Liberty Hospital — Pricing
815 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 815 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 815 procedures
Procedures with negotiated rates only
These 815 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 |
|---|---|---|---|
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $33,555 – $96,570 · median $49,642 | 28 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $25,519 – $73,444 · median $37,754 | 28 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $16,479 – $47,427 · median $24,380 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $234,521 – $674,946 · median $346,958 | 28 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,297 – $141,875 · median $72,931 | 28 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,129 – $144,270 · median $74,162 | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,372 – $98,922 · median $50,851 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,954 – $63,184 · median $32,480 | 28 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,641 – $68,039 · median $34,976 | 28 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,811 – $80,041 · median $41,145 | 28 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,020 – $54,740 · median $28,139 | 28 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,346 – $44,166 · median $22,704 | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,806 – $108,805 · median $55,931 | 28 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,874 – $60,075 · median $30,882 | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,839 – $39,828 · median $20,474 | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,060 – $74,999 · median $38,554 | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,280 – $38,221 · median $19,648 | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,922 – $28,555 · median $14,679 | 28 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,457 – $67,509 · median $34,703 | 28 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,043 – $40,415 · median $20,775 | 28 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,930 – $31,456 · median $16,170 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,515 – $36,018 · median $18,515 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,730 – $16,490 · median $8,477 | 28 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,322 – $26,829 · median $13,792 | 28 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,785 – $19,526 · median $10,037 | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,572 – $44,816 · median $23,038 | 28 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,298 – $23,882 · median $12,276 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,479 – $33,036 · median $16,982 | 28 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,609 – $21,899 · median $11,257 | 28 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,549 – $15,971 · median $8,210 | 28 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,811 – $48,383 · median $24,871 | 28 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,075 – $31,873 · median $16,384 | 28 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,736 – $25,142 · median $12,924 | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,370 – $35,601 · median $18,301 | 28 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,324 – $18,199 · median $9,355 | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,280 – $12,319 · median $6,332 | 28 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,047 – $26,038 · median $13,385 | 28 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,482 – $15,776 · median $8,110 | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,976 – $14,319 · median $7,361 | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,813 – $31,119 · median $15,997 | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,554 – $18,862 · median $9,696 | 28 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,665 – $13,426 · median $6,902 | 28 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,611 – $27,662 · median $14,220 | 28 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,482 – $18,656 · median $9,590 | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,711 – $30,826 · median $15,846 | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,702 – $16,410 · median $8,435 | 28 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,616 – $27,674 · median $14,226 | 28 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,206 – $17,859 · median $9,181 | 28 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,146 – $11,932 · median $6,134 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,361 – $35,576 · median $18,288 | 28 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,627 – $16,193 · median $8,324 | 28 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,428 – $41,525 · median $21,346 | 28 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,646 – $24,884 · median $12,792 | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,946 – $17,111 · median $8,796 | 28 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,091 – $40,555 · median $20,847 | 28 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,156 – $23,474 · median $12,067 | 28 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,497 – $15,821 · median $8,133 | 28 plans |
| 088 | CONCUSSION WITH MCC | $8,773 – $25,247 · median $12,978 | 28 plans |
| 089 | CONCUSSION WITH CC | $6,667 – $19,187 · median $9,863 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,331 – $15,343 · median $7,887 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,336 – $32,624 · median $16,771 | 28 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,584 – $18,948 · median $9,740 | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,908 – $14,126 · median $7,262 | 28 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,690 – $65,301 · median $33,568 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,907 – $42,903 · median $22,054 | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,907 – $42,903 · median $22,054 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,291 – $64,154 · median $32,978 | 28 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,490 – $38,824 · median $19,958 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,664 – $24,936 · median $12,818 | 28 plans |
| 100 | SEIZURES WITH MCC | $12,346 – $35,531 · median $18,265 | 28 plans |
| 101 | SEIZURES WITHOUT MCC | $5,732 – $16,496 · median $8,480 | 28 plans |
| 102 | HEADACHES WITH MCC | $7,210 – $20,752 · median $10,667 | 28 plans |
| 103 | HEADACHES WITHOUT MCC | $5,287 – $15,216 · median $7,822 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,033 – $40,386 · median $20,761 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,351 – $21,156 · median $10,875 | 28 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,521 – $27,400 · median $14,085 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,376 – $29,863 · median $15,351 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,707 – $19,304 · median $9,923 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,233 – $20,818 · median $10,701 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,218 – $12,140 · median $6,240 | 28 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,995 – $14,375 · median $7,389 | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,108 – $23,336 · median $11,996 | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,135 – $14,778 · median $7,596 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,994 – $43,151 · median $22,182 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,083 – $17,507 · median $8,999 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,697 – $25,031 · median $12,867 | 28 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,059 – $14,559 · median $7,484 | 28 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,538 – $24,573 · median $12,632 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,300 – $75,690 · median $38,909 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,361 – $38,452 · median $19,766 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,778 – $28,141 · median $14,466 | 28 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,533 – $59,094 · median $30,377 | 28 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,924 – $31,440 · median $16,162 | 28 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,368 – $21,204 · median $10,900 | 28 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $14,266 – $41,058 · median $21,106 | 28 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $7,741 – $22,278 · median $11,452 | 28 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,979 – $14,330 · median $7,366 | 28 plans |
| 149 | DYSEQUILIBRIUM | $4,648 – $13,378 · median $6,877 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $8,595 – $24,737 · median $12,716 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,714 – $13,566 · median $6,974 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,057 – $20,310 · median $10,440 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,426 – $12,737 · median $6,548 | 28 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $10,113 – $29,106 · median $14,962 | 28 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $5,806 – $16,709 · median $8,589 | 28 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,181 – $12,034 · median $6,186 | 28 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,183 – $29,306 · median $15,065 | 28 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,849 – $16,834 · median $8,654 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,102 – $11,805 · median $6,068 | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,082 – $54,919 · median $28,231 | 28 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,763 – $25,219 · median $12,964 | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,065 – $14,577 · median $7,493 | 28 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,052 – $28,931 · median $14,872 | 28 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,169 – $17,756 · median $9,127 | 28 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,786 – $13,775 · median $7,081 | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,869 – $31,280 · median $16,080 | 28 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,905 – $19,871 · median $10,215 | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,208 – $14,989 · median $7,705 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,871 – $28,408 · median $14,603 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,642 – $19,116 · median $9,827 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,836 – $13,919 · median $7,155 | 28 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,825 – $28,277 · median $14,536 | 28 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,243 – $17,969 · median $9,237 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,566 – $13,140 · median $6,755 | 28 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,695 – $22,146 · median $11,384 | 28 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,984 – $20,098 · median $10,332 | 28 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,342 – $15,375 · median $7,904 | 28 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,025 – $11,583 · median $5,954 | 28 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,194 – $23,583 · median $12,123 | 28 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,099 – $14,676 · median $7,544 | 28 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,872 – $11,144 · median $5,729 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,716 – $33,720 · median $17,334 | 28 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,156 – $17,718 · median $9,108 | 28 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,356 – $12,535 · median $6,444 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,978 – $31,594 · median $16,241 | 28 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,887 – $19,821 · median $10,189 | 28 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,211 – $12,118 · median $6,229 | 28 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,012 – $17,301 · median $8,894 | 28 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,332 – $12,467 · median $6,409 | 28 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,043 – $14,514 · median $7,461 | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,739 – $33,786 · median $17,368 | 28 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,633 – $16,211 · median $8,333 | 28 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,217 – $115,743 · median $59,498 | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,690 – $48,032 · median $24,691 | 28 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $67,745 – $194,968 · median $100,224 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $65,885 – $189,615 · median $97,472 | 28 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,323 – $90,145 · median $46,339 | 28 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,110 – $52,120 · median $26,792 | 28 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,389 – $27,023 · median $13,891 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,271 – $46,828 · median $24,072 | 28 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,532 – $30,312 · median $15,582 | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,546 – $15,962 · median $8,205 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,679 – $48,002 · median $24,675 | 28 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,735 – $62,552 · median $32,155 | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $37,254 – $107,217 · median $55,115 | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $29,257 – $84,200 · median $43,283 | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,947 – $126,478 · median $65,016 | 28 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $38,521 – $110,861 · median $56,988 | 28 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $28,928 – $83,255 · median $42,797 | 28 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,114 – $89,544 · median $46,030 | 28 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $19,927 – $57,349 · median $29,480 | 28 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $10,207 – $29,376 · median $15,101 | 28 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $5,732 – $16,497 · median $8,481 | 28 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $4,509 – $12,977 · median $6,671 | 28 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $12,160 – $34,996 · median $17,990 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $4,608 – $13,262 · median $6,817 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $3,491 – $10,047 · median $5,165 | 28 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,986 – $48,886 · median $25,130 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,805 – $28,218 · median $14,506 | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,088 – $17,521 · median $9,007 | 28 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,114 – $23,352 · median $12,004 | 28 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,355 – $15,413 · median $7,923 | 28 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,412 – $9,820 · median $5,048 | 28 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,636 – $21,978 · median $11,298 | 28 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,911 – $14,135 · median $7,266 | 28 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $10,189 – $29,322 · median $15,073 | 28 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,380 – $12,607 · median $6,480 | 28 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $2,747 – $7,905 · median $4,064 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,059 – $28,950 · median $14,882 | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,658 – $19,161 · median $9,850 | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,436 – $12,768 · median $6,563 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,234 – $20,820 · median $10,702 | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,181 – $12,034 · median $6,186 | 28 plans |
| 304 | HYPERTENSION WITH MCC | $7,306 – $21,025 · median $10,808 | 28 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,668 – $13,435 · median $6,906 | 28 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,312 – $26,799 · median $13,776 | 28 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,761 – $16,580 · median $8,523 | 28 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,499 – $21,582 · median $11,094 | 28 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,597 – $13,231 · median $6,802 | 28 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,479 – $10,013 · median $5,147 | 28 plans |
| 311 | ANGINA PECTORIS | $4,342 – $12,497 · median $6,424 | 28 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,418 – $15,594 · median $8,016 | 28 plans |
| 313 | CHEST PAIN | $4,436 – $12,768 · median $6,563 | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,392 – $38,541 · median $19,812 | 28 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,984 – $17,222 · median $8,853 | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,245 – $12,218 · median $6,281 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,317 – $78,618 · median $40,414 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,395 – $41,428 · median $21,296 | 28 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,703 – $50,949 · median $26,191 | 28 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,251 – $32,379 · median $16,645 | 28 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,488 – $76,230 · median $39,186 | 28 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,869 – $57,183 · median $29,395 | 28 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,798 – $51,223 · median $26,331 | 28 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,584 – $90,899 · median $46,727 | 28 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,099 – $43,456 · median $22,339 | 28 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,909 – $28,519 · median $14,660 | 28 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,555 – $82,181 · median $42,245 | 28 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,699 – $42,303 · median $21,746 | 28 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,267 – $29,548 · median $15,189 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,570 – $62,079 · median $31,912 | 28 plans |
| 333 | RECTAL RESECTION WITH CC | $13,216 – $38,036 · median $19,553 | 28 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,314 – $29,684 · median $15,259 | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,533 – $64,848 · median $33,335 | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,136 – $37,804 · median $19,433 | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,546 – $27,474 · median $14,123 | 28 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,756 – $48,223 · median $24,789 | 28 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,258 – $26,643 · median $13,696 | 28 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,744 – $22,287 · median $11,457 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,718 – $42,359 · median $21,775 | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,829 – $22,531 · median $11,582 | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,478 – $15,765 · median $8,104 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,041 – $43,287 · median $22,252 | 28 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,356 – $26,926 · median $13,841 | 28 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,857 – $19,733 · median $10,144 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,239 – $52,492 · median $26,984 | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,578 – $30,445 · median $15,650 | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,291 – $23,860 · median $12,265 | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,527 – $76,343 · median $39,244 | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,004 – $40,304 · median $20,718 | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,427 – $24,252 · median $12,467 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,385 – $29,888 · median $15,364 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,328 – $18,212 · median $9,362 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,341 – $12,492 · median $6,422 | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,870 – $31,284 · median $16,082 | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,401 – $18,421 · median $9,470 | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,511 – $12,982 · median $6,674 | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,130 – $37,788 · median $19,425 | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,641 – $21,990 · median $11,304 | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,491 – $15,803 · median $8,124 | 28 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,307 – $32,540 · median $16,727 | 28 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,131 – $17,645 · median $9,070 | 28 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,959 – $11,395 · median $5,858 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,966 – $34,439 · median $17,704 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,773 – $19,492 · median $10,020 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,660 – $13,410 · median $6,894 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,862 – $22,625 · median $11,631 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,408 – $15,563 · median $8,000 | 28 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,104 – $29,079 · median $14,948 | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,172 – $17,763 · median $9,131 | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,168 – $11,996 · median $6,167 | 28 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,141 – $26,307 · median $13,523 | 28 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,985 – $14,346 · median $7,375 | 28 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,403 – $9,793 · median $5,034 | 28 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,988 – $22,989 · median $11,817 | 28 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,852 – $13,965 · median $7,179 | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,298 – $29,637 · median $15,235 | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,854 – $16,846 · median $8,660 | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,958 – $11,390 · median $5,855 | 28 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,408 – $44,345 · median $22,796 | 28 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,410 – $27,082 · median $13,921 | 28 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,988 – $20,113 · median $10,339 | 28 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $33,759 – $97,157 · median $49,944 | 28 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $17,464 – $50,262 · median $25,837 | 28 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,282 – $38,224 · median $19,649 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,773 – $62,663 · median $32,212 | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,037 – $37,521 · median $19,288 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,646 – $27,760 · median $14,270 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,017 – $48,973 · median $25,175 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,256 – $38,149 · median $19,611 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,338 – $29,754 · median $15,295 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,789 – $62,708 · median $32,235 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,301 – $35,402 · median $18,199 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,521 – $24,522 · median $12,606 | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,779 – $42,532 · median $21,864 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,949 – $63,167 · median $32,471 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,184 – $29,308 · median $15,066 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,138 – $26,298 · median $13,518 | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,294 – $72,794 · median $37,420 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,199 – $40,864 · median $21,006 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,613 – $27,665 · median $14,221 | 28 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,183 – $35,062 · median $18,024 | 28 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,653 – $19,146 · median $9,842 | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,331 – $12,465 · median $6,408 | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,346 – $32,655 · median $16,786 | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,013 – $20,182 · median $10,375 | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,883 – $14,053 · median $7,224 | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,346 – $29,775 · median $15,306 | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,349 – $15,395 · median $7,914 | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,825 – $11,008 · median $5,659 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,756 – $33,832 · median $17,392 | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,008 – $17,292 · median $8,889 | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,370 – $12,576 · median $6,465 | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,475 – $30,146 · median $15,496 | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,744 – $19,409 · median $9,977 | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,958 – $14,269 · median $7,335 | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $52,667 – $151,573 · median $59,284 | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $35,691 – $102,718 · median $55,274 | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,852 – $77,279 · median $54,076 | 28 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $38,162 – $109,829 · median $56,458 | 28 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $17,809 – $51,253 · median $26,347 | 28 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,587 – $96,662 · median $49,689 | 28 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,336 – $52,771 · median $27,127 | 28 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,796 – $31,071 · median $15,972 | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,206 – $86,931 · median $44,687 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,889 – $80,263 · median $41,259 | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,415 – $38,609 · median $19,847 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,233 – $20,816 · median $10,701 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,386 – $61,548 · median $31,639 | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,543 – $41,854 · median $21,515 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,043 – $31,781 · median $16,337 | 28 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $15,846 – $45,605 · median $23,443 | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,020 – $57,616 · median $29,618 | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,189 – $37,958 · median $19,512 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,827 – $28,281 · median $14,538 | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,222 – $35,175 · median $18,082 | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,701 – $22,164 · median $11,393 | 28 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,269 – $35,311 · median $18,152 | 28 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,349 – $24,029 · median $12,352 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,701 – $45,188 · median $23,229 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,219 – $20,775 · median $10,679 | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,705 – $56,710 · median $29,152 | 28 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,098 – $31,941 · median $16,419 | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,689 – $25,006 · median $12,854 | 28 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,458 – $47,366 · median $24,349 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,914 – $31,409 · median $16,146 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,914 – $31,409 · median $16,146 | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,322 – $26,829 · median $13,792 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,053 – $34,688 · median $17,831 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,026 – $23,098 · median $11,874 | 28 plans |
| 509 | ARTHROSCOPY | $10,924 – $31,440 · median $16,162 | 28 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $17,773 – $51,151 · median $26,295 | 28 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $12,196 – $35,100 · median $18,043 | 28 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $9,998 – $28,775 · median $14,792 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,363 – $26,946 · median $13,852 | 28 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,340 – $18,248 · median $9,380 | 28 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,230 – $55,345 · median $28,450 | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,510 – $36,003 · median $18,508 | 28 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,283 – $26,715 · median $13,733 | 28 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,287 – $64,143 · median $32,973 | 28 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,262 – $35,291 · median $18,141 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,913 – $25,650 · median $13,185 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,483 – $27,291 · median $14,029 | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,062 – $14,568 · median $7,489 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,270 – $23,801 · median $12,235 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,043 – $14,513 · median $7,460 | 28 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $5,715 – $16,447 · median $8,455 | 28 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $4,176 – $12,018 · median $6,178 | 28 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,577 – $36,195 · median $18,606 | 28 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,048 – $23,161 · median $11,906 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,441 – $15,658 · median $8,049 | 28 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,598 – $33,380 · median $17,159 | 28 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,597 – $18,987 · median $9,760 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,699 – $13,525 · median $6,952 | 28 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,714 – $45,224 · median $23,247 | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,199 – $20,719 · median $10,651 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,640 – $13,355 · median $6,865 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,528 – $36,055 · median $18,534 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,494 – $21,568 · median $11,087 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,361 – $15,429 · median $7,931 | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,611 – $30,539 · median $15,699 | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,993 – $17,249 · median $8,867 | 28 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,122 – $23,373 · median $12,015 | 28 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,190 – $14,937 · median $7,678 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,374 – $24,100 · median $12,389 | 28 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,077 – $14,613 · median $7,512 | 28 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $9,637 – $27,735 · median $14,257 | 28 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $5,372 – $15,459 · median $7,947 | 28 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,544 – $33,222 · median $17,078 | 28 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,081 – $20,379 · median $10,476 | 28 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,084 – $14,633 · median $7,522 | 28 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $9,101 – $26,192 · median $13,464 | 28 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $5,558 – $15,996 · median $8,223 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,758 – $28,084 · median $14,437 | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,341 – $18,250 · median $9,381 | 28 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,652 – $13,389 · median $6,883 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,719 – $53,874 · median $27,694 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,412 – $29,965 · median $15,404 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,104 – $20,446 · median $10,510 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,295 – $110,213 · median $56,655 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,547 – $62,011 · median $31,877 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,417 – $35,735 · median $18,370 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,551 – $96,560 · median $49,637 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,559 – $47,656 · median $24,498 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,512 – $30,253 · median $15,552 | 28 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,269 – $58,333 · median $29,986 | 28 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,026 – $31,731 · median $16,312 | 28 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,950 – $25,757 · median $13,241 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,890 – $31,341 · median $16,111 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,215 – $29,399 · median $15,113 | 28 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,732 – $36,642 · median $18,836 | 28 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,345 – $35,527 · median $18,263 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $12,787 – $36,802 · median $18,918 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $7,603 – $21,883 · median $11,249 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,278 – $15,189 · median $7,808 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,153 – $37,854 · median $19,459 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,723 – $19,348 · median $9,946 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,924 – $31,440 · median $16,162 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,709 – $19,309 · median $9,926 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,316 – $15,300 · median $7,865 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,949 – $17,120 · median $8,801 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,728 – $10,729 · median $5,515 | 28 plans |
| 602 | CELLULITIS WITH MCC | $9,136 – $26,294 · median $13,517 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,477 – $15,764 · median $8,103 | 28 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,239 – $26,590 · median $13,668 | 28 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,744 – $16,531 · median $8,498 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,014 – $28,820 · median $14,815 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,374 – $15,467 · median $7,951 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,172 – $40,787 · median $20,967 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,911 – $25,646 · median $13,184 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,035 – $69,172 · median $35,558 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,012 – $34,570 · median $17,771 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,743 – $22,284 · median $11,455 | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,955 – $48,796 · median $25,084 | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,931 – $28,582 · median $14,692 | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,090 – $26,162 · median $13,449 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,270 – $66,971 · median $34,426 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,895 – $34,233 · median $17,598 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,238 – $17,952 · median $9,229 | 28 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,829 – $51,312 · median $26,377 | 28 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,386 – $27,012 · median $13,886 | 28 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,878 – $22,674 · median $11,655 | 28 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,537 – $70,616 · median $36,300 | 28 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,986 – $40,252 · median $20,692 | 28 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,714 – $25,079 · median $12,892 | 28 plans |
| 637 | DIABETES WITH MCC | $9,056 – $26,063 · median $13,398 | 28 plans |
| 638 | DIABETES WITH CC | $5,704 – $16,415 · median $8,438 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,897 – $11,214 · median $5,765 | 28 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $8,258 – $23,767 · median $12,218 | 28 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,859 – $13,985 · median $7,189 | 28 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,718 – $22,212 · median $11,418 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,306 – $29,661 · median $15,247 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,426 – $18,495 · median $9,507 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,842 – $13,936 · median $7,164 | 28 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,651 – $82,457 · median $42,387 | 28 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,594 – $62,147 · median $31,947 | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,666 – $99,769 · median $51,286 | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,550 – $50,507 · median $25,963 | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,918 – $37,177 · median $19,111 | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,260 – $58,308 · median $29,974 | 28 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,368 – $32,718 · median $16,819 | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,353 – $26,917 · median $13,837 | 28 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,071 – $46,251 · median $23,776 | 28 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,333 – $23,982 · median $12,328 | 28 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,384 – $18,373 · median $9,445 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,400 – $55,831 · median $28,700 | 28 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,498 – $27,336 · median $14,052 | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,715 – $19,325 · median $9,934 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,352 – $61,451 · median $31,589 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $10,244 – $29,482 · median $15,155 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,391 – $18,395 · median $9,456 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,135 – $52,193 · median $26,830 | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,623 – $27,696 · median $14,237 | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,943 – $17,104 · median $8,792 | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,719 – $30,849 · median $15,858 | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,806 – $19,586 · median $10,068 | 28 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,053 – $74,981 · median $38,544 | 28 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,355 – $41,313 · median $21,237 | 28 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,734 – $28,014 · median $14,401 | 28 plans |
| 682 | RENAL FAILURE WITH MCC | $9,340 – $26,880 · median $13,817 | 28 plans |
| 683 | RENAL FAILURE WITH CC | $5,528 – $15,909 · median $8,178 | 28 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,777 – $10,871 · median $5,588 | 28 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,726 – $33,748 · median $17,348 | 28 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,546 – $18,840 · median $9,685 | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,504 – $12,961 · median $6,663 | 28 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,278 – $20,945 · median $10,767 | 28 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,991 – $14,364 · median $7,384 | 28 plans |
| 693 | URINARY STONES WITH MCC | $9,144 – $26,316 · median $13,528 | 28 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,859 – $13,985 · median $7,189 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,013 – $20,184 · median $10,376 | 28 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,302 – $12,381 · median $6,365 | 28 plans |
| 697 | URETHRAL STRICTURE | $6,230 – $17,929 · median $9,217 | 28 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,453 – $30,083 · median $15,464 | 28 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,342 – $18,253 · median $9,383 | 28 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,317 – $12,424 · median $6,387 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,068 – $34,731 · median $17,854 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,219 – $26,532 · median $13,639 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,974 – $40,216 · median $20,673 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,337 – $26,871 · median $13,813 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,881 – $34,194 · median $17,578 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,651 – $19,143 · median $9,840 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,992 – $25,879 · median $13,303 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,844 – $16,818 · median $8,645 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,043 – $40,417 · median $20,776 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,826 – $25,401 · median $13,058 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,539 – $33,208 · median $17,071 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,661 – $22,047 · median $11,333 | 28 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $10,751 – $30,942 · median $15,906 | 28 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $6,983 – $20,097 · median $10,331 | 28 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,531 – $13,040 · median $6,703 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,852 – $22,597 · median $11,616 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,629 – $13,323 · median $6,848 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,138 – $26,298 · median $13,518 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,081 – $14,624 · median $7,517 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,846 – $19,703 · median $10,128 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,774 – $10,862 · median $5,583 | 28 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,076 – $37,634 · median $19,346 | 28 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,549 – $21,725 · median $11,168 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,486 – $70,471 · median $36,226 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,427 – $35,765 · median $18,385 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,433 – $27,148 · median $13,955 | 28 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $24,756 – $71,246 · median $36,624 | 28 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $11,307 – $32,542 · median $16,728 | 28 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $8,542 – $24,583 · median $12,637 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,360 – $32,692 · median $16,806 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,454 – $21,453 · median $11,028 | 28 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,151 – $34,971 · median $17,977 | 28 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,373 – $18,341 · median $9,428 | 28 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,414 – $29,970 · median $15,406 | 28 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,940 – $17,095 · median $8,788 | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,472 – $24,381 · median $12,533 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,097 – $46,328 · median $23,815 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,019 – $23,078 · median $11,863 | 28 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,251 – $32,381 · median $16,646 | 28 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,903 – $19,867 · median $10,213 | 28 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,939 – $17,092 · median $8,786 | 28 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,801 – $25,330 · median $13,021 | 28 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,339 – $18,242 · median $9,378 | 28 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,980 – $11,454 · median $5,888 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,129 – $17,639 · median $9,068 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,942 – $11,345 · median $5,832 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,641 – $24,868 · median $12,783 | 28 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,691 – $19,257 · median $9,899 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,437 – $12,770 · median $6,564 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $5,813 – $16,730 · median $8,600 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,568 – $85,097 · median $43,744 | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,120 – $52,148 · median $26,807 | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,209 – $29,382 · median $15,104 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,292 – $64,157 · median $32,980 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,069 – $31,857 · median $16,376 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,875 – $19,787 · median $10,172 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,242 – $40,990 · median $21,071 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,702 – $22,165 · median $11,394 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,919 – $17,034 · median $8,757 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,749 – $25,179 · median $12,943 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,739 – $16,517 · median $8,491 | 28 plans |
| 813 | COAGULATION DISORDERS | $9,626 – $27,705 · median $14,242 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,000 – $37,414 · median $19,233 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,319 – $18,185 · median $9,348 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,101 – $11,801 · median $6,066 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,765 – $45,371 · median $23,323 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,010 – $23,051 · median $11,850 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,077 – $14,613 · median $7,512 | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,207 – $104,202 · median $53,565 | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,882 – $39,953 · median $20,538 | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,112 – $20,469 · median $10,522 | 28 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,100 – $83,749 · median $43,051 | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,677 – $39,363 · median $20,234 | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,654 – $22,028 · median $11,323 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,697 – $85,467 · median $43,935 | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,675 – $42,235 · median $21,711 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,968 – $28,687 · median $14,747 | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,177 – $55,191 · median $28,371 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,095 – $26,174 · median $13,455 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,158 – $20,599 · median $10,589 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,648 – $13,376 · median $6,876 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,232 – $9,303 · median $4,782 | 28 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $34,372 – $98,922 · median $50,851 | 28 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,282 – $38,226 · median $19,650 | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,902 – $22,742 · median $11,690 | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,138 – $89,614 · median $46,066 | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,613 – $36,299 · median $18,659 | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,522 – $24,526 · median $12,608 | 28 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,831 – $57,074 · median $29,339 | 28 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,751 – $28,063 · median $14,426 | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,541 – $18,826 · median $9,677 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,774 – $33,884 · median $17,418 | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,432 – $21,390 · median $10,996 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,204 – $14,976 · median $7,699 | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,881 – $45,705 · median $23,495 | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,902 – $22,742 · median $11,690 | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,092 – $14,656 · median $7,534 | 28 plans |
| 849 | RADIOTHERAPY | $16,611 – $47,805 · median $24,574 | 28 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,101 – $89,508 · median $46,012 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,425 – $35,760 · median $18,383 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,109 – $29,093 · median $14,956 | 28 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,056 – $80,744 · median $41,507 | 28 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,550 – $38,996 · median $20,046 | 28 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,012 – $23,058 · median $11,853 | 28 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,434 – $32,907 · median $16,916 | 28 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,218 – $17,895 · median $9,199 | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,584 – $16,072 · median $8,262 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,178 – $26,414 · median $13,578 | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,502 – $15,835 · median $8,140 | 28 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,335 – $38,377 · median $19,728 | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,530 – $18,794 · median $9,661 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,475 – $12,879 · median $6,620 | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,260 – $124,500 · median $64,000 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,202 – $35,116 · median $18,051 | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,411 – $18,452 · median $9,485 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,552 – $79,293 · median $40,761 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,800 – $33,961 · median $17,458 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,581 – $21,818 · median $11,216 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,011 – $69,102 · median $35,522 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,250 – $29,498 · median $15,163 | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,572 – $39,060 · median $20,079 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,773 – $71,296 · median $36,650 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,544 – $36,100 · median $18,557 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,887 – $22,699 · median $11,668 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,064 – $28,963 · median $14,888 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,699 – $16,401 · median $8,431 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,807 – $31,103 · median $15,989 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,130 – $11,885 · median $6,110 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,197 – $29,346 · median $15,085 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,501 – $15,832 · median $8,138 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,340 – $32,637 · median $16,777 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,317 – $18,182 · median $9,346 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,277 – $12,308 · median $6,327 | 28 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,506 – $30,235 · median $15,542 | 28 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,342 – $18,253 · median $9,383 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,738 – $56,805 · median $29,201 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,130 – $37,788 · median $19,425 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,153 – $34,976 · median $17,980 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,998 – $23,019 · median $11,833 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,941 – $14,219 · median $7,309 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,710 – $19,311 · median $9,927 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,645 – $10,489 · median $5,392 | 28 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,526 – $10,148 · median $5,216 | 28 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,463 – $122,206 · median $62,820 | 28 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,770 – $68,409 · median $35,166 | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $46,417 – $133,587 · median $68,671 | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,557 – $73,553 · median $37,810 | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,441 – $47,318 · median $24,324 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,894 – $48,621 · median $24,994 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,329 – $26,847 · median $13,801 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,675 – $16,333 · median $8,396 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,328 – $113,186 · median $58,184 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,500 – $47,486 · median $24,410 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,570 – $53,444 · median $27,473 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,839 – $25,439 · median $13,077 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,237 – $17,951 · median $9,228 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,967 – $25,806 · median $13,265 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,563 – $85,081 · median $43,736 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,225 – $43,817 · median $22,524 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,374 – $29,856 · median $15,347 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,782 – $62,688 · median $32,225 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,671 – $30,711 · median $15,787 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,186 – $20,680 · median $10,631 | 28 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $175,168 – $504,128 · median $259,148 | 27 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $68,527 – $197,220 · median $101,381 | 27 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $133,275 – $383,561 · median $197,171 | 27 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $87,869 – $252,885 · median $129,996 | 27 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $66,224 – $190,592 · median $97,974 | 27 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,155 – $86,786 · median $44,613 | 27 plans |
| 007 | LUNG TRANSPLANT | $81,270 – $233,892 · median $120,233 | 27 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $33,836 – $97,379 · median $50,058 | 27 plans |
| 010 | PANCREAS TRANSPLANT | $49,581 – $142,693 · median $73,352 | 27 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $81,475 – $234,483 · median $120,537 | 27 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,535 – $108,025 · median $55,530 | 27 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,535 – $108,025 · median $55,530 | 27 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,478 – $102,104 · median $52,487 | 27 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,182 – $69,596 · median $35,776 | 27 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,146 – $40,712 · median $20,928 | 27 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,399 – $32,807 · median $16,865 | 27 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,651 – $59,434 · median $30,552 | 27 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,020 – $28,837 · median $14,824 | 27 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,078 – $20,370 · median $10,471 | 27 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,663 – $82,491 · median $42,405 | 27 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,652 – $45,047 · median $23,156 | 27 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,591 – $33,360 · median $17,149 | 27 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,944 – $68,909 · median $35,423 | 27 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,363 – $32,701 · median $16,810 | 27 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,419 – $24,231 · median $12,456 | 27 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $60,016 – $172,726 · median $88,790 | 27 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,159 – $115,577 · median $59,413 | 27 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,996 – $106,475 · median $54,734 | 27 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,989 – $89,186 · median $45,846 | 27 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,317 – $55,593 · median $28,578 | 27 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,389 – $87,459 · median $44,959 | 27 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,381 – $41,389 · median $21,276 | 27 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,717 – $27,966 · median $14,376 | 27 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,332 – $61,394 · median $31,560 | 27 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,876 – $45,691 · median $23,488 | 27 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,879 – $31,309 · median $16,094 | 27 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,446 – $50,210 · median $25,811 | 27 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,930 – $31,458 · median $16,171 | 27 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,182 – $60,961 · median $31,337 | 27 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,800 – $33,961 · median $17,458 | 27 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,439 – $27,164 · median $13,964 | 27 plans |
| 265 | AICD LEAD PROCEDURES | $22,183 – $63,842 · median $32,818 | 27 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $41,463 – $119,330 · median $61,342 | 27 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,874 – $74,464 · median $38,278 | 27 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $31,920 – $91,865 · median $47,224 | 27 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,419 – $61,644 · median $31,688 | 27 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,560 – $44,782 · median $23,020 | 27 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $24,317 – $69,983 · median $35,975 | 27 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $19,408 – $55,857 · median $28,713 | 27 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $13,764 – $39,611 · median $20,362 | 27 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,776 – $19,502 · median $10,025 | 27 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,313 – $29,680 · median $15,257 | 27 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,194 – $23,581 · median $12,122 | 27 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,681 – $91,178 · median $46,870 | 27 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,300 – $61,301 · median $31,512 | 27 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,313 – $46,949 · median $24,134 | 27 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $20,327 – $58,500 · median $30,072 | 27 plans |
| 470 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $11,725 – $33,745 · median $17,347 | 27 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,017 – $51,851 · median $26,654 | 27 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,722 – $42,369 · median $21,780 | 27 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,289 – $52,635 · median $27,057 | 27 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,903 – $37,134 · median $19,089 | 27 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,865 – $28,392 · median $14,595 | 27 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $22,084 – $63,556 · median $32,671 | 27 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $14,931 – $42,971 · median $22,089 | 27 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $11,725 – $33,743 · median $17,346 | 27 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $21,893 – $63,008 · median $32,390 | 27 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,125 – $52,164 · median $26,815 | 27 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,109 – $37,729 · median $19,395 | 27 plans |
| 652 | KIDNEY TRANSPLANT | $19,100 – $54,969 · median $28,257 | 27 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,437 – $70,328 · median $36,152 | 27 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $5,486 – $14,421 · median $8,116 | 27 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $147,523 – $424,567 · median $218,250 | 27 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $41,533 – $119,532 · median $61,446 | 27 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,778 – $56,920 · median $29,260 | 27 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,907 – $77,439 · median $39,807 | 27 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,344 – $38,403 · median $19,741 | 27 plans |
| 935 | NON-EXTENSIVE BURNS | $13,659 – $39,309 · median $20,207 | 27 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,493 – $27,320 · median $14,044 | 27 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,943 – $19,982 · median $10,272 | 27 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,116 – $138,478 · median $71,185 | 26 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,938 – $94,795 · median $48,730 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $28,560 – $82,194 · median $42,252 | 26 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,696 – $151,657 · median $77,960 | 26 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,988 – $109,327 · median $56,200 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $48,607 – $139,890 · median $71,911 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $33,084 – $95,216 · median $48,946 | 26 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,592 – $105,310 · median $54,135 | 26 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,572 – $73,594 · median $37,831 | 26 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,094 – $60,707 · median $31,206 | 26 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,009 – $40,318 · median $20,726 | 26 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,223 – $32,299 · median $16,603 | 26 plans |
| 795 | NORMAL NEWBORN | $1,000 – $2,865 · median $1,578 | 25 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,210 – $32,261 · median $16,584 | 24 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $36,968 – $106,394 · median $54,692 | 24 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,247 – $72,660 · median $37,351 | 24 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,234 – $43,842 · median $22,537 | 24 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $25,935 – $74,639 · median $38,369 | 24 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,180 – $26,420 · median $13,581 | 24 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $18,596 – $47,543 · median $25,993 | 20 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $11,399 – $29,143 · median $15,933 | 20 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,399 – $21,475 · median $11,740 | 20 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $15,813 – $40,429 · median $22,103 | 20 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $10,172 – $26,008 · median $14,219 | 20 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,649 – $19,556 · median $10,692 | 20 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $64,050 – $158,592 · median $86,704 | 20 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $42,630 – $109,463 · median $59,845 | 20 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $33,516 – $82,426 · median $45,063 | 20 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $46,431 – $118,698 · median $64,098 | 20 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,362 – $65,465 · median $55,274 | 20 plans |
| 885 | PSYCHOSES | $8,766 – $25,228 · median $12,968 | 20 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $3,881 – $10,202 · median $5,742 | 20 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $53,596 – $137,030 · median $70,441 | 19 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $36,531 – $93,399 · median $48,012 | 19 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $49,624 – $126,875 · median $65,221 | 19 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $35,404 – $90,518 · median $46,531 | 19 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,806 – $114,557 · median $58,888 | 19 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $35,145 – $89,855 · median $46,190 | 19 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $20,968 – $53,609 · median $27,558 | 19 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $13,367 – $34,174 · median $17,567 | 19 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $21,069 – $53,866 · median $27,690 | 19 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $12,717 – $32,513 · median $16,714 | 19 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,055 – $21,092 · median $9,592 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,735 – $12,400 · median $9,055 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,432 – $10,002 · median $9,055 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,055 – $18,502 · median $9,592 | 19 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,603 – $12,158 · median $9,055 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,626 – $10,359 · median $9,055 | 19 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,961 – $15,670 · median $8,819 | 19 plans |
| 881 | DEPRESSIVE NEUROSES | $5,684 – $14,943 · median $8,410 | 19 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,982 – $15,726 · median $8,850 | 19 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,529 – $30,306 · median $17,056 | 19 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,386 – $27,303 · median $15,366 | 19 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,172 – $29,367 · median $16,528 | 19 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,396 – $19,443 · median $10,942 | 19 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $9,004 – $23,669 · median $13,321 | 19 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $11,074 – $29,111 · median $16,383 | 19 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,661 – $12,553 · median $6,817 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,661 – $14,617 · median $7,939 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,661 – $11,086 · median $6,021 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,661 – $11,086 · median $6,021 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,661 – $11,427 · median $6,206 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,500 – $8,285 · median $5,661 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,963 – $7,297 · median $5,661 | 16 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $21,062 – $37,423 · median $21,062 | 12 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $13,300 – $23,631 · median $13,300 | 12 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $24,742 – $43,962 · median $24,742 | 12 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $14,623 – $25,984 · median $14,623 | 12 plans |
| 133 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $19,751 – $35,095 · median $19,751 | 12 plans |
| 134 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $11,124 – $19,765 · median $11,124 | 12 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $7,911 – $16,950 · median $7,911 | 12 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $10,587 – $26,551 · median $10,587 | 12 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $8,700 – $18,482 · median $8,700 | 12 plans |
| 777 | ECTOPIC PREGNANCY | $6,520 – $15,343 · median $6,520 | 12 plans |
| 778 | THREATENED ABORTION | $3,444 – $8,728 · median $3,444 | 12 plans |
| 780 | FALSE LABOR | $2,617 – $6,997 · median $2,617 | 12 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $5,234 – $13,375 · median $5,234 | 12 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $3,953 – $8,916 · median $3,953 | 12 plans |
| 765 | CESAREAN SECTION W CC/MCC | $9,055 – $13,477 · median $9,055 | 11 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $9,055 – $9,592 · median $9,055 | 11 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $25,040 – $55,325 · median $25,040 | 11 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $19,196 – $31,613 · median $19,196 | 11 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $15,370 – $19,746 · median $15,370 | 11 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $44,019 – $70,322 · median $44,019 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $38,471 – $63,477 · median $38,663 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,328 – $40,142 · median $24,450 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $65,142 – $107,485 · median $65,468 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $44,169 – $72,879 · median $44,390 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,228 – $56,476 · median $34,399 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $51,867 – $85,580 · median $52,126 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $34,019 – $56,131 · median $34,189 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,694 – $68,795 · median $41,902 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,394 – $41,900 · median $25,521 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,026 – $52,844 · median $32,187 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,191 – $31,665 · median $19,287 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $57,285 – $94,521 · median $57,572 | 8 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $10,661 – $10,661 · median $10,661 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $9,508 – $9,508 · median $9,508 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $7,390 – $7,390 · median $7,390 | 1 plans |
No procedures match that keyword.