SSM Health Saint Louis University Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 005 | Liver Transplant With Mcc Or Intestinal Transplant | $92,959 – $462,027 · median $162,076 | 5 plans |
| 006 | Liver Transplant Without Mcc | $41,807 – $462,027 · median $72,891 | 5 plans |
| 008 | Simultaneous Pancreas And Kidney Transplant | $50,531 – $303,001 · median $88,102 | 5 plans |
| 010 | Pancreas Transplant | $64,696 – $283,635 · median $112,798 | 5 plans |
| 014 | Allogeneic Bone Marrow Transplant | $108,353 – $345,087 · median $188,915 | 5 plans |
| 016 | Autologous Bone Marrow Transplant With Cc/Mcc | $53,462 – $315,626 · median $93,212 | 5 plans |
| 017 | Autologous Bone Marrow Transplant Without Cc/Mcc | $48,978 – $315,626 · median $85,393 | 5 plans |
| 028 | Spinal Procedures With Mcc | $41,335 – $114,164 · median $76,194 | 5 plans |
| 029 | Spinal Procedures With Cc Or Spinal Neurostimulators | $30,759 – $67,118 · median $48,114 | 5 plans |
| 030 | Spinal Procedures Without Cc/Mcc | $19,792 – $67,118 · median $34,507 | 5 plans |
| 037 | Extracranial Procedures With Mcc | $29,682 – $62,553 · median $46,428 | 5 plans |
| 038 | Extracranial Procedures With Cc | $14,629 – $31,620 · median $22,884 | 5 plans |
| 039 | Extracranial Procedures Without Cc/Mcc | $10,598 – $31,620 · median $18,478 | 5 plans |
| 052 | Spinal Disorders And Injuries With Cc/Mcc | $16,331 – $39,864 · median $26,743 | 5 plans |
| 053 | Spinal Disorders And Injuries Without Cc/Mcc | $8,828 – $39,864 · median $15,393 | 5 plans |
| 212 | Concomitant Aortic And Mitral Valve Procedures | $91,229 – $206,619 · median $153,357 | 5 plans |
| 215 | Other Heart Assist System Implant | $89,772 – $226,877 · median $140,424 | 5 plans |
| 216 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | $88,202 – $231,342 · median $137,967 | 5 plans |
| 217 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc | $59,283 – $231,342 · median $101,036 | 5 plans |
| 218 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc | $59,283 – $231,342 · median $101,036 | 5 plans |
| 219 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc | $69,228 – $168,082 · median $108,287 | 5 plans |
| 220 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc | $48,081 – $168,082 · median $77,548 | 5 plans |
| 221 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M | $45,442 – $168,082 · median $75,369 | 5 plans |
| 228 | Other Cardiothoracic Procedures With Mcc | $44,606 – $158,513 · median $72,521 | 5 plans |
| 229 | Other Cardiothoracic Procedures Without Mcc | $28,396 – $158,513 · median $49,509 | 5 plans |
| 231 | Coronary Bypass With Ptca With Mcc | $76,004 – $215,377 · median $118,887 | 5 plans |
| 232 | Coronary Bypass With Ptca Without Mcc | $54,660 – $215,377 · median $93,644 | 5 plans |
| 233 | Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc | $68,929 – $179,633 · median $107,820 | 5 plans |
| 234 | Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc | $49,252 – $136,871 · median $77,040 | 5 plans |
| 235 | Coronary Bypass Without Cardiac Catheterization With Mcc | $52,911 – $148,866 · median $82,765 | 5 plans |
| 236 | Coronary Bypass Without Cardiac Catheterization Without Mcc | $37,766 – $105,563 · median $59,075 | 5 plans |
| 242 | Permanent Cardiac Pacemaker Implant With Mcc | $28,786 – $99,770 · median $46,234 | 5 plans |
| 243 | Permanent Cardiac Pacemaker Implant With Cc | $19,212 – $66,804 · median $30,907 | 5 plans |
| 244 | Permanent Cardiac Pacemaker Implant Without Cc/Mcc | $16,296 – $66,804 · median $28,413 | 5 plans |
| 245 | Aicd Generator Procedures | $30,079 – $86,690 · median $63,772 | 5 plans |
| 250 | Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc | $19,677 – $50,075 · median $30,780 | 5 plans |
| 251 | Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc | $13,474 – $50,075 · median $22,404 | 5 plans |
| 258 | Cardiac Pacemaker Device Replacement With Mcc | $20,447 – $59,703 · median $43,622 | 5 plans |
| 259 | Cardiac Pacemaker Device Replacement Without Mcc | $18,231 – $45,414 · median $28,518 | 5 plans |
| 260 | Cardiac Pacemaker Revision Except Device Replacement With Mcc | $17,393 – $61,806 · median $42,709 | 5 plans |
| 261 | Cardiac Pacemaker Revision Except Device Replacement With Cc | $17,045 – $42,113 · median $26,662 | 5 plans |
| 262 | Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc | $14,695 – $42,113 · median $22,986 | 5 plans |
| 265 | Aicd Lead Procedures | $30,079 – $68,749 · median $51,027 | 5 plans |
| 268 | Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc | $53,720 – $130,687 · median $96,999 | 5 plans |
| 269 | Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc | $32,033 – $80,245 · median $59,560 | 5 plans |
| 270 | Other Major Cardiovascular Procedures With Mcc | $47,571 – $119,313 · median $74,412 | 5 plans |
| 271 | Other Major Cardiovascular Procedures With Cc | $32,033 – $71,153 · median $50,155 | 5 plans |
| 272 | Other Major Cardiovascular Procedures Without Cc/Mcc | $23,018 – $71,153 · median $36,005 | 5 plans |
| 273 | Percutaneous And Other Intracardiac Procedures With Mcc | $22,550 – $78,389 · median $52,499 | 5 plans |
| 274 | Percutaneous And Other Intracardiac Procedures Without Mcc | $22,550 – $62,546 · median $46,423 | 5 plans |
| 275 | Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc | $64,288 – $209,958 · median $105,465 | 5 plans |
| 276 | Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator | $54,156 – $146,366 · median $84,711 | 5 plans |
| 277 | Cardiac Defibrillator Implant Without Mcc | $41,640 – $188,670 · median $72,601 | 5 plans |
| 286 | Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | $18,785 – $42,045 · median $31,207 | 5 plans |
| 287 | Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | $9,648 – $31,398 · median $15,092 | 5 plans |
| 321 | Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal | $24,531 – $78,365 · median $38,371 | 5 plans |
| 322 | Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | $15,895 – $78,365 · median $27,713 | 5 plans |
| 323 | Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc | $35,762 – $82,225 · median $61,029 | 5 plans |
| 324 | Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc | $28,409 – $78,365 · median $44,439 | 5 plans |
| 325 | Coronary Intravascular Lithotripsy Without Intraluminal Device | $28,945 – $78,365 · median $45,276 | 5 plans |
| 402 | Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical | $36,249 – $167,871 · median $63,200 | 5 plans |
| 426 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made | $99,367 – $209,414 · median $155,432 | 5 plans |
| 427 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc | $65,083 – $167,871 · median $109,580 | 5 plans |
| 428 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc | $50,688 – $167,871 · median $88,375 | 5 plans |
| 429 | Combined Anterior And Posterior Cervical Spinal Fusion With Mcc | $81,231 – $171,191 · median $127,062 | 5 plans |
| 430 | Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc | $51,996 – $167,871 · median $90,656 | 5 plans |
| 447 | Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody | $60,241 – $126,957 · median $93,598 | 5 plans |
| 448 | Multiple Level Spinal Fusion Except Cervical Without Mcc | $38,235 – $80,579 · median $59,808 | 5 plans |
| 450 | Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F | $48,052 – $101,268 · median $75,163 | 5 plans |
| 451 | Single Level Spinal Fusion Except Cervical Without Mcc | $29,125 – $71,604 · median $47,867 | 5 plans |
| 456 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $67,893 – $159,673 · median $106,974 | 5 plans |
| 457 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $53,763 – $113,305 · median $84,098 | 5 plans |
| 458 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $37,620 – $102,073 · median $65,018 | 5 plans |
| 461 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc | $49,795 – $104,943 · median $77,891 | 5 plans |
| 462 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc | $23,983 – $89,893 · median $41,814 | 5 plans |
| 466 | Revision Of Hip Or Knee Replacement With Mcc | $46,932 – $98,908 · median $71,383 | 5 plans |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $31,796 – $73,467 · median $50,690 | 5 plans |
| 468 | Revision Of Hip Or Knee Replacement Without Cc/Mcc | $24,776 – $73,467 · median $43,197 | 5 plans |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl | $27,347 – $58,129 · median $42,777 | 5 plans |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc | $17,391 – $58,129 · median $30,321 | 5 plans |
| 471 | Cervical Spinal Fusion With Mcc | $43,536 – $91,750 · median $66,232 | 5 plans |
| 472 | Cervical Spinal Fusion With Cc | $26,562 – $55,979 · median $41,549 | 5 plans |
| 473 | Cervical Spinal Fusion Without Cc/Mcc | $22,011 – $46,387 · median $34,430 | 5 plans |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $24,991 – $60,165 · median $40,648 | 5 plans |
| 518 | Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator | $27,723 – $71,012 · median $47,395 | 5 plans |
| 519 | Back And Neck Procedures Except Spinal Fusion With Cc | $18,034 – $41,683 · median $28,756 | 5 plans |
| 520 | Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc | $13,469 – $30,058 · median $21,068 | 5 plans |
| 652 | Kidney Transplant | $29,117 – $147,494 · median $50,766 | 5 plans |
| 001 | Heart Transplant Or Implant Of Heart Assist System With Mcc | $252,663 – $532,482 · median $395,221 | 4 plans |
| 002 | Heart Transplant Or Implant Of Heart Assist System Without Mcc | $102,168 – $215,316 · median $159,812 | 4 plans |
| 003 | Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major | $191,366 – $403,300 · median $299,339 | 4 plans |
| 004 | Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. | $124,884 – $263,190 · median $195,346 | 4 plans |
| 007 | Lung Transplant | $116,759 – $246,067 · median $182,637 | 4 plans |
| 011 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc | $49,174 – $103,633 · median $76,919 | 4 plans |
| 012 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc | $38,011 – $80,108 · median $59,458 | 4 plans |
| 013 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc | $25,982 – $54,757 · median $40,642 | 4 plans |
| 018 | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies | $389,336 – $820,516 · median $609,007 | 4 plans |
| 019 | Simultaneous Pancreas And Kidney Transplant With Hemodialysis | $64,326 – $135,565 · median $100,619 | 4 plans |
| 020 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc | $70,945 – $149,515 · median $110,974 | 4 plans |
| 021 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc | $47,729 – $100,587 · median $74,658 | 4 plans |
| 022 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc | $28,647 – $60,374 · median $44,811 | 4 plans |
| 023 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla | $51,664 – $108,881 · median $80,814 | 4 plans |
| 024 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc | $35,270 – $74,330 · median $55,170 | 4 plans |
| 025 | Craniotomy And Endovascular Intracranial Procedures With Mcc | $40,993 – $86,392 · median $64,122 | 4 plans |
| 026 | Craniotomy And Endovascular Intracranial Procedures With Cc | $28,033 – $59,078 · median $43,849 | 4 plans |
| 027 | Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc | $22,746 – $47,938 · median $35,580 | 4 plans |
| 031 | Ventricular Shunt Procedures With Mcc | $40,396 – $85,134 · median $63,188 | 4 plans |
| 032 | Ventricular Shunt Procedures With Cc | $19,213 – $40,491 · median $30,053 | 4 plans |
| 033 | Ventricular Shunt Procedures Without Cc/Mcc | $14,993 – $31,597 · median $23,452 | 4 plans |
| 034 | Carotid Artery Stent Procedures With Mcc | $34,898 – $73,547 · median $54,588 | 4 plans |
| 035 | Carotid Artery Stent Procedures With Cc | $21,553 – $45,422 · median $33,713 | 4 plans |
| 036 | Carotid Artery Stent Procedures Without Cc/Mcc | $17,516 – $36,915 · median $27,399 | 4 plans |
| 040 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc | $34,813 – $73,367 · median $54,455 | 4 plans |
| 041 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator | $19,823 – $41,778 · median $31,008 | 4 plans |
| 042 | Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc | $15,577 – $32,828 · median $24,366 | 4 plans |
| 054 | Nervous System Neoplasms With Mcc | $13,767 – $29,013 · median $21,534 | 4 plans |
| 055 | Nervous System Neoplasms Without Mcc | $9,193 – $19,373 · median $14,379 | 4 plans |
| 056 | Degenerative Nervous System Disorders With Mcc | $20,945 – $44,141 · median $32,763 | 4 plans |
| 057 | Degenerative Nervous System Disorders Without Mcc | $11,681 – $24,618 · median $18,272 | 4 plans |
| 058 | Multiple Sclerosis And Cerebellar Ataxia With Mcc | $15,413 – $32,482 · median $24,109 | 4 plans |
| 059 | Multiple Sclerosis And Cerebellar Ataxia With Cc | $11,188 – $23,578 · median $17,500 | 4 plans |
| 060 | Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc | $8,293 – $17,477 · median $12,972 | 4 plans |
| 061 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc | $24,858 – $52,388 · median $38,883 | 4 plans |
| 062 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc | $15,843 – $33,389 · median $24,782 | 4 plans |
| 063 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc | $12,657 – $26,674 · median $19,798 | 4 plans |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With Mcc | $18,131 – $38,211 · median $28,361 | 4 plans |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $9,109 – $19,197 · median $14,248 | 4 plans |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | $6,171 – $13,004 · median $9,652 | 4 plans |
| 067 | Precerebral Occlusion Without Infarction With Mcc | $13,242 – $27,907 · median $20,713 | 4 plans |
| 068 | Precerebral Occlusion Without Infarction Without Mcc | $7,793 – $16,424 · median $12,191 | 4 plans |
| 069 | Transient Ischemia Without Thrombolytic | $7,202 – $15,178 · median $11,265 | 4 plans |
| 070 | Other Cerebrovascular Disorders With Mcc | $15,010 – $31,633 · median $23,479 | 4 plans |
| 071 | Other Cerebrovascular Disorders With Cc | $9,250 – $19,495 · median $14,470 | 4 plans |
| 072 | Other Cerebrovascular Disorders Without Cc/Mcc | $6,818 – $14,369 · median $10,665 | 4 plans |
| 073 | Cranial And Peripheral Nerve Disorders With Mcc | $14,464 – $30,483 · median $22,625 | 4 plans |
| 074 | Cranial And Peripheral Nerve Disorders Without Mcc | $9,294 – $19,586 · median $14,537 | 4 plans |
| 075 | Viral Meningitis With Cc/Mcc | $17,288 – $36,434 · median $27,043 | 4 plans |
| 076 | Viral Meningitis Without Cc/Mcc | $7,440 – $15,680 · median $11,638 | 4 plans |
| 080 | Nontraumatic Stupor And Coma With Mcc | $16,319 – $34,392 · median $25,526 | 4 plans |
| 081 | Nontraumatic Stupor And Coma Without Mcc | $8,075 – $17,017 · median $12,631 | 4 plans |
| 082 | Traumatic Stupor And Coma >1 Hour With Mcc | $20,607 – $43,429 · median $32,234 | 4 plans |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $12,585 – $26,522 · median $19,685 | 4 plans |
| 084 | Traumatic Stupor And Coma >1 Hour Without Cc/Mcc | $8,617 – $18,161 · median $13,480 | 4 plans |
| 085 | Traumatic Stupor And Coma <1 Hour With Mcc | $20,483 – $43,168 · median $32,041 | 4 plans |
| 086 | Traumatic Stupor And Coma <1 Hour With Cc | $11,745 – $24,753 · median $18,372 | 4 plans |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/Mcc | $8,247 – $17,380 · median $12,900 | 4 plans |
| 088 | Concussion With Mcc | $12,188 – $25,686 · median $19,064 | 4 plans |
| 089 | Concussion With Cc | $9,905 – $20,875 · median $15,494 | 4 plans |
| 090 | Concussion Without Cc/Mcc | $7,422 – $15,642 · median $11,610 | 4 plans |
| 091 | Other Disorders Of Nervous System With Mcc | $15,834 – $33,370 · median $24,768 | 4 plans |
| 092 | Other Disorders Of Nervous System With Cc | $9,223 – $19,438 · median $14,427 | 4 plans |
| 093 | Other Disorders Of Nervous System Without Cc/Mcc | $7,179 – $15,131 · median $11,230 | 4 plans |
| 094 | Bacterial And Tuberculous Infections Of Nervous System With Mcc | $31,731 – $66,872 · median $49,634 | 4 plans |
| 095 | Bacterial And Tuberculous Infections Of Nervous System With Cc | $23,254 – $49,007 · median $36,374 | 4 plans |
| 096 | Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc | $23,254 – $49,007 · median $36,374 | 4 plans |
| 097 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc | $32,564 – $68,628 · median $50,937 | 4 plans |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $20,691 – $43,605 · median $32,365 | 4 plans |
| 099 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc | $12,283 – $25,887 · median $19,214 | 4 plans |
| 100 | Seizures With Mcc | $17,462 – $36,801 · median $27,315 | 4 plans |
| 101 | Seizures Without Mcc | $8,138 – $17,150 · median $12,729 | 4 plans |
| 102 | Headaches With Mcc | $10,106 – $21,298 · median $15,808 | 4 plans |
| 103 | Headaches Without Mcc | $7,540 – $15,891 · median $11,794 | 4 plans |
| 113 | Orbital Procedures With Cc/Mcc | $21,198 – $44,673 · median $33,158 | 4 plans |
| 114 | Orbital Procedures Without Cc/Mcc | $12,199 – $25,708 · median $19,081 | 4 plans |
| 115 | Extraocular Procedures Except Orbit | $13,839 – $29,165 · median $21,647 | 4 plans |
| 116 | Intraocular Procedures With Cc/Mcc | $16,302 – $34,356 · median $25,500 | 4 plans |
| 117 | Intraocular Procedures Without Cc/Mcc | $9,781 – $20,614 · median $15,300 | 4 plans |
| 121 | Acute Major Eye Infections With Cc/Mcc | $10,488 – $22,104 · median $16,406 | 4 plans |
| 122 | Acute Major Eye Infections Without Cc/Mcc | $7,085 – $14,931 · median $11,082 | 4 plans |
| 123 | Neurological Eye Disorders | $7,200 – $15,174 · median $11,263 | 4 plans |
| 124 | Other Disorders Of The Eye With Mcc Or Thrombolytic Agent | $11,929 – $25,140 · median $18,660 | 4 plans |
| 125 | Other Disorders Of The Eye Without Mcc | $6,922 – $14,589 · median $10,828 | 4 plans |
| 135 | Sinus And Mastoid Procedures With Cc/Mcc | $19,565 – $41,232 · median $30,604 | 4 plans |
| 136 | Sinus And Mastoid Procedures Without Cc/Mcc | $9,154 – $19,292 · median $14,319 | 4 plans |
| 137 | Mouth Procedures With Cc/Mcc | $13,463 – $28,372 · median $21,059 | 4 plans |
| 138 | Mouth Procedures Without Cc/Mcc | $7,990 – $16,839 · median $12,498 | 4 plans |
| 139 | Salivary Gland Procedures | $11,141 – $23,480 · median $17,427 | 4 plans |
| 140 | Major Head And Neck Procedures With Mcc | $38,456 – $81,045 · median $60,154 | 4 plans |
| 141 | Major Head And Neck Procedures With Cc | $19,665 – $41,443 · median $30,760 | 4 plans |
| 142 | Major Head And Neck Procedures Without Cc/Mcc | $14,393 – $30,333 · median $22,514 | 4 plans |
| 143 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc | $33,779 – $71,189 · median $52,838 | 4 plans |
| 144 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc | $15,624 – $32,927 · median $24,439 | 4 plans |
| 145 | Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc | $10,840 – $22,845 · median $16,956 | 4 plans |
| 146 | Ear, Nose, Mouth And Throat Malignancy With Mcc | $19,090 – $40,233 · median $29,862 | 4 plans |
| 147 | Ear, Nose, Mouth And Throat Malignancy With Cc | $11,464 – $24,160 · median $17,932 | 4 plans |
| 148 | Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc | $7,187 – $15,146 · median $11,242 | 4 plans |
| 149 | Dysequilibrium | $6,776 – $14,281 · median $10,600 | 4 plans |
| 150 | Epistaxis With Mcc | $12,005 – $25,300 · median $18,778 | 4 plans |
| 151 | Epistaxis Without Mcc | $6,618 – $13,947 · median $10,352 | 4 plans |
| 152 | Otitis Media And Uri With Mcc | $10,659 – $22,463 · median $16,673 | 4 plans |
| 153 | Otitis Media And Uri Without Mcc | $6,656 – $14,027 · median $10,411 | 4 plans |
| 154 | Other Ear, Nose, Mouth And Throat Diagnoses With Mcc | $14,097 – $29,708 · median $22,050 | 4 plans |
| 155 | Other Ear, Nose, Mouth And Throat Diagnoses With Cc | $8,263 – $17,414 · median $12,925 | 4 plans |
| 156 | Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc | $6,231 – $13,132 · median $9,747 | 4 plans |
| 157 | Dental And Oral Diseases With Mcc | $15,479 – $32,621 · median $24,212 | 4 plans |
| 158 | Dental And Oral Diseases With Cc | $8,203 – $17,287 · median $12,831 | 4 plans |
| 159 | Dental And Oral Diseases Without Cc/Mcc | $6,388 – $13,462 · median $9,992 | 4 plans |
| 163 | Major Chest Procedures With Mcc | $40,408 – $85,159 · median $63,207 | 4 plans |
| 164 | Major Chest Procedures With Cc | $22,756 – $47,959 · median $35,596 | 4 plans |
| 165 | Major Chest Procedures Without Cc/Mcc | $17,258 – $36,372 · median $26,996 | 4 plans |
| 166 | Other Respiratory System O.R. Procedures With Mcc | $33,699 – $71,020 · median $52,713 | 4 plans |
| 167 | Other Respiratory System O.R. Procedures With Cc | $16,259 – $34,266 · median $25,433 | 4 plans |
| 168 | Other Respiratory System O.R. Procedures Without Cc/Mcc | $12,319 – $25,963 · median $19,270 | 4 plans |
| 173 | Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism | $26,835 – $56,555 · median $41,976 | 4 plans |
| 175 | Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | $12,384 – $26,100 · median $19,372 | 4 plans |
| 176 | Pulmonary Embolism Without Mcc | $7,258 – $15,296 · median $11,353 | 4 plans |
| 177 | Respiratory Infections And Inflammations With Mcc | $14,089 – $29,693 · median $22,039 | 4 plans |
| 178 | Respiratory Infections And Inflammations With Cc | $8,800 – $18,545 · median $13,765 | 4 plans |
| 179 | Respiratory Infections And Inflammations Without Cc/Mcc | $6,807 – $14,346 · median $10,648 | 4 plans |
| 180 | Respiratory Neoplasms With Mcc | $15,922 – $33,556 · median $24,906 | 4 plans |
| 181 | Respiratory Neoplasms With Cc | $9,656 – $20,350 · median $15,104 | 4 plans |
| 182 | Respiratory Neoplasms Without Cc/Mcc | $6,796 – $14,323 · median $10,631 | 4 plans |
| 183 | Major Chest Trauma With Mcc | $13,794 – $29,070 · median $21,576 | 4 plans |
| 184 | Major Chest Trauma With Cc | $9,594 – $20,219 · median $15,007 | 4 plans |
| 185 | Major Chest Trauma Without Cc/Mcc | $7,091 – $14,944 · median $11,092 | 4 plans |
| 186 | Pleural Effusion With Mcc | $14,051 – $29,613 · median $21,980 | 4 plans |
| 187 | Pleural Effusion With Cc | $8,918 – $18,794 · median $13,949 | 4 plans |
| 188 | Pleural Effusion Without Cc/Mcc | $6,466 – $13,628 · median $10,115 | 4 plans |
| 189 | Pulmonary Edema And Respiratory Failure | $11,138 – $23,474 · median $17,423 | 4 plans |
| 190 | Chronic Obstructive Pulmonary Disease With Mcc | $9,987 – $21,047 · median $15,622 | 4 plans |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $7,600 – $16,018 · median $11,889 | 4 plans |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/Mcc | $5,788 – $12,199 · median $9,054 | 4 plans |
| 193 | Simple Pneumonia And Pleurisy With Mcc | $11,851 – $24,975 · median $18,537 | 4 plans |
| 194 | Simple Pneumonia And Pleurisy With Cc | $7,266 – $15,313 · median $11,366 | 4 plans |
| 195 | Simple Pneumonia And Pleurisy Without Cc/Mcc | $5,667 – $11,942 · median $8,864 | 4 plans |
| 196 | Interstitial Lung Disease With Mcc | $17,015 – $35,859 · median $26,615 | 4 plans |
| 197 | Interstitial Lung Disease With Cc | $8,557 – $18,034 · median $13,385 | 4 plans |
| 198 | Interstitial Lung Disease Without Cc/Mcc | $6,457 – $13,609 · median $10,101 | 4 plans |
| 199 | Pneumothorax With Mcc | $15,905 – $33,520 · median $24,879 | 4 plans |
| 200 | Pneumothorax With Cc | $9,911 – $20,888 · median $15,503 | 4 plans |
| 201 | Pneumothorax Without Cc/Mcc | $6,447 – $13,588 · median $10,085 | 4 plans |
| 202 | Bronchitis And Asthma With Cc/Mcc | $8,756 – $18,454 · median $13,697 | 4 plans |
| 203 | Bronchitis And Asthma Without Cc/Mcc | $6,041 – $12,731 · median $9,449 | 4 plans |
| 204 | Respiratory Signs And Symptoms | $7,280 – $15,341 · median $11,387 | 4 plans |
| 205 | Other Respiratory System Diagnoses With Mcc | $16,508 – $34,791 · median $25,823 | 4 plans |
| 206 | Other Respiratory System Diagnoses Without Mcc | $8,485 – $17,882 · median $13,272 | 4 plans |
| 207 | Respiratory System Diagnosis With Ventilator Support >96 Hours | $58,015 – $122,266 · median $90,749 | 4 plans |
| 208 | Respiratory System Diagnosis With Ventilator Support <=96 Hours | $24,782 – $52,228 · median $38,765 | 4 plans |
| 209 | Complex Aortic Arch Procedures | $102,050 – $215,069 · median $159,629 | 4 plans |
| 213 | Endovascular Abdominal Aorta With Iliac Branch Procedures | $51,453 – $108,437 · median $80,484 | 4 plans |
| 239 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc | $44,374 – $93,517 · median $69,411 | 4 plans |
| 240 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc | $25,700 – $54,162 · median $40,201 | 4 plans |
| 241 | Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc | $12,482 – $26,305 · median $19,524 | 4 plans |
| 252 | Other Vascular Procedures With Mcc | $31,451 – $66,281 · median $49,195 | 4 plans |
| 253 | Other Vascular Procedures With Cc | $23,402 – $49,319 · median $36,606 | 4 plans |
| 254 | Other Vascular Procedures Without Cc/Mcc | $16,064 – $33,854 · median $25,127 | 4 plans |
| 255 | Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc | $24,320 – $51,253 · median $38,041 | 4 plans |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $15,308 – $32,262 · median $23,945 | 4 plans |
| 257 | Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc | $9,847 – $20,753 · median $15,403 | 4 plans |
| 263 | Vein Ligation And Stripping | $27,566 – $58,094 · median $43,119 | 4 plans |
| 264 | Other Circulatory System O.R. Procedures | $30,119 – $63,475 · median $47,112 | 4 plans |
| 266 | Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc | $55,254 – $116,446 · median $86,429 | 4 plans |
| 267 | Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc | $42,923 – $90,460 · median $67,142 | 4 plans |
| 278 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc | $50,185 – $105,763 · median $78,500 | 4 plans |
| 279 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc | $32,515 – $68,525 · median $50,861 | 4 plans |
| 280 | Acute Myocardial Infarction, Discharged Alive With Mcc | $14,463 – $30,480 · median $22,623 | 4 plans |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $8,287 – $17,464 · median $12,962 | 4 plans |
| 282 | Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc | $6,519 – $13,740 · median $10,198 | 4 plans |
| 283 | Acute Myocardial Infarction, Expired With Mcc | $17,859 – $37,637 · median $27,935 | 4 plans |
| 284 | Acute Myocardial Infarction, Expired With Cc | $6,241 – $13,152 · median $9,762 | 4 plans |
| 285 | Acute Myocardial Infarction, Expired Without Cc/Mcc | $5,400 – $11,380 · median $8,446 | 4 plans |
| 288 | Acute And Subacute Endocarditis With Mcc | $24,399 – $51,421 · median $38,166 | 4 plans |
| 289 | Acute And Subacute Endocarditis With Cc | $15,389 – $32,433 · median $24,072 | 4 plans |
| 290 | Acute And Subacute Endocarditis Without Cc/Mcc | $8,382 – $17,665 · median $13,112 | 4 plans |
| 291 | Heart Failure And Shock With Mcc | $11,575 – $24,393 · median $18,105 | 4 plans |
| 292 | Heart Failure And Shock With Cc | $7,655 – $16,132 · median $11,973 | 4 plans |
| 293 | Heart Failure And Shock Without Cc/Mcc | $5,103 – $10,755 · median $7,982 | 4 plans |
| 296 | Cardiac Arrest, Unexplained With Mcc | $14,082 – $29,678 · median $22,027 | 4 plans |
| 297 | Cardiac Arrest, Unexplained With Cc | $5,716 – $12,047 · median $8,941 | 4 plans |
| 298 | Cardiac Arrest, Unexplained Without Cc/Mcc | $4,103 – $8,647 · median $6,418 | 4 plans |
| 299 | Peripheral Vascular Disorders With Mcc | $14,720 – $31,023 · median $23,026 | 4 plans |
| 300 | Peripheral Vascular Disorders With Cc | $9,625 – $20,284 · median $15,055 | 4 plans |
| 301 | Peripheral Vascular Disorders Without Cc/Mcc | $6,489 – $13,675 · median $10,150 | 4 plans |
| 302 | Atherosclerosis With Mcc | $10,789 – $22,737 · median $16,876 | 4 plans |
| 303 | Atherosclerosis Without Mcc | $6,070 – $12,791 · median $9,494 | 4 plans |
| 304 | Hypertension With Mcc | $10,729 – $22,611 · median $16,783 | 4 plans |
| 305 | Hypertension Without Mcc | $6,808 – $14,348 · median $10,649 | 4 plans |
| 306 | Cardiac Congenital And Valvular Disorders With Mcc | $14,207 – $29,942 · median $22,224 | 4 plans |
| 307 | Cardiac Congenital And Valvular Disorders Without Mcc | $8,233 – $17,352 · median $12,879 | 4 plans |
| 308 | Cardiac Arrhythmia And Conduction Disorders With Mcc | $10,855 – $22,877 · median $16,980 | 4 plans |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $6,633 – $13,979 · median $10,376 | 4 plans |
| 310 | Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc | $5,104 – $10,756 · median $7,984 | 4 plans |
| 311 | Angina Pectoris | $6,328 – $13,337 · median $9,899 | 4 plans |
| 312 | Syncope And Collapse | $7,858 – $16,561 · median $12,292 | 4 plans |
| 313 | Chest Pain | $6,492 – $13,681 · median $10,154 | 4 plans |
| 314 | Other Circulatory System Diagnoses With Mcc | $18,800 – $39,621 · median $29,408 | 4 plans |
| 315 | Other Circulatory System Diagnoses With Cc | $8,685 – $18,304 · median $13,585 | 4 plans |
| 316 | Other Circulatory System Diagnoses Without Cc/Mcc | $6,150 – $12,961 · median $9,620 | 4 plans |
| 317 | Concomitant Left Atrial Appendage Closure And Cardiac Ablation | $60,285 – $127,050 · median $94,300 | 4 plans |
| 318 | Percutaneous Coronary Atherectomy Without Intraluminal Device | $21,839 – $46,024 · median $34,160 | 4 plans |
| 319 | Other Endovascular Cardiac Valve Procedures With Mcc | $40,238 – $84,800 · median $62,940 | 4 plans |
| 320 | Other Endovascular Cardiac Valve Procedures Without Mcc | $21,686 – $45,703 · median $33,922 | 4 plans |
| 326 | Stomach, Esophageal And Duodenal Procedures With Mcc | $44,966 – $94,766 · median $70,337 | 4 plans |
| 327 | Stomach, Esophageal And Duodenal Procedures With Cc | $22,037 – $46,442 · median $34,471 | 4 plans |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc | $14,446 – $30,445 · median $22,597 | 4 plans |
| 329 | Major Small And Large Bowel Procedures With Mcc | $41,442 – $87,338 · median $64,824 | 4 plans |
| 330 | Major Small And Large Bowel Procedures With Cc | $21,613 – $45,549 · median $33,808 | 4 plans |
| 331 | Major Small And Large Bowel Procedures Without Cc/Mcc | $15,173 – $31,977 · median $23,734 | 4 plans |
| 332 | Rectal Resection With Mcc | $32,644 – $68,797 · median $51,063 | 4 plans |
| 333 | Rectal Resection With Cc | $21,117 – $44,504 · median $33,032 | 4 plans |
| 334 | Rectal Resection Without Cc/Mcc | $14,767 – $31,122 · median $23,099 | 4 plans |
| 335 | Peritoneal Adhesiolysis With Mcc | $32,195 – $67,851 · median $50,360 | 4 plans |
| 336 | Peritoneal Adhesiolysis With Cc | $19,012 – $40,067 · median $29,739 | 4 plans |
| 337 | Peritoneal Adhesiolysis Without Cc/Mcc | $13,840 – $29,167 · median $21,648 | 4 plans |
| 344 | Minor Small And Large Bowel Procedures With Mcc | $23,287 – $49,076 · median $36,425 | 4 plans |
| 345 | Minor Small And Large Bowel Procedures With Cc | $13,566 – $28,591 · median $21,221 | 4 plans |
| 346 | Minor Small And Large Bowel Procedures Without Cc/Mcc | $10,695 – $22,539 · median $16,729 | 4 plans |
| 347 | Anal And Stomal Procedures With Mcc | $20,697 – $43,619 · median $32,375 | 4 plans |
| 348 | Anal And Stomal Procedures With Cc | $11,800 – $24,869 · median $18,458 | 4 plans |
| 349 | Anal And Stomal Procedures Without Cc/Mcc | $7,849 – $16,542 · median $12,278 | 4 plans |
| 350 | Inguinal And Femoral Hernia Procedures With Mcc | $22,467 – $47,349 · median $35,143 | 4 plans |
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $13,745 – $28,967 · median $21,500 | 4 plans |
| 352 | Inguinal And Femoral Hernia Procedures Without Cc/Mcc | $10,529 – $22,189 · median $16,469 | 4 plans |
| 353 | Hernia Procedures Except Inguinal And Femoral With Mcc | $26,164 – $55,141 · median $40,927 | 4 plans |
| 354 | Hernia Procedures Except Inguinal And Femoral With Cc | $15,169 – $31,967 · median $23,727 | 4 plans |
| 355 | Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc | $12,127 – $25,556 · median $18,969 | 4 plans |
| 356 | Other Digestive System O.R. Procedures With Mcc | $39,605 – $83,468 · median $61,952 | 4 plans |
| 357 | Other Digestive System O.R. Procedures With Cc | $20,967 – $44,187 · median $32,797 | 4 plans |
| 358 | Other Digestive System O.R. Procedures Without Cc/Mcc | $12,603 – $26,562 · median $19,715 | 4 plans |
| 359 | Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc | $31,002 – $65,337 · median $48,495 | 4 plans |
| 360 | Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc | $21,767 – $45,874 · median $34,049 | 4 plans |
| 368 | Major Esophageal Disorders With Mcc | $14,353 – $30,248 · median $22,451 | 4 plans |
| 369 | Major Esophageal Disorders With Cc | $9,018 – $19,005 · median $14,106 | 4 plans |
| 370 | Major Esophageal Disorders Without Cc/Mcc | $6,318 – $13,316 · median $9,883 | 4 plans |
| 371 | Major Gastrointestinal Disorders And Peritoneal Infections With Mcc | $15,986 – $33,691 · median $25,006 | 4 plans |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $9,205 – $19,400 · median $14,399 | 4 plans |
| 373 | Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc | $6,558 – $13,821 · median $10,259 | 4 plans |
| 374 | Digestive Malignancy With Mcc | $19,283 – $40,637 · median $30,162 | 4 plans |
| 375 | Digestive Malignancy With Cc | $10,906 – $22,984 · median $17,059 | 4 plans |
| 376 | Digestive Malignancy Without Cc/Mcc | $8,333 – $17,563 · median $13,035 | 4 plans |
| 377 | Gastrointestinal Hemorrhage With Mcc | $16,481 – $34,734 · median $25,780 | 4 plans |
| 378 | Gastrointestinal Hemorrhage With Cc | $8,842 – $18,634 · median $13,831 | 4 plans |
| 379 | Gastrointestinal Hemorrhage Without Cc/Mcc | $5,684 – $11,978 · median $8,891 | 4 plans |
| 380 | Complicated Peptic Ulcer With Mcc | $17,691 – $37,284 · median $27,673 | 4 plans |
| 381 | Complicated Peptic Ulcer With Cc | $9,769 – $20,588 · median $15,281 | 4 plans |
| 382 | Complicated Peptic Ulcer Without Cc/Mcc | $7,218 – $15,212 · median $11,291 | 4 plans |
| 383 | Uncomplicated Peptic Ulcer With Mcc | $12,448 – $26,235 · median $19,472 | 4 plans |
| 384 | Uncomplicated Peptic Ulcer Without Mcc | $7,707 – $16,242 · median $12,055 | 4 plans |
| 385 | Inflammatory Bowel Disease With Mcc | $14,266 – $30,065 · median $22,315 | 4 plans |
| 386 | Inflammatory Bowel Disease With Cc | $8,802 – $18,551 · median $13,769 | 4 plans |
| 387 | Inflammatory Bowel Disease Without Cc/Mcc | $6,143 – $12,945 · median $9,608 | 4 plans |
| 388 | Gastrointestinal Obstruction With Mcc | $13,315 – $28,061 · median $20,827 | 4 plans |
| 389 | Gastrointestinal Obstruction With Cc | $7,121 – $15,007 · median $11,139 | 4 plans |
| 390 | Gastrointestinal Obstruction Without Cc/Mcc | $4,905 – $10,337 · median $7,672 | 4 plans |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc | $11,435 – $24,099 · median $17,887 | 4 plans |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc | $7,029 – $14,813 · median $10,995 | 4 plans |
| 393 | Other Digestive System Diagnoses With Mcc | $14,419 – $30,388 · median $22,555 | 4 plans |
| 394 | Other Digestive System Diagnoses With Cc | $8,436 – $17,779 · median $13,196 | 4 plans |
| 395 | Other Digestive System Diagnoses Without Cc/Mcc | $5,851 – $12,332 · median $9,153 | 4 plans |
| 397 | Appendix Procedures With Mcc | $21,592 – $45,505 · median $33,775 | 4 plans |
| 398 | Appendix Procedures With Cc | $13,647 – $28,760 · median $21,346 | 4 plans |
| 399 | Appendix Procedures Without Cc/Mcc | $10,321 – $21,750 · median $16,144 | 4 plans |
| 405 | Pancreas, Liver And Shunt Procedures With Mcc | $49,322 – $103,945 · median $77,150 | 4 plans |
| 406 | Pancreas, Liver And Shunt Procedures With Cc | $26,148 – $55,107 · median $40,902 | 4 plans |
| 407 | Pancreas, Liver And Shunt Procedures Without Cc/Mcc | $20,012 – $42,175 · median $31,303 | 4 plans |
| 408 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc | $32,147 – $67,750 · median $50,286 | 4 plans |
| 409 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc | $19,631 – $41,371 · median $30,706 | 4 plans |
| 410 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc | $14,315 – $30,168 · median $22,391 | 4 plans |
| 411 | Cholecystectomy With C.D.E. With Mcc | $29,783 – $62,766 · median $46,586 | 4 plans |
| 412 | Cholecystectomy With C.D.E. With Cc | $18,956 – $39,950 · median $29,652 | 4 plans |
| 413 | Cholecystectomy With C.D.E. Without Cc/Mcc | $14,971 – $31,551 · median $23,418 | 4 plans |
| 414 | Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc | $32,120 – $67,693 · median $50,243 | 4 plans |
| 415 | Cholecystectomy Except By Laparoscope Without C.D.E. With Cc | $18,633 – $39,269 · median $29,147 | 4 plans |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc | $12,292 – $25,904 · median $19,227 | 4 plans |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With Mcc | $21,516 – $45,344 · median $33,655 | 4 plans |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $15,251 – $32,142 · median $23,857 | 4 plans |
| 419 | Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc | $12,314 – $25,952 · median $19,262 | 4 plans |
| 420 | Hepatobiliary Diagnostic Procedures With Mcc | $30,718 – $64,738 · median $48,050 | 4 plans |
| 421 | Hepatobiliary Diagnostic Procedures With Cc | $15,665 – $33,014 · median $24,504 | 4 plans |
| 422 | Hepatobiliary Diagnostic Procedures Without Cc/Mcc | $12,618 – $26,592 · median $19,737 | 4 plans |
| 423 | Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc | $37,443 – $78,911 · median $58,570 | 4 plans |
| 424 | Other Hepatobiliary Or Pancreas O.R. Procedures With Cc | $19,726 – $41,572 · median $30,856 | 4 plans |
| 425 | Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc | $13,527 – $28,507 · median $21,159 | 4 plans |
| 432 | Cirrhosis And Alcoholic Hepatitis With Mcc | $17,745 – $37,398 · median $27,758 | 4 plans |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $9,523 – $20,069 · median $14,896 | 4 plans |
| 434 | Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc | $6,424 – $13,538 · median $10,048 | 4 plans |
| 435 | Malignancy Of Hepatobiliary System Or Pancreas With Mcc | $16,560 – $34,899 · median $25,903 | 4 plans |
| 436 | Malignancy Of Hepatobiliary System Or Pancreas With Cc | $10,198 – $21,492 · median $15,952 | 4 plans |
| 437 | Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc | $7,693 – $16,214 · median $12,034 | 4 plans |
| 438 | Disorders Of Pancreas Except Malignancy With Mcc | $14,698 – $30,975 · median $22,991 | 4 plans |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $7,584 – $15,984 · median $11,863 | 4 plans |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/Mcc | $5,603 – $11,807 · median $8,764 | 4 plans |
| 441 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc | $16,181 – $34,101 · median $25,311 | 4 plans |
| 442 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc | $8,703 – $18,342 · median $13,614 | 4 plans |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc | $6,309 – $13,295 · median $9,868 | 4 plans |
| 444 | Disorders Of The Biliary Tract With Mcc | $15,065 – $31,749 · median $23,565 | 4 plans |
| 445 | Disorders Of The Biliary Tract With Cc | $9,867 – $20,795 · median $15,434 | 4 plans |
| 446 | Disorders Of The Biliary Tract Without Cc/Mcc | $7,459 – $15,720 · median $11,667 | 4 plans |
| 463 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $51,387 – $108,296 · median $80,380 | 4 plans |
| 464 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $28,082 – $59,182 · median $43,927 | 4 plans |
| 465 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $16,442 – $34,652 · median $25,720 | 4 plans |
| 474 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc | $38,705 – $81,569 · median $60,543 | 4 plans |
| 475 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc | $20,518 – $43,241 · median $32,094 | 4 plans |
| 476 | Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc | $10,641 – $22,425 · median $16,644 | 4 plans |
| 477 | Biopsies Of Musculoskeletal System And Connective Tissue With Mcc | $31,147 – $65,641 · median $48,720 | 4 plans |
| 478 | Biopsies Of Musculoskeletal System And Connective Tissue With Cc | $22,172 – $46,727 · median $34,682 | 4 plans |
| 479 | Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc | $16,760 – $35,321 · median $26,216 | 4 plans |
| 480 | Hip And Femur Procedures Except Major Joint With Mcc | $26,257 – $55,337 · median $41,072 | 4 plans |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $18,884 – $39,798 · median $29,539 | 4 plans |
| 482 | Hip And Femur Procedures Except Major Joint Without Cc/Mcc | $14,705 – $30,991 · median $23,002 | 4 plans |
| 485 | Knee Procedures With Principal Diagnosis Of Infection With Mcc | $29,096 – $61,318 · median $45,512 | 4 plans |
| 486 | Knee Procedures With Principal Diagnosis Of Infection With Cc | $18,853 – $39,733 · median $29,491 | 4 plans |
| 487 | Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc | $14,121 – $29,759 · median $22,088 | 4 plans |
| 488 | Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc | $15,948 – $33,611 · median $24,947 | 4 plans |
| 489 | Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc | $10,069 – $21,220 · median $15,750 | 4 plans |
| 492 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc | $33,103 – $69,764 · median $51,781 | 4 plans |
| 493 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc | $22,865 – $48,188 · median $35,767 | 4 plans |
| 494 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc | $18,091 – $38,126 · median $28,298 | 4 plans |
| 495 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc | $32,689 – $68,892 · median $51,133 | 4 plans |
| 496 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc | $16,264 – $34,276 · median $25,440 | 4 plans |
| 497 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc | $10,894 – $22,959 · median $17,041 | 4 plans |
| 498 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc | $27,199 – $57,322 · median $42,546 | 4 plans |
| 499 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc | $18,165 – $38,283 · median $28,415 | 4 plans |
| 500 | Soft Tissue Procedures With Mcc | $28,534 – $60,134 · median $44,633 | 4 plans |
| 501 | Soft Tissue Procedures With Cc | $15,761 – $33,216 · median $24,653 | 4 plans |
| 502 | Soft Tissue Procedures Without Cc/Mcc | $12,135 – $25,573 · median $18,981 | 4 plans |
| 503 | Foot Procedures With Mcc | $25,165 – $53,034 · median $39,363 | 4 plans |
| 504 | Foot Procedures With Cc | $16,853 – $35,517 · median $26,361 | 4 plans |
| 505 | Foot Procedures Without Cc/Mcc | $16,164 – $34,065 · median $25,284 | 4 plans |
| 506 | Major Thumb Or Joint Procedures | $12,164 – $25,636 · median $19,028 | 4 plans |
| 507 | Major Shoulder Or Elbow Joint Procedures With Cc/Mcc | $16,287 – $34,323 · median $25,476 | 4 plans |
| 508 | Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc | $13,654 – $28,775 · median $21,358 | 4 plans |
| 510 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc | $27,233 – $57,393 · median $42,598 | 4 plans |
| 511 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc | $18,748 – $39,511 · median $29,326 | 4 plans |
| 512 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc | $14,925 – $31,454 · median $23,346 | 4 plans |
| 513 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc | $14,194 – $29,913 · median $22,202 | 4 plans |
| 514 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc | $9,217 – $19,425 · median $14,417 | 4 plans |
| 515 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc | $28,733 – $60,554 · median $44,945 | 4 plans |
| 516 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc | $18,736 – $39,486 · median $29,307 | 4 plans |
| 517 | Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc | $13,855 – $29,199 · median $21,672 | 4 plans |
| 521 | Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc | $25,878 – $54,537 · median $40,478 | 4 plans |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc | $19,093 – $40,238 · median $29,866 | 4 plans |
| 533 | Fractures Of Femur With Mcc | $14,134 – $29,788 · median $22,109 | 4 plans |
| 534 | Fractures Of Femur Without Mcc | $7,268 – $15,317 · median $11,368 | 4 plans |
| 535 | Fractures Of Hip And Pelvis With Mcc | $11,559 – $24,359 · median $18,080 | 4 plans |
| 536 | Fractures Of Hip And Pelvis Without Mcc | $7,281 – $15,345 · median $11,390 | 4 plans |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc | $8,604 – $18,133 · median $13,458 | 4 plans |
| 538 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc | $6,494 – $13,686 · median $10,158 | 4 plans |
| 539 | Osteomyelitis With Mcc | $17,759 – $37,426 · median $27,779 | 4 plans |
| 540 | Osteomyelitis With Cc | $11,687 – $24,631 · median $18,282 | 4 plans |
| 541 | Osteomyelitis Without Cc/Mcc | $7,099 – $14,961 · median $11,105 | 4 plans |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc | $15,927 – $33,565 · median $24,913 | 4 plans |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $9,268 – $19,533 · median $14,498 | 4 plans |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc | $6,803 – $14,338 · median $10,642 | 4 plans |
| 545 | Connective Tissue Disorders With Mcc | $22,375 – $47,155 · median $34,999 | 4 plans |
| 546 | Connective Tissue Disorders With Cc | $10,399 – $21,916 · median $16,266 | 4 plans |
| 547 | Connective Tissue Disorders Without Cc/Mcc | $7,539 – $15,889 · median $11,793 | 4 plans |
| 548 | Septic Arthritis With Mcc | $17,409 – $36,689 · median $27,231 | 4 plans |
| 549 | Septic Arthritis With Cc | $10,884 – $22,938 · median $17,025 | 4 plans |
| 550 | Septic Arthritis Without Cc/Mcc | $7,881 – $16,609 · median $12,327 | 4 plans |
| 551 | Medical Back Problems With Mcc | $15,112 – $31,848 · median $23,638 | 4 plans |
| 552 | Medical Back Problems Without Mcc | $8,667 – $18,266 · median $13,557 | 4 plans |
| 553 | Bone Diseases And Arthropathies With Mcc | $11,687 – $24,631 · median $18,282 | 4 plans |
| 554 | Bone Diseases And Arthropathies Without Mcc | $7,484 – $15,773 · median $11,707 | 4 plans |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc | $11,917 – $25,116 · median $18,641 | 4 plans |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc | $7,489 – $15,782 · median $11,714 | 4 plans |
| 557 | Tendonitis, Myositis And Bursitis With Mcc | $13,406 – $28,253 · median $20,970 | 4 plans |
| 558 | Tendonitis, Myositis And Bursitis Without Mcc | $8,053 – $16,972 · median $12,597 | 4 plans |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With Mcc | $16,814 – $35,435 · median $26,301 | 4 plans |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $10,153 – $21,397 · median $15,881 | 4 plans |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc | $7,248 – $15,275 · median $11,337 | 4 plans |
| 562 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc | $12,846 – $27,073 · median $20,094 | 4 plans |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc | $8,074 – $17,015 · median $12,629 | 4 plans |
| 564 | Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc | $13,917 – $29,330 · median $21,769 | 4 plans |
| 565 | Other Musculoskeletal System And Connective Tissue Diagnoses With Cc | $8,785 – $18,515 · median $13,742 | 4 plans |
| 566 | Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc | $6,756 – $14,237 · median $10,567 | 4 plans |
| 570 | Skin Debridement With Mcc | $26,517 – $55,884 · median $41,478 | 4 plans |
| 571 | Skin Debridement With Cc | $15,233 – $32,102 · median $23,827 | 4 plans |
| 572 | Skin Debridement Without Cc/Mcc | $10,335 – $21,781 · median $16,166 | 4 plans |
| 573 | Skin Graft For Skin Ulcer Or Cellulitis With Mcc | $59,067 – $124,483 · median $92,394 | 4 plans |
| 574 | Skin Graft For Skin Ulcer Or Cellulitis With Cc | $31,298 – $65,960 · median $48,957 | 4 plans |
| 575 | Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc | $16,202 – $34,145 · median $25,343 | 4 plans |
| 576 | Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc | $44,189 – $93,128 · median $69,122 | 4 plans |
| 577 | Skin Graft Except For Skin Ulcer Or Cellulitis With Cc | $23,899 – $50,366 · median $37,383 | 4 plans |
| 578 | Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc | $14,483 – $30,523 · median $22,655 | 4 plans |
| 579 | Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc | $29,198 – $61,535 · median $45,673 | 4 plans |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $15,580 – $32,834 · median $24,370 | 4 plans |
| 581 | Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc | $13,011 – $27,420 · median $20,352 | 4 plans |
| 582 | Mastectomy For Malignancy With Cc/Mcc | $17,370 – $36,607 · median $27,171 | 4 plans |
| 583 | Mastectomy For Malignancy Without Cc/Mcc | $15,547 – $32,765 · median $24,319 | 4 plans |
| 584 | Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc | $19,301 – $40,675 · median $30,190 | 4 plans |
| 585 | Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc | $17,393 – $36,655 · median $27,206 | 4 plans |
| 592 | Skin Ulcers With Mcc | $17,449 – $36,773 · median $27,294 | 4 plans |
| 593 | Skin Ulcers With Cc | $10,696 – $22,541 · median $16,730 | 4 plans |
| 594 | Skin Ulcers Without Cc/Mcc | $7,815 – $16,470 · median $12,224 | 4 plans |
| 595 | Major Skin Disorders With Mcc | $19,120 – $40,295 · median $29,908 | 4 plans |
| 596 | Major Skin Disorders Without Mcc | $9,760 – $20,569 · median $15,266 | 4 plans |
| 597 | Malignant Breast Disorders With Mcc | $15,031 – $31,677 · median $23,511 | 4 plans |
| 598 | Malignant Breast Disorders With Cc | $10,200 – $21,496 · median $15,955 | 4 plans |
| 599 | Malignant Breast Disorders Without Cc/Mcc | $6,937 – $14,619 · median $10,851 | 4 plans |
| 600 | Non-Malignant Breast Disorders With Cc/Mcc | $9,391 – $19,791 · median $14,690 | 4 plans |
| 601 | Non-Malignant Breast Disorders Without Cc/Mcc | $5,455 – $11,496 · median $8,532 | 4 plans |
| 602 | Cellulitis With Mcc | $12,814 – $27,006 · median $20,045 | 4 plans |
| 603 | Cellulitis Without Mcc | $7,852 – $16,548 · median $12,282 | 4 plans |
| 604 | Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc | $13,272 – $27,971 · median $20,761 | 4 plans |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc | $8,259 – $17,405 · median $12,918 | 4 plans |
| 606 | Minor Skin Disorders With Mcc | $13,643 – $28,752 · median $21,341 | 4 plans |
| 607 | Minor Skin Disorders Without Mcc | $8,172 – $17,223 · median $12,783 | 4 plans |
| 614 | Adrenal And Pituitary Procedures With Cc/Mcc | $19,761 – $41,646 · median $30,911 | 4 plans |
| 615 | Adrenal And Pituitary Procedures Without Cc/Mcc | $12,616 – $26,588 · median $19,734 | 4 plans |
| 616 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc | $31,442 – $66,264 · median $49,183 | 4 plans |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $16,863 – $35,538 · median $26,377 | 4 plans |
| 618 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $12,787 – $26,949 · median $20,002 | 4 plans |
| 619 | O.R. Procedures For Obesity With Mcc | $26,033 – $54,863 · median $40,721 | 4 plans |
| 620 | O.R. Procedures For Obesity With Cc | $14,428 – $30,407 · median $22,569 | 4 plans |
| 621 | O.R. Procedures For Obesity Without Cc/Mcc | $13,600 – $28,661 · median $21,273 | 4 plans |
| 622 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc | $32,090 – $67,628 · median $50,195 | 4 plans |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $16,174 – $34,086 · median $25,299 | 4 plans |
| 624 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $11,287 – $23,787 · median $17,656 | 4 plans |
| 625 | Thyroid, Parathyroid And Thyroglossal Procedures With Mcc | $27,229 – $57,385 · median $42,592 | 4 plans |
| 626 | Thyroid, Parathyroid And Thyroglossal Procedures With Cc | $13,519 – $28,490 · median $21,146 | 4 plans |
| 627 | Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc | $11,976 – $25,239 · median $18,733 | 4 plans |
| 628 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc | $33,601 – $70,813 · median $52,559 | 4 plans |
| 629 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc | $19,644 – $41,399 · median $30,728 | 4 plans |
| 630 | Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc | $13,159 – $27,732 · median $20,583 | 4 plans |
| 637 | Diabetes With Mcc | $12,953 – $27,299 · median $20,262 | 4 plans |
| 638 | Diabetes With Cc | $8,080 – $17,029 · median $12,639 | 4 plans |
| 639 | Diabetes Without Cc/Mcc | $5,601 – $11,803 · median $8,761 | 4 plans |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc | $12,042 – $25,378 · median $18,836 | 4 plans |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc | $7,016 – $14,787 · median $10,975 | 4 plans |
| 642 | Inborn And Other Disorders Of Metabolism | $12,822 – $27,021 · median $20,056 | 4 plans |
| 643 | Endocrine Disorders With Mcc | $14,841 – $31,278 · median $23,215 | 4 plans |
| 644 | Endocrine Disorders With Cc | $9,241 – $19,476 · median $14,456 | 4 plans |
| 645 | Endocrine Disorders Without Cc/Mcc | $6,927 – $14,598 · median $10,835 | 4 plans |
| 650 | Kidney Transplant With Hemodialysis With Mcc | $42,388 – $89,331 · median $66,304 | 4 plans |
| 651 | Kidney Transplant With Hemodialysis Without Mcc | $33,411 – $70,414 · median $52,263 | 4 plans |
| 653 | Major Bladder Procedures With Mcc | $46,851 – $98,737 · median $73,285 | 4 plans |
| 654 | Major Bladder Procedures With Cc | $25,238 – $53,190 · median $39,479 | 4 plans |
| 655 | Major Bladder Procedures Without Cc/Mcc | $19,083 – $40,218 · median $29,850 | 4 plans |
| 656 | Kidney And Ureter Procedures For Neoplasm With Mcc | $28,705 – $60,495 · median $44,901 | 4 plans |
| 657 | Kidney And Ureter Procedures For Neoplasm With Cc | $16,499 – $34,772 · median $25,808 | 4 plans |
| 658 | Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc | $13,991 – $29,486 · median $21,885 | 4 plans |
| 659 | Kidney And Ureter Procedures For Non-Neoplasm With Mcc | $22,909 – $48,280 · median $35,834 | 4 plans |
| 660 | Kidney And Ureter Procedures For Non-Neoplasm With Cc | $11,916 – $25,114 · median $18,640 | 4 plans |
| 661 | Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc | $9,335 – $19,674 · median $14,602 | 4 plans |
| 662 | Minor Bladder Procedures With Mcc | $27,602 – $58,172 · median $43,176 | 4 plans |
| 663 | Minor Bladder Procedures With Cc | $13,706 – $28,885 · median $21,439 | 4 plans |
| 664 | Minor Bladder Procedures Without Cc/Mcc | $9,439 – $19,892 · median $14,764 | 4 plans |
| 665 | Prostatectomy With Mcc | $28,141 – $59,306 · median $44,018 | 4 plans |
| 666 | Prostatectomy With Cc | $15,772 – $33,238 · median $24,670 | 4 plans |
| 667 | Prostatectomy Without Cc/Mcc | $9,974 – $21,019 · median $15,601 | 4 plans |
| 668 | Transurethral Procedures With Mcc | $26,327 – $55,483 · median $41,181 | 4 plans |
| 669 | Transurethral Procedures With Cc | $13,993 – $29,490 · median $21,888 | 4 plans |
| 670 | Transurethral Procedures Without Cc/Mcc | $8,811 – $18,570 · median $13,783 | 4 plans |
| 671 | Urethral Procedures With Cc/Mcc | $16,184 – $34,107 · median $25,315 | 4 plans |
| 672 | Urethral Procedures Without Cc/Mcc | $9,733 – $20,512 · median $15,224 | 4 plans |
| 673 | Other Kidney And Urinary Tract Procedures With Mcc | $37,882 – $79,835 · median $59,255 | 4 plans |
| 674 | Other Kidney And Urinary Tract Procedures With Cc | $21,085 – $44,436 · median $32,981 | 4 plans |
| 675 | Other Kidney And Urinary Tract Procedures Without Cc/Mcc | $14,799 – $31,188 · median $23,149 | 4 plans |
| 682 | Renal Failure With Mcc | $13,353 – $28,140 · median $20,887 | 4 plans |
| 683 | Renal Failure With Cc | $7,896 – $16,641 · median $12,351 | 4 plans |
| 684 | Renal Failure Without Cc/Mcc | $5,412 – $11,406 · median $8,466 | 4 plans |
| 686 | Kidney And Urinary Tract Neoplasms With Mcc | $16,262 – $34,272 · median $25,438 | 4 plans |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $9,447 – $19,909 · median $14,777 | 4 plans |
| 688 | Kidney And Urinary Tract Neoplasms Without Cc/Mcc | $7,125 – $15,016 · median $11,146 | 4 plans |
| 689 | Kidney And Urinary Tract Infections With Mcc | $10,461 – $22,047 · median $16,364 | 4 plans |
| 690 | Kidney And Urinary Tract Infections Without Mcc | $7,298 – $15,381 · median $11,416 | 4 plans |
| 693 | Urinary Stones With Mcc | $12,122 – $25,547 · median $18,961 | 4 plans |
| 694 | Urinary Stones Without Mcc | $7,048 – $14,853 · median $11,024 | 4 plans |
| 695 | Kidney And Urinary Tract Signs And Symptoms With Mcc | $10,313 – $21,733 · median $16,131 | 4 plans |
| 696 | Kidney And Urinary Tract Signs And Symptoms Without Mcc | $6,212 – $13,092 · median $9,717 | 4 plans |
| 697 | Urethral Stricture | $9,717 – $20,479 · median $15,200 | 4 plans |
| 698 | Other Kidney And Urinary Tract Diagnoses With Mcc | $14,916 – $31,435 · median $23,332 | 4 plans |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $9,151 – $19,286 · median $14,315 | 4 plans |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc | $6,220 – $13,109 · median $9,730 | 4 plans |
| 707 | Major Male Pelvic Procedures With Cc/Mcc | $18,035 – $38,008 · median $28,210 | 4 plans |
| 708 | Major Male Pelvic Procedures Without Cc/Mcc | $13,832 – $29,151 · median $21,637 | 4 plans |
| 709 | Penis Procedures With Cc/Mcc | $20,981 – $44,217 · median $32,819 | 4 plans |
| 710 | Penis Procedures Without Cc/Mcc | $12,633 – $26,624 · median $19,761 | 4 plans |
| 711 | Testes Procedures With Cc/Mcc | $18,788 – $39,594 · median $29,388 | 4 plans |
| 712 | Testes Procedures Without Cc/Mcc | $9,915 – $20,895 · median $15,509 | 4 plans |
| 713 | Transurethral Prostatectomy With Cc/Mcc | $13,555 – $28,566 · median $21,202 | 4 plans |
| 714 | Transurethral Prostatectomy Without Cc/Mcc | $9,534 – $20,092 · median $14,913 | 4 plans |
| 715 | Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc | $20,172 – $42,511 · median $31,553 | 4 plans |
| 716 | Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc | $13,263 – $27,950 · median $20,746 | 4 plans |
| 717 | Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc | $17,045 – $35,921 · median $26,662 | 4 plans |
| 718 | Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc | $12,109 – $25,520 · median $18,942 | 4 plans |
| 722 | Malignancy, Male Reproductive System With Mcc | $16,316 – $34,386 · median $25,522 | 4 plans |
| 723 | Malignancy, Male Reproductive System With Cc | $10,303 – $21,712 · median $16,116 | 4 plans |
| 724 | Malignancy, Male Reproductive System Without Cc/Mcc | $5,912 – $12,459 · median $9,247 | 4 plans |
| 725 | Benign Prostatic Hypertrophy With Mcc | $10,551 – $22,235 · median $16,503 | 4 plans |
| 726 | Benign Prostatic Hypertrophy Without Mcc | $6,510 – $13,719 · median $10,182 | 4 plans |
| 727 | Inflammation Of The Male Reproductive System With Mcc | $13,370 – $28,177 · median $20,913 | 4 plans |
| 728 | Inflammation Of The Male Reproductive System Without Mcc | $7,314 – $15,414 · median $11,440 | 4 plans |
| 729 | Other Male Reproductive System Diagnoses With Cc/Mcc | $9,545 – $20,116 · median $14,931 | 4 plans |
| 730 | Other Male Reproductive System Diagnoses Without Cc/Mcc | $6,059 – $12,769 · median $9,477 | 4 plans |
| 734 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc | $19,204 – $40,472 · median $30,039 | 4 plans |
| 735 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc | $12,131 – $25,566 · median $18,976 | 4 plans |
| 736 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc | $32,228 – $67,919 · median $50,411 | 4 plans |
| 737 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc | $18,578 – $39,153 · median $29,061 | 4 plans |
| 738 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc | $13,240 – $27,903 · median $20,710 | 4 plans |
| 739 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc | $32,303 – $68,077 · median $50,528 | 4 plans |
| 740 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc | $16,315 – $34,384 · median $25,521 | 4 plans |
| 741 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc | $12,858 – $27,097 · median $20,112 | 4 plans |
| 742 | Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc | $16,543 – $34,863 · median $25,876 | 4 plans |
| 743 | Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc | $11,186 – $23,575 · median $17,498 | 4 plans |
| 744 | D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc | $18,475 – $38,935 · median $28,898 | 4 plans |
| 745 | D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc | $10,256 – $21,614 · median $16,042 | 4 plans |
| 746 | Vagina, Cervix And Vulva Procedures With Cc/Mcc | $15,662 – $33,007 · median $24,498 | 4 plans |
| 747 | Vagina, Cervix And Vulva Procedures Without Cc/Mcc | $7,751 – $16,335 · median $12,124 | 4 plans |
| 748 | Female Reproductive System Reconstructive Procedures | $12,508 – $26,360 · median $19,565 | 4 plans |
| 749 | Other Female Reproductive System O.R. Procedures With Cc/Mcc | $23,149 – $48,787 · median $36,211 | 4 plans |
| 750 | Other Female Reproductive System O.R. Procedures Without Cc/Mcc | $13,306 – $28,042 · median $20,813 | 4 plans |
| 754 | Malignancy, Female Reproductive System With Mcc | $16,605 – $34,994 · median $25,973 | 4 plans |
| 755 | Malignancy, Female Reproductive System With Cc | $9,808 – $20,669 · median $15,341 | 4 plans |
| 756 | Malignancy, Female Reproductive System Without Cc/Mcc | $8,660 – $18,250 · median $13,546 | 4 plans |
| 757 | Infections, Female Reproductive System With Mcc | $12,910 – $27,208 · median $20,194 | 4 plans |
| 758 | Infections, Female Reproductive System With Cc | $8,827 – $18,602 · median $13,807 | 4 plans |
| 759 | Infections, Female Reproductive System Without Cc/Mcc | $5,983 – $12,609 · median $9,359 | 4 plans |
| 760 | Menstrual And Other Female Reproductive System Disorders With Cc/Mcc | $9,084 – $19,144 · median $14,209 | 4 plans |
| 761 | Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc | $5,144 – $10,840 · median $8,046 | 4 plans |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $9,662 – $20,361 · median $15,113 | 4 plans |
| 769 | Postpartum And Post Abortion Diagnoses With O.R. Procedures | $15,235 – $32,108 · median $23,831 | 4 plans |
| 770 | Abortion With D&C, Aspiration Curettage Or Hysterotomy | $9,040 – $19,052 · median $14,141 | 4 plans |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $5,903 – $12,440 · median $9,233 | 4 plans |
| 779 | Abortion Without D&C | $7,585 – $15,986 · median $11,865 | 4 plans |
| 783 | Cesarean Section With Sterilization With Mcc | $22,135 – $46,649 · median $34,624 | 4 plans |
| 784 | Cesarean Section With Sterilization With Cc | $9,558 – $20,143 · median $14,951 | 4 plans |
| 785 | Cesarean Section With Sterilization Without Cc/Mcc | $8,636 – $18,199 · median $13,508 | 4 plans |
| 786 | Cesarean Section Without Sterilization With Mcc | $14,872 – $31,342 · median $23,263 | 4 plans |
| 787 | Cesarean Section Without Sterilization With Cc | $10,069 – $21,220 · median $15,750 | 4 plans |
| 788 | Cesarean Section Without Sterilization Without Cc/Mcc | $8,645 – $18,218 · median $13,522 | 4 plans |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $16,249 – $34,244 · median $25,416 | 4 plans |
| 790 | Extreme Immaturity Or Respiratory Distress Syndrome, Neonate | $53,587 – $112,932 · median $83,821 | 4 plans |
| 791 | Prematurity With Major Problems | $36,596 – $77,125 · median $57,244 | 4 plans |
| 792 | Prematurity Without Major Problems | $22,082 – $46,537 · median $34,541 | 4 plans |
| 793 | Full Term Neonate With Major Problems | $37,593 – $79,227 · median $58,804 | 4 plans |
| 794 | Neonate With Other Significant Problems | $13,307 – $28,044 · median $20,815 | 4 plans |
| 795 | Normal Newborn | $1,801 – $3,796 · median $2,818 | 4 plans |
| 796 | Vaginal Delivery With Sterilization And/Or D&C With Mcc | $10,522 – $22,174 · median $16,458 | 4 plans |
| 797 | Vaginal Delivery With Sterilization And/Or D&C With Cc | $9,020 – $19,009 · median $14,109 | 4 plans |
| 798 | Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc | $8,629 – $18,186 · median $13,498 | 4 plans |
| 799 | Splenic Procedures With Mcc | $40,833 – $86,054 · median $63,871 | 4 plans |
| 800 | Splenic Procedures With Cc | $25,330 – $53,381 · median $39,621 | 4 plans |
| 801 | Splenic Procedures Without Cc/Mcc | $17,211 – $36,271 · median $26,921 | 4 plans |
| 802 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc | $35,921 – $75,702 · median $56,188 | 4 plans |
| 803 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc | $16,760 – $35,321 · median $26,216 | 4 plans |
| 804 | Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc | $12,226 – $25,765 · median $19,124 | 4 plans |
| 805 | Vaginal Delivery Without Sterilization Or D&C With Mcc | $9,730 – $20,506 · median $15,220 | 4 plans |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $6,798 – $14,327 · median $10,634 | 4 plans |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc | $6,079 – $12,810 · median $9,508 | 4 plans |
| 808 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $19,906 – $41,952 · median $31,138 | 4 plans |
| 809 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $11,413 – $24,053 · median $17,853 | 4 plans |
| 810 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $9,436 – $19,886 · median $14,760 | 4 plans |
| 811 | Red Blood Cell Disorders With Mcc | $12,661 – $26,683 · median $19,805 | 4 plans |
| 812 | Red Blood Cell Disorders Without Mcc | $8,278 – $17,447 · median $12,949 | 4 plans |
| 813 | Coagulation Disorders | $13,752 – $28,982 · median $21,511 | 4 plans |
| 814 | Reticuloendothelial And Immunity Disorders With Mcc | $19,174 – $40,409 · median $29,993 | 4 plans |
| 815 | Reticuloendothelial And Immunity Disorders With Cc | $9,142 – $19,267 · median $14,300 | 4 plans |
| 816 | Reticuloendothelial And Immunity Disorders Without Cc/Mcc | $5,698 – $12,009 · median $8,913 | 4 plans |
| 817 | Other Antepartum Diagnoses With O.R. Procedures With Mcc | $20,571 – $43,353 · median $32,177 | 4 plans |
| 818 | Other Antepartum Diagnoses With O.R. Procedures With Cc | $10,451 – $22,026 · median $16,348 | 4 plans |
| 819 | Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc | $7,753 – $16,339 · median $12,127 | 4 plans |
| 820 | Lymphoma And Leukemia With Major O.R. Procedures With Mcc | $52,877 – $111,437 · median $82,711 | 4 plans |
| 821 | Lymphoma And Leukemia With Major O.R. Procedures With Cc | $20,183 – $42,536 · median $31,571 | 4 plans |
| 822 | Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc | $10,855 – $22,877 · median $16,980 | 4 plans |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc | $41,337 – $87,116 · median $64,659 | 4 plans |
| 824 | Lymphoma And Non-Acute Leukemia With Other Procedures With Cc | $20,427 – $43,049 · median $31,952 | 4 plans |
| 825 | Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc | $12,166 – $25,640 · median $19,031 | 4 plans |
| 826 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc | $42,175 – $88,883 · median $65,971 | 4 plans |
| 827 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc | $20,838 – $43,915 · median $32,595 | 4 plans |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C | $15,361 – $32,374 · median $24,029 | 4 plans |
| 829 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc | $28,491 – $60,043 · median $44,565 | 4 plans |
| 830 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc | $13,569 – $28,597 · median $21,225 | 4 plans |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With Mcc | $10,842 – $22,849 · median $16,959 | 4 plans |
| 832 | Other Antepartum Diagnoses Without O.R. Procedures With Cc | $6,506 – $13,711 · median $10,177 | 4 plans |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc | $4,714 – $9,936 · median $7,374 | 4 plans |
| 834 | Acute Leukemia With Mcc | $49,497 – $104,314 · median $77,424 | 4 plans |
| 835 | Acute Leukemia With Cc | $18,806 – $39,632 · median $29,416 | 4 plans |
| 836 | Acute Leukemia Without Cc/Mcc | $10,995 – $23,172 · median $17,199 | 4 plans |
| 837 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc | $43,316 – $91,287 · median $67,755 | 4 plans |
| 838 | Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent | $18,820 – $39,663 · median $29,439 | 4 plans |
| 839 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $13,018 – $27,436 · median $20,363 | 4 plans |
| 840 | Lymphoma And Non-Acute Leukemia With Mcc | $29,166 – $61,466 · median $45,622 | 4 plans |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $14,709 – $30,998 · median $23,008 | 4 plans |
| 842 | Lymphoma And Non-Acute Leukemia Without Cc/Mcc | $9,110 – $19,199 · median $14,250 | 4 plans |
| 843 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc | $17,985 – $37,903 · median $28,133 | 4 plans |
| 844 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc | $10,976 – $23,132 · median $17,169 | 4 plans |
| 845 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc | $7,678 – $16,181 · median $12,010 | 4 plans |
| 846 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc | $23,374 – $49,260 · median $36,562 | 4 plans |
| 847 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc | $11,795 – $24,857 · median $18,450 | 4 plans |
| 848 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $7,658 – $16,139 · median $11,979 | 4 plans |
| 849 | Radiotherapy | $24,429 – $51,483 · median $38,212 | 4 plans |
| 850 | Acute Leukemia With Other Procedures | $78,074 – $164,539 · median $122,125 | 4 plans |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With Mcc | $44,526 – $93,838 · median $69,649 | 4 plans |
| 854 | Infectious And Parasitic Diseases With O.R. Procedures With Cc | $18,015 – $37,966 · median $28,179 | 4 plans |
| 855 | Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc | $13,499 – $28,448 · median $21,115 | 4 plans |
| 856 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc | $41,011 – $86,430 · median $64,150 | 4 plans |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $19,308 – $40,691 · median $30,202 | 4 plans |
| 858 | Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc | $12,558 – $26,466 · median $19,644 | 4 plans |
| 862 | Postoperative And Post-Traumatic Infections With Mcc | $16,442 – $34,652 · median $25,720 | 4 plans |
| 863 | Postoperative And Post-Traumatic Infections Without Mcc | $8,997 – $18,961 · median $14,073 | 4 plans |
| 864 | Fever And Inflammatory Conditions | $8,004 – $16,867 · median $12,519 | 4 plans |
| 865 | Viral Illness With Mcc | $13,509 – $28,469 · median $21,131 | 4 plans |
| 866 | Viral Illness Without Mcc | $7,840 – $16,523 · median $12,264 | 4 plans |
| 867 | Other Infectious And Parasitic Diseases Diagnoses With Mcc | $18,872 – $39,773 · median $29,520 | 4 plans |
| 868 | Other Infectious And Parasitic Diseases Diagnoses With Cc | $9,296 – $19,592 · median $14,542 | 4 plans |
| 869 | Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc | $6,579 – $13,865 · median $10,291 | 4 plans |
| 870 | Septicemia Or Severe Sepsis With Mv >96 Hours | $62,317 – $131,331 · median $97,477 | 4 plans |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | $17,514 – $36,909 · median $27,395 | 4 plans |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | $9,226 – $19,444 · median $14,432 | 4 plans |
| 876 | O.R. Procedures With Principal Diagnosis Of Mental Illness | $34,846 – $73,437 · median $54,507 | 4 plans |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $8,657 – $18,245 · median $13,542 | 4 plans |
| 881 | Depressive Neuroses | $8,483 – $17,878 · median $13,270 | 4 plans |
| 882 | Neuroses Except Depressive | $9,681 – $20,403 · median $15,144 | 4 plans |
| 883 | Disorders Of Personality And Impulse Control | $17,728 – $37,362 · median $27,731 | 4 plans |
| 884 | Organic Disturbances And Intellectual Disability | $14,506 – $30,571 · median $22,690 | 4 plans |
| 885 | Psychoses | $12,594 – $26,541 · median $19,699 | 4 plans |
| 886 | Behavioral And Developmental Disorders | $18,711 – $39,433 · median $29,268 | 4 plans |
| 887 | Other Mental Disorder Diagnoses | $9,655 – $20,348 · median $15,103 | 4 plans |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $5,562 – $11,722 · median $8,700 | 4 plans |
| 895 | Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy | $12,763 – $26,898 · median $19,964 | 4 plans |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc | $15,734 – $33,159 · median $24,611 | 4 plans |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | $7,959 – $16,774 · median $12,450 | 4 plans |
| 901 | Wound Debridements For Injuries With Mcc | $37,837 – $79,740 · median $59,185 | 4 plans |
| 902 | Wound Debridements For Injuries With Cc | $17,261 – $36,377 · median $27,000 | 4 plans |
| 903 | Wound Debridements For Injuries Without Cc/Mcc | $10,545 – $22,224 · median $16,495 | 4 plans |
| 904 | Skin Grafts For Injuries With Cc/Mcc | $33,117 – $69,793 · median $51,802 | 4 plans |
| 905 | Skin Grafts For Injuries Without Cc/Mcc | $13,374 – $28,186 · median $20,920 | 4 plans |
| 906 | Hand Procedures For Injuries | $17,710 – $37,324 · median $27,703 | 4 plans |
| 907 | Other O.R. Procedures For Injuries With Mcc | $34,615 – $72,951 · median $54,146 | 4 plans |
| 908 | Other O.R. Procedures For Injuries With Cc | $17,989 – $37,911 · median $28,138 | 4 plans |
| 909 | Other O.R. Procedures For Injuries Without Cc/Mcc | $11,835 – $24,943 · median $18,513 | 4 plans |
| 913 | Traumatic Injury With Mcc | $14,738 – $31,059 · median $23,053 | 4 plans |
| 914 | Traumatic Injury Without Mcc | $7,984 – $16,825 · median $12,488 | 4 plans |
| 915 | Allergic Reactions With Mcc | $15,161 – $31,952 · median $23,716 | 4 plans |
| 916 | Allergic Reactions Without Mcc | $6,007 – $12,660 · median $9,397 | 4 plans |
| 917 | Poisoning And Toxic Effects Of Drugs With Mcc | $14,141 – $29,801 · median $22,119 | 4 plans |
| 918 | Poisoning And Toxic Effects Of Drugs Without Mcc | $7,728 – $16,286 · median $12,088 | 4 plans |
| 919 | Complications Of Treatment With Mcc | $16,506 – $34,787 · median $25,820 | 4 plans |
| 920 | Complications Of Treatment With Cc | $9,037 – $19,045 · median $14,135 | 4 plans |
| 921 | Complications Of Treatment Without Cc/Mcc | $6,207 – $13,080 · median $9,709 | 4 plans |
| 922 | Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc | $15,773 – $33,240 · median $24,672 | 4 plans |
| 923 | Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc | $9,176 – $19,337 · median $14,353 | 4 plans |
| 927 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft | $192,496 – $405,681 · median $301,106 | 4 plans |
| 928 | Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc | $64,669 – $136,288 · median $101,157 | 4 plans |
| 929 | Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc | $29,039 – $61,198 · median $45,423 | 4 plans |
| 933 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft | $35,110 – $73,994 · median $54,920 | 4 plans |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $19,931 – $42,004 · median $31,176 | 4 plans |
| 935 | Non-Extensive Burns | $18,573 – $39,142 · median $29,052 | 4 plans |
| 939 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc | $32,715 – $68,945 · median $51,173 | 4 plans |
| 940 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc | $21,069 – $44,403 · median $32,957 | 4 plans |
| 941 | O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc | $18,282 – $38,528 · median $28,597 | 4 plans |
| 945 | Rehabilitation With Cc/Mcc | $13,962 – $29,425 · median $21,840 | 4 plans |
| 946 | Rehabilitation Without Cc/Mcc | $10,340 – $21,790 · median $16,173 | 4 plans |
| 947 | Signs And Symptoms With Mcc | $11,445 – $24,120 · median $17,902 | 4 plans |
| 948 | Signs And Symptoms Without Mcc | $7,217 – $15,210 · median $11,289 | 4 plans |
| 949 | Aftercare With Cc/Mcc | $10,726 – $22,605 · median $16,778 | 4 plans |
| 950 | Aftercare Without Cc/Mcc | $5,659 – $11,927 · median $8,852 | 4 plans |
| 951 | Other Factors Influencing Health Status | $5,013 – $10,565 · median $7,841 | 4 plans |
| 955 | Craniotomy For Multiple Significant Trauma | $60,688 – $127,898 · median $94,929 | 4 plans |
| 956 | Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma | $33,927 – $71,501 · median $53,070 | 4 plans |
| 957 | Other O.R. Procedures For Multiple Significant Trauma With Mcc | $68,701 – $144,786 · median $107,463 | 4 plans |
| 958 | Other O.R. Procedures For Multiple Significant Trauma With Cc | $37,993 – $80,068 · median $59,429 | 4 plans |
| 959 | Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc | $26,544 – $55,941 · median $41,521 | 4 plans |
| 963 | Other Multiple Significant Trauma With Mcc | $24,648 – $51,945 · median $38,555 | 4 plans |
| 964 | Other Multiple Significant Trauma With Cc | $13,818 – $29,121 · median $21,614 | 4 plans |
| 965 | Other Multiple Significant Trauma Without Cc/Mcc | $8,480 – $17,870 · median $13,264 | 4 plans |
| 969 | Hiv With Extensive O.R. Procedures With Mcc | $55,190 – $116,311 · median $86,329 | 4 plans |
| 970 | Hiv With Extensive O.R. Procedures Without Mcc | $23,779 – $50,113 · median $37,195 | 4 plans |
| 974 | Hiv With Major Related Condition With Mcc | $26,020 – $54,837 · median $40,701 | 4 plans |
| 975 | Hiv With Major Related Condition With Cc | $11,676 – $24,606 · median $18,263 | 4 plans |
| 976 | Hiv With Major Related Condition Without Cc/Mcc | $8,139 – $17,152 · median $12,731 | 4 plans |
| 977 | Hiv With Or Without Other Related Condition | $11,700 – $24,658 · median $18,301 | 4 plans |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $42,301 – $89,149 · median $66,168 | 4 plans |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $22,166 – $46,714 · median $34,672 | 4 plans |
| 983 | Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $15,453 – $32,568 · median $24,173 | 4 plans |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $30,910 – $65,143 · median $48,351 | 4 plans |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $14,819 – $31,230 · median $23,180 | 4 plans |
| 989 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $10,812 – $22,786 · median $16,912 | 4 plans |
No procedures match that keyword.