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,481 – $14,969 · median $7,401 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,357 – $28,449 · median $18,541 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,023 – $144,076 · median $108,011 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $57,023 – $144,076 · median $74,060 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ | $44,342 – $144,076 · median $53,644 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $57,023 – $95,814 · median $76,443 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $47,749 – $95,814 · median $55,576 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $40,226 – $63,677 · median $56,172 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,835 – $59,666 · median $52,634 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $26,823 – $57,023 · median $33,121 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $20,040 – $57,023 · median $29,276 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,946 – $55,367 · median $43,543 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $28,572 – $38,243 · median $31,167 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $23,024 – $38,243 · median $28,023 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,324 – $47,283 · median $35,828 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $18,324 – $29,946 · median $20,238 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,296 – $29,946 · median $17,265 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,033 – $38,327 · median $23,550 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $9,436 – $38,119 · median $31,452 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,436 – $38,119 · median $16,760 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,436 – $26,282 · median $18,621 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,436 – $17,422 · median $14,713 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,436 – $14,058 · median $11,209 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $9,436 – $38,491 · median $30,788 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $9,436 – $27,621 · median $22,368 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $9,436 – $27,621 · median $17,644 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,436 – $28,322 · median $24,984 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,436 – $27,621 · median $12,772 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,645 – $27,621 · median $9,618 | 6 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,436 – $20,715 · median $17,422 | 6 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,436 – $16,571 · median $11,072 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,436 – $16,571 · median $10,125 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,436 – $14,842 · median $12,175 | 6 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,436 – $22,016 · median $19,422 | 6 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,436 – $19,627 · median $12,534 | 6 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,374 – $19,627 · median $9,464 | 6 plans |
| 089 | CONCUSSION WITH CC | $7,761 – $15,265 · median $11,833 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,436 – $15,074 · median $12,142 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,436 – $11,238 · median $10,057 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,357 – $23,758 · median $17,858 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,395 – $34,329 · median $22,362 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,218 – $16,756 · median $12,470 | 6 plans |
| 149 | DYSEQUILIBRIUM | $9,034 – $10,643 · median $9,412 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $13,357 – $65,626 · median $57,892 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,357 – $62,396 · median $31,614 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,357 – $62,396 · median $23,412 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,436 – $27,855 · median $21,952 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,436 – $27,855 · median $13,945 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,436 – $27,855 · median $10,519 | 6 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,436 – $37,880 · median $15,542 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,436 – $25,304 · median $14,105 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,436 – $25,304 · median $10,790 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,129 – $25,304 · median $9,325 | 6 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,436 – $22,670 · median $16,550 | 6 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,436 – $16,494 · median $10,299 | 6 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,821 – $10,690 · median $9,151 | 6 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,436 – $22,640 · median $12,142 | 6 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,749 – $18,190 · median $9,677 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,436 – $13,949 · median $10,194 | 6 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $87,532 – $317,476 · median $141,960 | 6 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,329 – $31,521 · median $17,021 | 6 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,817 – $31,521 · median $14,295 | 6 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,892 – $31,521 · median $12,071 | 6 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,436 – $18,578 · median $15,424 | 6 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,436 – $18,578 · median $10,060 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,874 – $15,243 · median $13,447 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,960 – $14,642 · median $10,516 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,436 – $16,563 · median $13,805 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,445 – $14,248 · median $9,505 | 6 plans |
| 304 | HYPERTENSION WITH MCC | $9,436 – $16,727 · median $13,132 | 6 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,429 – $11,509 · median $9,819 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,436 – $20,683 · median $15,146 | 6 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,286 – $15,256 · median $9,819 | 6 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,027 – $15,256 · median $8,701 | 6 plans |
| 311 | ANGINA PECTORIS | $8,771 – $16,516 · median $9,689 | 6 plans |
| 313 | CHEST PAIN | $8,960 – $13,701 · median $10,170 | 6 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $13,357 – $72,315 · median $50,341 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,357 – $45,438 · median $20,014 | 6 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,357 – $65,380 · median $47,837 | 6 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,357 – $46,109 · median $29,688 | 6 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,357 – $46,109 · median $20,737 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,357 – $34,329 · median $26,531 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,357 – $34,329 · median $19,281 | 6 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,483 – $17,924 · median $15,126 | 6 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $11,064 – $14,441 · median $12,513 | 6 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,142 – $21,421 · median $16,669 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,357 – $24,220 · median $19,785 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,357 – $18,982 · median $16,745 | 6 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,436 – $23,778 · median $17,157 | 6 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,436 – $14,489 · median $12,781 | 6 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,767 – $13,338 · median $9,687 | 6 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,436 – $24,888 · median $17,646 | 6 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,436 – $14,655 · median $12,928 | 6 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,111 – $13,338 · median $9,819 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,436 – $30,062 · median $20,817 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,436 – $17,494 · median $15,011 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,436 – $14,590 · median $11,091 | 6 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,436 – $25,888 · median $22,093 | 6 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,436 – $15,247 · median $12,383 | 6 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,997 – $15,247 · median $9,251 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,436 – $12,381 · median $10,562 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,436 – $23,134 · median $20,408 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,436 – $21,319 · median $12,466 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,419 – $21,319 · median $9,490 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,436 – $20,928 · median $16,818 | 6 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,436 – $12,167 · median $10,135 | 6 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,873 – $12,167 · median $8,614 | 6 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,436 – $14,386 · median $13,862 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,436 – $13,402 · median $11,777 | 6 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $13,357 – $35,279 · median $22,824 | 6 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,357 – $21,545 · median $16,766 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $13,357 – $16,001 · median $14,278 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $13,357 – $49,887 · median $39,785 | 6 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,357 – $28,164 · median $24,845 | 6 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,357 – $25,203 · median $17,210 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $13,357 – $64,660 · median $44,331 | 6 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,436 – $27,894 · median $18,749 | 6 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,436 – $15,232 · median $13,164 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,748 – $12,892 · median $9,676 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,436 – $25,979 · median $20,205 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,436 – $17,492 · median $14,164 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,436 – $17,492 · median $10,032 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,436 – $23,688 · median $19,680 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,436 – $18,464 · median $10,804 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,726 – $18,464 · median $9,097 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,436 – $13,757 · median $11,168 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C | $8,826 – $10,201 · median $9,721 | 6 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,436 – $15,441 · median $13,099 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,436 – $12,577 · median $10,108 | 6 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,666 – $87,374 · median $74,264 | 6 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $35,969 – $71,451 · median $41,720 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $45,064 – $72,537 · median $59,147 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $43,021 – $54,305 · median $46,891 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $32,949 – $54,305 · median $41,207 | 6 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC | $38,486 – $54,305 · median $41,330 | 6 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT | $30,569 – $54,305 · median $34,528 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,628 – $27,983 · median $22,086 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,554 – $19,486 · median $17,130 | 6 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,758 – $34,185 · median $27,937 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $12,361 – $50,126 · median $31,072 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $12,361 – $28,092 · median $21,353 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $12,361 – $19,116 · median $16,863 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,020 – $25,411 · median $18,428 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,020 – $19,893 · median $15,995 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,767 – $37,682 · median $26,364 | 6 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,767 – $24,988 · median $20,764 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,767 – $24,988 · median $20,764 | 6 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,745 – $40,694 · median $29,764 | 6 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,745 – $27,924 · median $24,131 | 6 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ | $16,745 – $23,630 · median $21,026 | 6 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,357 – $21,437 · median $16,676 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,806 – $14,517 · median $13,603 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,627 – $34,594 · median $26,955 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC | $17,627 – $34,594 · median $20,001 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST | $27,694 – $51,029 · median $37,478 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $24,767 – $29,940 · median $27,885 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $36,609 – $54,305 · median $39,993 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $26,478 – $54,305 · median $34,251 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $9,436 – $26,555 · median $19,301 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $9,436 – $15,177 · median $13,325 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $9,436 – $15,177 · median $9,846 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $9,436 – $35,978 · median $22,701 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,436 – $16,483 · median $14,103 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,372 – $13,665 · median $9,819 | 6 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,401 – $24,296 · median $17,017 | 6 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,401 – $13,723 · median $12,215 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,436 – $19,173 · median $13,557 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,436 – $11,625 · median $10,228 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,436 – $22,065 · median $14,833 | 6 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,436 – $12,299 · median $10,525 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,357 – $37,913 · median $25,669 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,357 – $24,068 · median $19,563 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,357 – $23,389 · median $20,632 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,436 – $24,352 · median $13,579 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,357 – $21,489 · median $17,383 | 6 plans |
| 637 | DIABETES WITH MCC | $9,436 – $20,735 · median $17,959 | 6 plans |
| 638 | DIABETES WITH CC | $9,436 – $13,545 · median $11,520 | 6 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,870 – $13,545 · median $9,179 | 6 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M | $9,436 – $18,908 · median $15,635 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,436 – $14,714 · median $12,688 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,436 – $12,396 · median $9,991 | 6 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,830 – $30,979 · median $23,660 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,894 – $28,242 · median $16,993 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,357 – $22,033 · median $16,939 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $12,004 – $14,441 · median $13,437 | 6 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,436 – $19,044 · median $14,699 | 6 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,436 – $23,933 · median $19,207 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,357 – $31,994 · median $23,346 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,357 – $21,377 · median $18,663 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,357 – $20,588 · median $18,162 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,803 – $16,745 · median $13,368 | 6 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC | $25,110 – $56,680 · median $50,000 | 6 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $20,741 – $26,985 · median $23,899 | 6 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT | $17,252 – $23,216 · median $20,149 | 6 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,580 – $26,009 · median $23,223 | 6 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,056 – $19,540 · median $16,547 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,259 – $27,821 · median $19,492 | 6 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $17,111 – $21,927 · median $18,793 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,436 – $15,806 · median $12,072 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,436 – $13,597 · median $11,098 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $20,151 · median $15,637 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,436 – $14,513 · median $12,802 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,038 – $13,497 · median $9,274 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,680 – $14,033 · median $11,290 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,680 – $10,201 · median $8,494 | 6 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,943 – $15,320 · median $13,515 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,436 – $20,031 · median $17,343 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,436 – $22,325 · median $17,567 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,436 – $15,440 · median $13,212 | 6 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $13,357 – $71,209 · median $40,679 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $23,145 · median $19,479 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $13,357 – $64,236 · median $37,603 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,357 – $31,023 · median $22,954 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $18,541 · median $16,182 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,436 – $21,014 · median $15,189 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,072 – $12,598 · median $10,657 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $9,436 – $99,047 · median $62,015 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $13,357 – $76,827 · median $67,773 | 5 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $13,357 – $58,429 · median $51,543 | 5 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,357 – $37,731 · median $33,284 | 5 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $38,416 – $43,548 · median $40,226 | 5 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $30,996 – $43,488 · median $35,137 | 5 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $33,048 – $86,560 · median $76,359 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $33,048 – $47,793 · median $42,160 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $27,951 – $35,728 · median $31,685 | 5 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $35,452 – $53,707 · median $47,378 | 5 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE | $28,363 – $38,327 · median $32,152 | 5 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,436 – $28,654 · median $25,277 | 5 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,436 – $13,119 · median $11,573 | 5 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,436 – $21,344 · median $18,829 | 5 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,436 – $15,534 · median $13,703 | 5 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,436 – $24,757 · median $21,839 | 5 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,436 – $15,005 · median $13,237 | 5 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,423 – $10,681 · median $9,436 | 5 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,436 – $22,006 · median $19,413 | 5 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,436 – $24,524 · median $21,633 | 5 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,436 – $13,055 · median $11,516 | 5 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,436 – $28,302 · median $24,967 | 5 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,436 – $12,883 · median $11,364 | 5 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $25,148 – $33,035 · median $29,142 | 5 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,463 – $27,187 · median $19,797 | 5 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,009 – $27,187 · median $13,613 | 5 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,125 – $32,263 · median $28,461 | 5 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,474 – $18,675 · median $17,125 | 5 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,103 – $18,514 · median $12,586 | 5 plans |
| 088 | CONCUSSION WITH MCC | $9,436 – $20,086 · median $17,718 | 5 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,436 – $12,206 · median $10,768 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,436 – $25,955 · median $22,896 | 5 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $9,436 – $51,950 · median $45,828 | 5 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $9,436 – $34,131 · median $30,109 | 5 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,436 – $34,131 · median $30,109 | 5 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $9,436 – $51,038 · median $45,023 | 5 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,436 – $30,887 · median $27,246 | 5 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,436 – $19,838 · median $17,500 | 5 plans |
| 100 | SEIZURES WITH MCC | $9,436 – $28,267 · median $24,935 | 5 plans |
| 101 | SEIZURES WITHOUT MCC | $9,436 – $13,123 · median $11,577 | 5 plans |
| 102 | HEADACHES WITH MCC | $9,436 – $10,789 · median $10,789 | 5 plans |
| 103 | HEADACHES WITHOUT MCC | $9,436 – $10,789 · median $10,789 | 5 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,357 – $32,130 · median $28,343 | 5 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,357 – $16,831 · median $14,847 | 5 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,357 – $21,798 · median $19,229 | 5 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,357 – $15,357 · median $13,547 | 5 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,436 – $16,562 · median $14,610 | 5 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,519 – $10,201 · median $9,436 | 5 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,436 – $11,436 · median $10,088 | 5 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,436 – $18,565 · median $16,377 | 5 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,436 – $11,756 · median $10,371 | 5 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,286 – $14,441 · median $13,357 | 5 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,357 – $19,913 · median $17,566 | 5 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,357 – $19,549 · median $17,245 | 5 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $13,357 – $60,215 · median $53,119 | 5 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,357 – $30,590 · median $26,985 | 5 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,357 – $22,388 · median $19,749 | 5 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,357 – $47,012 · median $41,472 | 5 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,357 – $25,012 · median $22,064 | 5 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $16,869 · median $14,881 | 5 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,436 – $32,663 · median $28,814 | 5 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,436 – $17,724 · median $15,635 | 5 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,436 – $11,400 · median $10,057 | 5 plans |
| 150 | EPISTAXIS WITH MCC | $9,436 – $19,680 · median $17,360 | 5 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,436 – $10,792 · median $9,520 | 5 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,436 – $16,157 · median $14,253 | 5 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,939 – $10,201 · median $9,436 | 5 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,436 – $23,155 · median $20,426 | 5 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,436 – $13,293 · median $11,726 | 5 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,445 – $10,201 · median $9,436 | 5 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,436 – $23,315 · median $20,567 | 5 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,436 – $13,392 · median $11,814 | 5 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,285 – $10,201 · median $9,391 | 5 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,357 – $54,821 · median $48,360 | 5 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,357 – $26,016 · median $22,950 | 5 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $19,277 · median $17,005 | 5 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY | $13,357 – $43,691 · median $38,542 | 5 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,436 – $20,063 · median $17,698 | 5 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,436 – $11,597 · median $10,230 | 5 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,436 – $23,016 · median $20,303 | 5 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,436 – $14,126 · median $12,461 | 5 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,436 – $10,959 · median $9,667 | 5 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,436 – $22,600 · median $19,937 | 5 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,436 – $15,208 · median $13,415 | 5 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,436 – $11,073 · median $9,768 | 5 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,436 – $22,496 · median $19,845 | 5 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,436 – $14,295 · median $12,610 | 5 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,222 – $10,454 · median $9,436 | 5 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,436 – $26,826 · median $23,664 | 5 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,436 – $14,096 · median $12,434 | 5 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,797 – $10,201 · median $9,436 | 5 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,436 – $25,134 · median $22,172 | 5 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,436 – $15,769 · median $13,910 | 5 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,504 – $10,201 · median $9,436 | 5 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,436 – $26,879 · median $23,711 | 5 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,436 – $12,897 · median $11,377 | 5 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $9,436 – $92,080 · median $81,228 | 5 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $9,436 – $38,212 · median $33,709 | 5 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $13,357 – $71,715 · median $63,264 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,357 – $41,464 · median $36,577 | 5 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC | $13,357 – $21,498 · median $18,964 | 5 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,357 – $37,254 · median $32,863 | 5 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,357 – $24,115 · median $21,273 | 5 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $11,202 – $14,441 · median $12,699 | 5 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,523 – $38,188 · median $33,687 | 5 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $75,244 – $163,642 · median $85,297 | 5 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $59,091 – $122,872 · median $66,986 | 5 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $24,560 – $53,590 · median $27,841 | 5 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $9,307 – $53,590 · median $10,550 | 5 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,051 – $53,590 · median $7,993 | 5 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $34,308 – $45,472 · median $38,891 | 5 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $19,803 – $45,472 · median $22,449 | 5 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $12,296 – $45,472 · median $13,939 | 5 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,436 – $23,328 · median $20,578 | 5 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,847 – $10,201 · median $9,436 | 5 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,548 – $10,201 · median $6,289 | 5 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,874 – $23,031 · median $20,317 | 5 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,436 – $21,320 · median $18,807 | 5 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,436 – $13,190 · median $11,636 | 5 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,436 – $12,406 · median $10,944 | 5 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,436 – $30,662 · median $27,048 | 5 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,436 – $13,701 · median $12,087 | 5 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,575 – $10,201 · median $9,436 | 5 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $77,701 – $95,087 · median $87,955 | 5 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $55,174 – $71,241 · median $62,545 | 5 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $29,074 – $40,786 · median $32,958 | 5 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $13,357 – $34,571 · median $30,497 | 5 plans |
| 332 | RECTAL RESECTION WITH MCC | $13,357 – $49,387 · median $43,567 | 5 plans |
| 333 | RECTAL RESECTION WITH CC | $13,357 – $30,260 · median $26,694 | 5 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,357 – $23,615 · median $20,832 | 5 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $13,357 – $51,590 · median $45,510 | 5 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,357 – $38,364 · median $33,843 | 5 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,357 – $21,196 · median $18,698 | 5 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,357 – $17,731 · median $15,641 | 5 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,357 – $33,699 · median $29,727 | 5 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,357 – $34,437 · median $30,379 | 5 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,357 – $15,699 · median $13,849 | 5 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $13,357 – $41,760 · median $36,839 | 5 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $13,357 – $60,735 · median $53,577 | 5 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,357 – $32,064 · median $28,285 | 5 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $19,294 · median $17,020 | 5 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,436 – $27,398 · median $24,169 | 5 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,436 – $15,507 · median $13,679 | 5 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,411 – $10,669 · median $9,436 | 5 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,436 – $18,000 · median $15,878 | 5 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,436 – $23,578 · median $20,799 | 5 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,993 – $10,201 · median $9,061 | 5 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $13,357 – $77,294 · median $68,185 | 5 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $13,357 – $39,986 · median $35,274 | 5 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,357 – $30,410 · median $26,826 | 5 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $13,357 – $49,852 · median $43,976 | 5 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $13,357 – $29,850 · median $26,332 | 5 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $13,357 – $22,085 · median $19,482 | 5 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $13,357 – $38,961 · median $34,369 | 5 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,357 – $30,350 · median $26,773 | 5 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,357 – $23,671 · median $20,881 | 5 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,357 – $33,837 · median $29,849 | 5 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,357 – $23,612 · median $20,830 | 5 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,357 – $18,760 · median $16,549 | 5 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,357 – $23,316 · median $20,568 | 5 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,357 – $20,921 · median $18,456 | 5 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $13,357 – $57,912 · median $51,087 | 5 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,357 – $32,510 · median $28,678 | 5 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $22,009 · median $19,415 | 5 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,436 – $26,916 · median $23,743 | 5 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,436 – $23,983 · median $21,156 | 5 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $40,559 – $76,899 · median $67,837 | 5 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $37,034 – $43,848 · median $40,559 | 5 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $21,805 – $43,848 · median $24,719 | 5 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $13,357 – $63,853 · median $56,328 | 5 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,357 – $30,716 · median $27,096 | 5 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC | $13,357 – $16,560 · median $14,609 | 5 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,357 – $48,965 · median $43,194 | 5 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,357 – $33,297 · median $29,373 | 5 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,357 – $25,284 · median $22,304 | 5 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $32,333 – $41,874 · median $36,939 | 5 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $26,061 – $34,955 · median $29,542 | 5 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $19,925 – $34,955 · median $22,587 | 5 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $13,357 – $36,281 · median $32,005 | 5 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,505 – $45,836 · median $40,434 | 5 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,505 – $30,197 · median $26,639 | 5 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $19,847 – $22,499 · median $20,505 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,758 – $50,562 · median $44,603 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $22,758 – $26,844 · median $23,681 | 5 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC | $13,357 – $35,950 · median $31,713 | 5 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT | $13,357 – $16,528 · median $14,580 | 5 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $13,357 – $45,116 · median $39,799 | 5 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,357 – $21,344 · median $18,829 | 5 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,858 – $27,596 · median $24,344 | 5 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,210 – $23,630 · median $18,376 | 5 plans |
| 509 | ARTHROSCOPY | $13,357 – $25,012 · median $22,064 | 5 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,999 – $44,030 · median $38,841 | 5 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,847 – $20,406 · median $18,001 | 5 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,436 – $21,712 · median $19,153 | 5 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,436 – $11,590 · median $10,224 | 5 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,436 – $18,935 · median $16,704 | 5 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,436 – $11,546 · median $10,185 | 5 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,436 – $13,085 · median $11,543 | 5 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,434 – $10,201 · median $9,436 | 5 plans |
| 539 | OSTEOMYELITIS WITH MCC | $9,436 – $28,795 · median $25,401 | 5 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,436 – $18,425 · median $16,254 | 5 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,436 – $12,457 · median $10,989 | 5 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $9,436 – $28,684 · median $25,303 | 5 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,436 – $17,158 · median $15,136 | 5 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,436 – $12,275 · median $10,828 | 5 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,436 – $18,595 · median $16,403 | 5 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,436 – $11,883 · median $10,483 | 5 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,436 – $26,430 · median $23,315 | 5 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,436 – $16,213 · median $14,302 | 5 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,436 – $11,641 · median $10,269 | 5 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $9,436 – $20,837 · median $18,382 | 5 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $9,436 – $12,726 · median $11,226 | 5 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,436 – $22,342 · median $19,709 | 5 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,436 – $14,519 · median $12,807 | 5 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,396 – $10,652 · median $9,436 | 5 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $13,357 – $42,859 · median $37,808 | 5 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,357 – $23,839 · median $21,029 | 5 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $13,357 – $16,266 · median $14,349 | 5 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $13,357 – $87,680 · median $77,347 | 5 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,357 – $49,333 · median $43,519 | 5 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,357 – $28,429 · median $25,079 | 5 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $13,357 – $76,818 · median $67,765 | 5 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,357 – $46,407 · median $40,938 | 5 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,357 – $25,244 · median $22,269 | 5 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,357 – $20,491 · median $18,076 | 5 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,357 – $24,934 · median $21,995 | 5 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,357 – $29,151 · median $25,715 | 5 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,357 – $28,264 · median $24,933 | 5 plans |
| 592 | SKIN ULCERS WITH MCC | $9,436 – $29,278 · median $25,827 | 5 plans |
| 593 | SKIN ULCERS WITH CC | $9,436 – $17,409 · median $15,357 | 5 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,436 – $12,084 · median $10,660 | 5 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $9,436 – $30,115 · median $26,566 | 5 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,436 – $25,012 · median $22,064 | 5 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,436 – $15,361 · median $13,551 | 5 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,436 – $12,172 · median $10,738 | 5 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,436 – $13,620 · median $12,015 | 5 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,530 – $10,201 · median $8,536 | 5 plans |
| 602 | CELLULITIS WITH MCC | $9,436 – $20,919 · median $18,453 | 5 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,436 – $12,541 · median $11,063 | 5 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $18,660 – $24,884 · median $21,153 | 5 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,602 – $24,884 · median $13,152 | 5 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,436 – $22,928 · median $20,225 | 5 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,436 – $12,305 · median $10,854 | 5 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,357 – $32,448 · median $28,624 | 5 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,357 – $20,403 · median $17,999 | 5 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $13,357 – $55,030 · median $48,544 | 5 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $13,357 – $27,502 · median $24,261 | 5 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $13,357 – $17,728 · median $15,639 | 5 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $13,357 – $53,279 · median $47,000 | 5 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $13,357 – $27,235 · median $24,025 | 5 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $12,599 – $14,441 · median $13,357 | 5 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $13,357 – $40,822 · median $36,011 | 5 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,357 – $18,038 · median $15,912 | 5 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $13,357 – $56,179 · median $49,558 | 5 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,357 – $32,023 · median $28,249 | 5 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $19,952 · median $17,600 | 5 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | $9,436 – $11,126 · median $9,814 | 5 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,436 – $17,671 · median $15,588 | 5 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,436 – $23,597 · median $20,816 | 5 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $13,357 – $79,371 · median $70,017 | 5 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $13,357 – $40,181 · median $35,446 | 5 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,357 – $29,577 · median $26,091 | 5 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $13,357 – $46,387 · median $40,921 | 5 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,357 – $26,029 · median $22,961 | 5 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $17,446 – $21,414 · median $18,890 | 5 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $32,459 – $47,373 · median $36,795 | 5 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $13,357 – $44,417 · median $39,182 | 5 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,357 – $21,747 · median $19,184 | 5 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,357 – $15,374 · median $13,562 | 5 plans |
| 665 | PROSTATECTOMY WITH MCC | $13,357 – $48,888 · median $43,126 | 5 plans |
| 666 | PROSTATECTOMY WITH CC | $13,357 – $23,454 · median $20,690 | 5 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,909 – $14,634 · median $13,357 | 5 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $13,357 – $41,522 · median $36,629 | 5 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,357 – $24,542 · median $21,650 | 5 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,357 – $15,582 · median $13,746 | 5 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $13,357 – $59,652 · median $52,621 | 5 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,357 – $32,867 · median $28,994 | 5 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,357 – $22,287 · median $19,660 | 5 plans |
| 682 | RENAL FAILURE WITH MCC | $9,436 – $21,384 · median $18,864 | 5 plans |
| 683 | RENAL FAILURE WITH CC | $9,436 – $12,656 · median $11,165 | 5 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,629 – $10,201 · median $8,648 | 5 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,436 – $26,849 · median $23,684 | 5 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,436 – $14,988 · median $13,222 | 5 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,096 – $10,311 · median $9,436 | 5 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,436 – $11,427 · median $10,081 | 5 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,436 – $16,058 · median $14,165 | 5 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,689 – $10,201 · median $9,436 | 5 plans |
| 697 | URETHRAL STRICTURE | $9,436 – $14,264 · median $12,583 | 5 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,436 – $14,521 · median $12,810 | 5 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,719 – $10,201 · median $9,436 | 5 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $24,374 – $27,630 · median $25,090 | 5 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $18,620 – $25,152 · median $21,108 | 5 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,357 – $27,203 · median $23,997 | 5 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,357 – $15,229 · median $13,434 | 5 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,357 – $32,154 · median $28,364 | 5 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,357 – $20,208 · median $17,826 | 5 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,357 – $26,419 · median $23,305 | 5 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,357 – $17,540 · median $15,473 | 5 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $24,616 · median $21,715 | 5 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,436 – $15,988 · median $14,104 | 5 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,151 – $10,374 · median $9,436 | 5 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,436 – $17,977 · median $15,858 | 5 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,350 – $10,599 · median $9,436 | 5 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $20,921 · median $18,456 | 5 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,436 – $11,634 · median $10,263 | 5 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,436 – $15,675 · median $13,827 | 5 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,623 – $10,201 · median $8,641 | 5 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,357 – $29,940 · median $26,411 | 5 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,357 – $17,284 · median $15,247 | 5 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $13,357 – $56,064 · median $49,456 | 5 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,357 – $28,453 · median $25,100 | 5 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,357 – $21,598 · median $19,052 | 5 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,872 – $14,591 · median $13,357 | 5 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,357 – $23,843 · median $21,033 | 5 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $11,997 – $14,441 · median $13,357 | 5 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $13,357 – $36,857 · median $32,513 | 5 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $18,360 · median $16,196 | 5 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,436 – $25,761 · median $22,725 | 5 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,357 – $19,784 · median $17,452 | 5 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,962 – $10,201 · median $9,436 | 5 plans |
| 779 | ABORTION WITHOUT D&C | $9,436 – $13,310 · median $11,741 | 5 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $13,357 – $67,699 · median $59,720 | 5 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $13,357 – $41,487 · median $36,597 | 5 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,357 – $23,375 · median $20,620 | 5 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $13,357 – $51,040 · median $45,025 | 5 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,357 – $25,344 · median $22,357 | 5 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,357 – $15,742 · median $13,886 | 5 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $9,436 – $32,609 · median $28,766 | 5 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $9,436 – $17,634 · median $15,556 | 5 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $9,436 – $13,552 · median $11,955 | 5 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,436 – $13,140 · median $11,592 | 5 plans |
| 813 | COAGULATION DISORDERS | $9,436 – $22,040 · median $19,443 | 5 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,436 – $29,765 · median $26,257 | 5 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,436 – $14,467 · median $12,762 | 5 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,282 – $10,201 · median $9,389 | 5 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $13,357 – $82,898 · median $73,128 | 5 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,357 – $31,785 · median $28,039 | 5 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,357 – $16,284 · median $14,365 | 5 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $13,357 – $66,627 · median $58,775 | 5 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,357 – $31,315 · median $27,625 | 5 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,357 – $17,524 · median $15,459 | 5 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $13,357 – $67,994 · median $59,980 | 5 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $13,357 – $33,600 · median $29,640 | 5 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $13,357 – $22,822 · median $20,132 | 5 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $13,357 – $43,907 · median $38,733 | 5 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $13,357 – $20,823 · median $18,369 | 5 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $9,436 – $78,698 · median $69,423 | 5 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $9,436 – $30,411 · median $26,827 | 5 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,436 – $18,092 · median $15,960 | 5 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT | $9,436 – $71,293 · median $62,890 | 5 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE | $9,436 – $28,878 · median $25,474 | 5 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,436 – $19,512 · median $17,212 | 5 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $9,436 – $45,405 · median $40,054 | 5 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $9,436 – $26,957 · median $23,780 | 5 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $9,436 – $17,017 · median $15,012 | 5 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $9,436 – $11,914 · median $10,510 | 5 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $9,436 – $36,361 · median $32,076 | 5 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,436 – $18,092 · median $15,960 | 5 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,436 – $11,660 · median $10,285 | 5 plans |
| 849 | RADIOTHERAPY | $9,436 – $38,031 · median $33,549 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $13,357 – $131,159 · median $115,701 | 5 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,436 – $26,179 · median $23,094 | 5 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,436 – $14,237 · median $12,559 | 5 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,436 – $12,786 · median $11,279 | 5 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $9,436 – $30,531 · median $26,932 | 5 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,436 – $14,951 · median $13,189 | 5 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,038 – $10,246 · median $9,436 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $13,357 – $55,950 · median $49,356 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,436 – $13,649 · median $12,040 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $9,436 – $13,015 · median $11,481 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,436 – $13,697 · median $12,083 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,436 – $26,396 · median $23,285 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,436 – $23,780 · median $20,978 | 5 plans |
| 885 | PSYCHOSES | $9,436 – $20,070 · median $17,705 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,436 – $25,579 · median $22,564 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,436 – $16,935 · median $14,939 | 5 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,839 – $10,201 · median $8,886 | 5 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,436 – $20,615 · median $18,186 | 5 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,436 – $25,355 · median $22,367 | 5 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,436 – $12,561 · median $11,080 | 5 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $13,357 – $63,082 · median $55,647 | 5 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,357 – $27,018 · median $23,834 | 5 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,357 – $17,358 · median $15,312 | 5 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $13,357 – $54,974 · median $48,495 | 5 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,357 – $23,467 · median $20,701 | 5 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,357 – $31,074 · median $27,412 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $13,357 – $56,720 · median $50,035 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,357 – $28,720 · median $25,335 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,357 – $18,058 · median $15,930 | 5 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,436 – $23,041 · median $20,326 | 5 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,436 – $13,048 · median $11,510 | 5 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,436 – $24,744 · median $21,828 | 5 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,341 – $10,201 · median $9,436 | 5 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,436 – $23,346 · median $20,595 | 5 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,436 – $12,595 · median $11,111 | 5 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,436 – $25,964 · median $22,904 | 5 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,436 – $14,464 · median $12,760 | 5 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,638 – $10,201 · median $9,436 | 5 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,436 – $24,054 · median $21,219 | 5 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,436 – $14,521 · median $12,810 | 5 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $13,357 – $95,094 · median $83,887 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $13,357 – $45,191 · median $39,865 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,357 – $30,062 · median $26,519 | 5 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ | $13,357 – $27,825 · median $24,546 | 5 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,436 – $18,313 · median $16,155 | 5 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,436 – $11,312 · median $9,979 | 5 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,436 – $15,363 · median $13,552 | 5 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,361 – $10,201 · median $8,345 | 5 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,122 – $10,201 · median $8,073 | 5 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $76,827 – $97,221 · median $85,763 | 5 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $48,009 – $140,472 · median $54,423 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $93,750 – $111,564 · median $103,197 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $51,619 – $111,564 · median $58,515 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $33,207 – $111,564 · median $37,644 | 5 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $34,122 – $42,873 · median $38,680 | 5 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,841 – $42,873 · median $21,358 | 5 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,462 – $42,873 · median $12,994 | 5 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $13,357 – $90,045 · median $79,433 | 5 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,357 – $37,778 · median $33,325 | 5 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $9,436 – $42,518 · median $37,507 | 5 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,436 – $20,238 · median $17,853 | 5 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,436 – $14,281 · median $12,598 | 5 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,436 – $20,530 · median $18,110 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,357 – $67,686 · median $59,709 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,357 – $34,859 · median $30,751 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,357 – $23,752 · median $20,953 | 5 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,357 – $49,871 · median $43,994 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,357 – $24,432 · median $21,553 | 5 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,357 – $16,452 · median $14,513 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,274 – $35,832 · median $31,969 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,867 – $38,820 · median $34,245 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,867 – $22,738 · median $20,058 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $16,867 – $20,813 · median $18,360 | 4 plans |
| 693 | URINARY STONES WITH MCC | $8,052 – $20,936 · median $18,468 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,052 – $11,126 · median $9,814 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | — | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,804 – $5,286 · median $4,962 | 4 plans |
| 795 | NORMAL NEWBORN | $1,639 – $3,400 · median $2,676 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,727 – $10,642 · median $9,387 | 4 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $353,794 – $401,060 · median $353,794 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $138,407 – $156,898 · median $138,407 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $133,756 – $151,626 · median $133,756 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $60,906 – $69,043 · median $60,906 | 3 plans |
| 007 | LUNG TRANSPLANT | $164,144 – $186,074 · median $164,144 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $164,559 – $186,543 · median $164,559 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $75,811 – $85,939 · median $75,811 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $75,811 – $85,939 · median $75,811 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $473,673 – $536,955 · median $473,673 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,804 – $5,286 · median $4,804 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | — | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | — | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,804 – $5,286 · median $4,804 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | $369,906 – $399,898 · median $384,902 | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | — | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | — | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,357 – $14,441 · median $13,899 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $9,436 – $10,201 · median $9,819 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $9,436 – $10,201 · median $9,819 | 2 plans |
| 935 | NON-EXTENSIVE BURNS | $9,436 – $10,201 · median $9,819 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $275,595 – $275,595 · median $275,595 | 1 plans |
| 010 | PANCREAS TRANSPLANT | $275,595 – $275,595 · median $275,595 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $275,595 – $275,595 · median $275,595 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $196,853 – $196,853 · median $196,853 | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $196,853 – $196,853 · median $196,853 | 1 plans |
| 652 | KIDNEY TRANSPLANT | $196,853 – $196,853 · median $196,853 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $2,375 – $2,375 · median $2,375 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $2,375 – $2,375 · median $2,375 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $2,375 – $2,375 · median $2,375 | 1 plans |
No procedures match that keyword.