University of Missouri Health Care — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,997 – $40,898 · median $25,615 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,465 – $30,618 · median $18,565 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,987 – $30,618 · median $15,678 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $39,657 – $121,266 · median $86,000 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,657 – $83,186 · median $58,708 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,657 – $83,186 · median $53,719 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,657 – $97,222 · median $69,973 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,657 – $83,186 · median $48,485 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,659 – $83,186 · median $43,704 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $39,657 – $106,475 · median $75,734 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $39,657 – $83,186 · median $55,109 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $39,657 – $98,213 · median $70,001 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $39,657 – $83,186 · median $48,233 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,657 – $83,186 · median $53,657 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,840 – $83,186 · median $39,850 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $6,505 – $47,250 · median $31,718 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,536 – $47,250 · median $22,630 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,799 – $47,250 · median $17,995 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $8,606 – $47,250 · median $21,140 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,606 – $47,250 · median $11,486 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $21,740 – $106,416 · median $75,693 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $21,740 – $72,116 · median $51,889 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $21,740 – $54,256 · median $39,494 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $19,530 – $77,108 · median $55,353 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,530 – $35,984 · median $26,812 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,530 – $67,864 · median $48,938 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,530 – $37,049 · median $27,552 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,236 – $28,750 · median $17,744 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $21,973 – $64,014 · median $46,266 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,973 – $43,038 · median $31,708 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,511 – $39,350 · median $25,093 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,973 – $41,071 · median $30,343 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,461 – $29,579 · median $19,244 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $21,740 – $61,032 · median $44,196 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,740 – $36,688 · median $27,104 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,210 – $36,688 · median $22,698 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,530 – $56,350 · median $40,947 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,480 – $28,750 · median $21,026 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,537 – $28,750 · median $12,197 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,530 – $43,211 · median $31,828 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,177 – $29,385 · median $22,444 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,745 – $28,750 · median $18,128 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,530 – $36,954 · median $27,486 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,701 – $28,750 · median $20,259 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,008 – $28,750 · median $16,816 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $19,530 – $44,621 · median $32,807 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,186 – $36,015 · median $22,994 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,471 – $28,750 · median $19,640 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $39,657 – $133,124 · median $94,229 | 19 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,657 – $83,186 · median $47,250 | 19 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,472 – $83,186 · median $32,538 | 19 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,556 – $40,890 · median $22,520 | 19 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,813 – $39,657 · median $15,760 | 19 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $13,466 – $47,250 · median $26,304 | 19 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,466 – $47,250 · median $17,167 | 19 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $13,466 – $47,250 · median $31,542 | 19 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,341 – $47,250 · median $18,387 | 19 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,465 – $47,250 · median $15,075 | 19 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,459 – $39,657 · median $16,647 | 19 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,559 – $39,657 · median $9,886 | 19 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,946 – $39,657 · median $8,162 | 19 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,575 – $11,617 · median $6,458 | 19 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,575 – $18,244 · median $10,802 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,575 – $12,500 · median $10,802 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,575 – $12,500 · median $9,457 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,575 – $16,234 · median $10,802 | 19 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,575 – $12,500 · median $10,802 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,575 – $12,500 · median $9,729 | 19 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,575 – $13,219 · median $6,480 | 19 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,575 – $10,478 · median $6,480 | 19 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,575 – $10,478 · median $6,480 | 19 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,575 – $10,743 · median $6,405 | 19 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,575 – $8,305 · median $6,405 | 19 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,575 – $7,538 · median $6,405 | 19 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $51,646 – $136,882 · median $96,837 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $23,191 – $61,403 · median $44,454 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,570 – $43,103 · median $31,753 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,741 – $39,657 · median $24,332 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,283 – $39,657 · median $17,257 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $20,368 – $44,822 · median $32,946 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,125 – $83,186 · median $56,725 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,579 – $83,186 · median $49,870 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,674 – $83,778 · median $63,027 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,091 – $83,186 · median $48,737 | 18 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $18,556 – $52,460 · median $36,281 | 18 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,556 – $39,215 · median $29,332 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,646 – $88,797 · median $64,315 | 18 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $50,794 – $83,181 · median $56,685 | 18 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $38,146 – $83,181 · median $44,386 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,196 – $39,657 · median $18,891 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,076 – $39,657 · median $8,301 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,603 – $39,657 · median $6,735 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,398 – $39,657 · median $27,050 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,929 – $39,657 · median $16,201 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,028 – $39,657 · median $10,438 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $36,021 – $57,219 · median $41,844 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,981 – $51,646 · median $22,493 | 18 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,484 – $42,702 · median $26,918 | 18 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,835 – $33,836 · median $17,784 | 18 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $17,484 – $53,519 · median $38,982 | 18 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,231 – $47,927 · median $29,702 | 18 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,484 – $35,962 · median $27,053 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,740 – $45,033 · median $33,093 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,969 – $36,688 · median $19,300 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,359 – $36,688 · median $14,474 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,901 – $36,623 · median $27,811 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,286 – $29,579 · median $20,568 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $34,118 – $83,186 · median $38,848 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,244 – $83,186 · median $32,483 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,460 – $83,186 · median $24,110 | 17 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $23,569 – $62,866 · median $45,470 | 17 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,276 – $40,263 · median $29,783 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,248 – $29,481 · median $19,340 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,155 – $28,750 · median $12,879 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $41,024 – $87,700 · median $44,866 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $31,509 – $87,700 · median $33,815 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,735 – $68,212 · median $49,647 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,029 – $38,735 · median $26,580 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,424 – $38,735 · median $20,631 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $27,030 – $87,700 · median $32,996 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $13,994 – $49,476 · median $36,521 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,994 – $25,110 · median $19,266 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,695 – $19,060 · median $15,067 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,254 – $22,952 · median $17,769 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,987 – $15,062 · median $12,292 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,659 – $21,041 · median $16,442 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,659 – $12,002 · median $10,169 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $166,044 – $269,288 · median $188,729 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $101,754 – $177,543 · median $125,057 | 15 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $43,033 – $67,799 · median $48,893 | 15 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $27,548 – $51,563 · median $37,625 | 15 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $16,946 – $33,297 · median $24,948 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $105,396 – $164,624 · median $116,091 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $49,494 – $75,841 · median $55,512 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,291 – $75,841 · median $54,474 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $309,245 – $473,861 · median $337,004 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $60,557 – $99,607 · median $70,968 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $66,101 – $101,288 · median $73,508 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $45,324 – $69,451 · median $50,992 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,949 – $44,359 · median $33,247 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,906 – $71,685 · median $51,589 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,602 – $47,768 · median $34,991 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,673 – $56,194 · median $41,617 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,081 – $38,431 · median $28,511 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,000 – $31,008 · median $23,359 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,441 – $76,389 · median $54,854 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,241 – $42,177 · median $31,111 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,561 – $27,962 · median $21,245 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,363 – $52,655 · median $39,114 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,440 – $26,834 · median $20,462 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,118 – $20,047 · median $15,753 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,997 – $48,862 · median $35,750 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,330 – $28,583 · median $21,676 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,311 – $23,033 · median $17,825 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,534 – $41,727 · median $30,799 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,213 – $20,246 · median $15,890 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,120 – $14,301 · median $11,765 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,931 – $47,396 · median $35,395 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,517 – $28,374 · median $21,531 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,412 – $22,084 · median $17,166 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,486 – $25,287 · median $19,389 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,555 – $11,577 · median $9,874 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,293 – $18,836 · median $14,912 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,946 – $13,708 · median $11,353 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,100 – $23,194 · median $17,936 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,709 – $15,375 · median $12,509 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,438 – $11,213 · median $9,621 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,168 – $33,968 · median $25,898 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,603 – $22,377 · median $17,369 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,519 – $17,651 · median $14,090 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,311 – $24,994 · median $19,186 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,339 – $12,777 · median $10,707 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,644 – $8,648 · median $7,842 | 15 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,930 – $18,281 · median $14,526 | 15 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,228 – $11,076 · median $9,526 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,561 – $10,053 · median $8,816 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,258 – $21,848 · median $17,002 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,642 – $13,242 · median $11,030 | 15 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,152 – $9,426 · median $8,381 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,762 – $19,420 · median $15,317 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,617 – $13,098 · median $10,929 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,124 – $21,642 · median $16,859 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,519 – $11,521 · median $9,835 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,680 – $19,429 · median $15,324 | 15 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,183 – $12,539 · median $10,541 | 15 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,467 – $8,377 · median $7,653 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,418 – $24,977 · median $19,174 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,466 – $11,369 · median $9,729 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,298 – $46,350 · median $22,072 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,401 – $25,750 · median $13,964 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,756 – $15,450 · median $10,177 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,581 – $46,350 · median $21,600 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,755 – $25,750 · median $13,277 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,104 – $15,450 · median $9,548 | 15 plans |
| 088 | CONCUSSION WITH MCC | $11,568 – $17,725 · median $14,141 | 15 plans |
| 089 | CONCUSSION WITH CC | $8,452 – $13,471 · median $11,188 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,198 – $10,772 · median $9,315 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,058 – $22,905 · median $17,736 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,333 – $13,303 · median $11,072 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,082 – $9,918 · median $8,722 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,919 – $45,846 · median $33,657 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,657 – $30,121 · median $22,744 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,296 – $30,121 · median $22,744 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,482 – $45,041 · median $33,098 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,348 – $27,257 · median $20,756 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,984 – $17,507 · median $13,989 | 15 plans |
| 100 | SEIZURES WITH MCC | $13,433 – $24,945 · median $19,152 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $6,887 – $11,581 · median $9,877 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,883 – $14,569 · median $11,951 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $5,777 – $10,683 · median $9,253 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,091 – $28,354 · median $21,518 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,022 – $14,853 · median $12,148 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,534 – $19,237 · median $15,190 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,379 – $20,966 · median $16,390 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,285 – $13,553 · median $11,245 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,095 – $14,616 · median $11,983 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,562 – $8,523 · median $7,754 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,502 – $10,092 · median $8,843 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,692 – $16,384 · median $13,210 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,024 – $10,375 · median $9,040 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,835 – $30,295 · median $22,865 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,021 – $12,291 · median $10,370 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,469 – $17,573 · median $14,036 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,671 – $10,222 · median $8,933 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,345 – $17,252 · median $13,812 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,679 – $53,140 · median $38,719 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,618 – $26,996 · median $20,575 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,894 – $19,757 · median $15,551 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,941 – $41,488 · median $30,633 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,405 – $22,073 · median $17,158 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,715 – $14,887 · median $12,171 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,812 – $28,825 · median $21,845 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,207 – $15,641 · median $12,694 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,358 – $10,061 · median $8,822 | 15 plans |
| 149 | DYSEQUILIBRIUM | $5,720 – $9,392 · median $8,358 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $11,334 – $17,367 · median $13,893 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,630 – $9,524 · median $8,449 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,541 – $14,259 · median $11,735 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,530 – $8,943 · median $8,046 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,610 – $20,434 · median $16,021 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,656 – $11,731 · median $9,981 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,514 – $8,449 · median $7,703 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,420 – $20,575 · median $16,119 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,713 – $11,819 · median $10,042 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,408 – $8,288 · median $7,591 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $37,795 – $57,915 · median $42,833 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,639 – $31,626 · median $23,788 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,285 – $23,421 · median $18,094 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $31,572 – $48,379 · median $35,415 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,983 – $22,959 · median $17,793 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,102 – $17,012 · median $13,646 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $25,163 – $38,557 · median $28,598 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,555 – $17,705 · median $14,127 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,679 – $10,234 · median $8,942 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,255 – $20,311 · median $15,936 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,135 – $13,508 · median $10,491 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,312 – $9,671 · median $8,551 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,332 – $21,961 · median $17,081 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,104 – $13,951 · median $11,521 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,868 – $10,523 · median $9,143 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,016 – $25,750 · median $15,681 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,620 – $15,450 · median $11,153 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,058 – $15,450 · median $8,621 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,956 – $19,853 · median $15,617 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,233 – $12,615 · median $10,595 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,020 – $9,225 · median $8,242 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,147 – $18,561 · median $12,630 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,209 – $14,111 · median $11,632 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,045 – $10,795 · median $9,331 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,307 – $8,132 · median $7,483 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,805 – $16,557 · median $13,330 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,724 – $10,303 · median $8,990 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,106 – $7,824 · median $7,269 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,995 – $23,674 · median $18,269 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,118 – $12,439 · median $10,472 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,743 – $8,801 · median $7,947 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,475 – $22,181 · median $17,233 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,858 – $13,916 · median $11,497 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,552 – $8,508 · median $7,744 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,612 – $12,147 · median $10,269 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,504 – $8,753 · median $7,914 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,883 – $10,190 · median $8,912 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,422 – $23,720 · median $18,302 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,630 – $11,381 · median $9,738 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,068 – $81,260 · median $58,235 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,323 – $33,722 · median $25,243 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $41,303 – $63,289 · median $45,763 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,068 – $36,592 · median $27,235 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,381 – $18,972 · median $15,006 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,455 – $32,876 · median $24,656 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,888 – $21,281 · median $16,609 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,314 – $11,207 · median $9,617 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $14,692 – $33,701 · median $25,228 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,804 – $43,916 · median $32,318 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,699 – $19,572 · median $13,280 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,062 – $10,821 · median $9,349 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,499 – $6,894 · median $6,556 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,185 – $15,430 · median $12,548 | 15 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,912 – $9,924 · median $8,727 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,603 – $20,587 · median $16,127 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,776 – $8,851 · median $7,982 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,622 – $5,800 · median $5,550 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,767 – $20,325 · median $15,945 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,525 – $13,452 · median $11,175 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,850 – $8,964 · median $8,060 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,089 – $14,617 · median $11,984 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,164 – $8,449 · median $7,703 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $9,310 – $14,761 · median $12,084 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,417 – $9,433 · median $8,386 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,886 – $18,815 · median $14,897 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,930 – $11,640 · median $9,918 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,888 – $15,152 · median $12,355 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,062 – $9,289 · median $8,286 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,588 – $7,030 · median $6,685 | 15 plans |
| 311 | ANGINA PECTORIS | $4,661 – $8,774 · median $7,929 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,558 – $10,948 · median $9,437 | 15 plans |
| 313 | CHEST PAIN | $4,912 – $8,964 · median $8,060 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,988 – $27,059 · median $20,618 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,891 – $12,091 · median $10,231 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,598 – $8,578 · median $7,793 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,648 – $63,818 · median $47,008 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,910 – $30,509 · median $23,451 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,681 – $20,022 · median $15,735 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $37,654 – $57,697 · median $42,680 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,382 – $29,700 · median $22,708 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,538 – $20,745 · median $16,237 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,443 – $43,584 · median $32,699 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $17,427 – $26,704 · median $20,696 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,601 – $20,840 · median $16,303 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $29,712 – $45,528 · median $34,073 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,321 – $26,541 · median $20,414 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,588 – $19,289 · median $15,226 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,095 – $33,856 · median $25,819 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,207 – $18,706 · median $14,821 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,211 – $15,647 · median $12,699 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,408 – $29,739 · median $22,479 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,323 – $15,818 · median $12,817 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,967 – $11,069 · median $9,521 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,833 – $30,391 · median $22,931 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,479 – $18,904 · median $14,959 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,463 – $13,854 · median $11,454 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,042 – $36,853 · median $27,416 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,032 – $21,374 · median $16,673 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,979 – $16,752 · median $13,465 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,979 – $53,599 · median $39,037 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,466 – $28,296 · median $21,477 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,112 – $17,027 · median $13,656 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,694 – $20,984 · median $16,402 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,344 – $12,786 · median $10,713 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,724 – $8,770 · median $7,926 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,334 – $21,964 · median $17,082 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,440 – $12,933 · median $10,815 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,948 – $9,115 · median $8,165 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,313 – $26,530 · median $20,251 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,075 – $15,439 · median $12,554 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,241 – $11,095 · median $9,539 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,679 – $22,846 · median $17,695 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,084 – $12,388 · median $10,437 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,221 – $8,000 · median $7,392 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,756 – $24,179 · median $18,620 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,931 – $13,685 · median $11,337 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,144 – $9,415 · median $8,373 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,366 – $15,885 · median $12,864 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,131 – $10,927 · median $9,423 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,323 – $20,416 · median $16,008 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,139 – $12,471 · median $10,494 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,496 – $8,422 · median $7,685 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,053 – $18,469 · median $14,657 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,573 – $10,072 · median $8,830 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,487 – $6,876 · median $6,538 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,961 – $16,140 · median $13,041 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,291 – $9,804 · median $8,644 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,579 – $20,808 · median $16,280 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,719 – $11,827 · median $10,048 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,218 – $7,996 · median $7,389 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,318 – $31,134 · median $23,446 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,408 – $19,013 · median $15,035 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,215 – $14,121 · median $11,639 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,711 – $43,994 · median $32,988 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,191 – $26,343 · median $20,416 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,719 – $19,490 · median $15,365 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,438 – $36,046 · median $26,191 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,479 – $26,784 · median $20,758 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,633 – $20,889 · median $16,337 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,731 – $44,025 · median $32,745 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,220 – $24,855 · median $19,089 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,236 – $17,217 · median $13,788 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,487 – $29,861 · median $22,563 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,599 – $20,838 · median $16,301 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,303 – $16,556 · median $13,329 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $28,942 – $44,348 · median $33,239 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,428 – $20,576 · median $16,120 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,718 – $18,463 · median $14,653 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,353 – $51,107 · median $38,019 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,723 – $28,690 · median $21,750 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,676 – $19,423 · median $15,319 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,879 – $24,616 · median $18,923 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,250 – $13,442 · median $11,168 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,711 – $8,752 · median $7,913 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,962 – $22,926 · median $17,750 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,247 – $14,170 · median $11,673 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,439 – $9,866 · median $8,687 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,642 – $20,904 · median $16,347 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,054 – $10,808 · median $9,341 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,044 – $7,729 · median $7,203 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,501 – $23,753 · median $18,324 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,923 – $12,140 · median $10,265 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,762 – $8,829 · median $7,967 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,685 – $21,164 · median $16,528 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,893 – $13,627 · median $11,297 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,538 – $10,018 · median $8,792 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,895 – $32,018 · median $24,060 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $26,398 – $40,451 · median $29,913 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,391 – $26,649 · median $20,334 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,958 – $19,855 · median $15,619 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,127 – $44,236 · median $32,540 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,775 – $24,791 · median $19,044 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,403 – $16,870 · median $13,547 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,478 – $31,725 · median $23,857 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,158 – $14,585 · median $11,962 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,983 – $39,815 · median $29,471 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,789 – $22,425 · median $17,402 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,939 – $17,556 · median $14,023 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,848 – $33,255 · median $24,918 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,710 – $22,052 · median $17,143 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,346 – $22,052 · median $17,143 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,345 – $18,836 · median $14,912 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,893 – $24,353 · median $18,741 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,583 – $16,216 · median $13,094 | 15 plans |
| 509 | ARTHROSCOPY | $10,967 – $22,073 · median $17,158 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $19,527 – $35,912 · median $26,763 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,496 – $24,642 · median $18,942 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,120 – $20,202 · median $15,860 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,205 – $18,918 · median $14,969 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,010 – $12,811 · median $10,731 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,358 – $38,856 · median $28,806 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,496 – $25,277 · median $19,382 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,240 – $18,756 · median $14,856 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,504 – $19,160 · median $15,137 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,675 – $10,228 · median $8,938 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,905 – $16,710 · median $13,436 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,478 – $10,189 · median $8,911 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,536 – $11,547 · median $9,853 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,329 – $8,437 · median $7,695 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,584 – $25,411 · median $19,694 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,612 – $16,260 · median $13,124 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,174 – $10,993 · median $9,469 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,294 – $23,435 · median $18,104 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,699 – $13,330 · median $11,091 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,197 – $9,495 · median $8,429 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,710 – $31,751 · median $23,875 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,493 – $14,547 · median $11,935 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,119 – $9,376 · median $8,346 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,520 – $25,313 · median $19,407 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,882 – $15,142 · median $12,348 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,438 – $10,832 · median $9,357 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,992 – $21,441 · median $16,720 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,215 – $12,110 · median $10,244 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,051 – $16,410 · median $13,228 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,889 – $10,487 · median $9,117 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,815 – $16,920 · median $13,582 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,479 – $10,259 · median $8,959 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,708 – $19,472 · median $15,353 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,083 – $10,854 · median $9,372 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,222 – $23,324 · median $18,027 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,955 – $14,308 · median $11,769 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,417 – $10,273 · median $8,969 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,001 – $18,389 · median $14,601 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,297 – $11,231 · median $9,634 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,867 – $19,717 · median $15,523 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,245 – $12,813 · median $10,731 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,907 – $9,400 · median $8,363 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,869 – $37,823 · median $28,089 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,729 – $21,038 · median $16,440 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,974 – $14,354 · median $11,801 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,075 – $77,378 · median $55,541 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,353 – $43,536 · median $32,054 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,235 – $25,089 · median $19,251 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $30,541 – $67,792 · median $48,888 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,667 – $33,458 · median $25,060 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,022 – $21,240 · median $16,580 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,957 – $40,954 · median $30,262 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,723 – $22,278 · median $17,300 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,807 – $18,084 · median $14,390 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,295 – $22,004 · median $17,110 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,171 – $20,641 · median $16,164 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,523 – $25,726 · median $19,693 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $7,811 – $24,943 · median $19,150 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $16,816 – $25,837 · median $19,771 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $9,824 – $15,363 · median $12,502 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,838 – $10,664 · median $9,240 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,081 – $26,576 · median $20,284 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,531 – $13,584 · median $11,267 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,405 – $22,073 · median $17,158 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,847 – $13,556 · median $11,248 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,547 – $10,742 · median $9,294 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,844 – $12,020 · median $10,181 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,916 – $7,533 · median $7,067 | 15 plans |
| 602 | CELLULITIS WITH MCC | $12,047 – $18,461 · median $14,651 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,223 – $11,067 · median $9,520 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,653 – $25,750 · median $14,795 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,203 – $15,450 · median $9,894 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,875 – $20,233 · median $15,882 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,820 – $10,859 · median $9,375 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,688 – $28,636 · median $22,126 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,751 – $18,006 · median $14,336 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,693 – $48,564 · median $36,220 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,839 – $24,271 · median $18,683 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,210 – $15,645 · median $12,697 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,684 – $47,018 · median $35,127 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,685 – $24,034 · median $18,520 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,225 – $12,604 · median $10,587 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,343 – $36,025 · median $26,841 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,307 – $18,964 · median $15,001 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,858 – $15,919 · median $12,887 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,886 – $49,578 · median $36,247 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,443 – $28,260 · median $21,452 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,491 – $17,607 · median $14,059 | 15 plans |
| 637 | DIABETES WITH MCC | $11,942 – $18,298 · median $14,539 | 15 plans |
| 638 | DIABETES WITH CC | $7,511 – $11,525 · median $9,838 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,042 – $7,873 · median $7,303 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,904 – $19,920 · median $13,420 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,220 – $9,818 · median $8,653 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,511 – $15,594 · median $12,662 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,590 – $20,824 · median $16,291 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,474 – $12,985 · median $10,851 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,385 – $9,784 · median $8,630 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $45,712 – $70,045 · median $51,412 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,141 – $35,460 · median $26,449 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,034 – $26,101 · median $19,954 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,716 – $40,937 · median $30,250 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,990 – $22,970 · median $17,781 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,333 – $18,898 · median $14,955 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,191 – $32,472 · median $24,839 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,988 – $16,837 · median $13,525 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,418 – $12,899 · median $10,792 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,227 – $39,198 · median $29,043 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,465 – $19,192 · median $15,159 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,854 – $13,568 · median $11,256 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,499 – $43,143 · median $31,781 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $13,508 – $20,698 · median $16,204 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,922 – $12,914 · median $10,802 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,435 – $36,643 · median $27,270 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,852 – $19,444 · median $15,334 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,884 – $12,008 · median $10,173 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,360 – $21,658 · median $16,871 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,998 – $13,751 · median $11,383 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,536 – $52,642 · median $38,374 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,704 – $29,005 · median $21,969 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,934 – $19,668 · median $15,489 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $12,316 – $22,529 · median $14,936 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $7,289 – $11,169 · median $9,591 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,981 – $7,632 · median $7,136 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,964 – $23,694 · median $18,283 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,632 – $13,227 · median $11,019 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,938 – $9,100 · median $8,155 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,596 – $14,705 · median $12,045 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,581 – $10,085 · median $8,838 | 15 plans |
| 693 | URINARY STONES WITH MCC | $10,450 – $18,476 · median $14,662 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,944 – $9,818 · median $8,653 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,248 – $14,171 · median $11,674 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,673 – $8,692 · median $7,872 | 15 plans |
| 697 | URETHRAL STRICTURE | $7,399 – $12,588 · median $10,575 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,523 – $21,121 · median $16,497 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,363 – $12,815 · median $10,733 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,692 – $8,723 · median $7,893 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,172 – $24,384 · median $18,762 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,930 – $18,628 · median $14,767 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,680 – $28,235 · median $21,435 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,023 – $18,865 · median $14,932 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,569 – $24,007 · median $18,500 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,968 – $13,440 · median $11,167 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,258 – $18,169 · median $14,449 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,785 – $11,807 · median $10,034 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,871 – $28,376 · median $21,532 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,138 – $17,834 · median $14,216 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,215 – $23,314 · median $18,020 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,200 – $15,479 · median $12,582 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,600 – $21,724 · median $16,916 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,846 – $14,109 · median $11,631 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,716 – $9,155 · median $8,193 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,713 – $15,865 · median $12,850 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,104 – $9,353 · median $8,331 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,964 – $18,463 · median $14,653 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,664 – $10,267 · median $8,965 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,765 – $13,833 · median $11,440 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,977 – $7,626 · median $7,132 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,243 – $26,422 · median $20,477 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,954 – $15,253 · median $12,425 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,773 – $50,020 · median $36,554 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,660 – $22,847 · median $17,695 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,606 – $17,259 · median $13,818 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,361 – $24,552 · median $18,879 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,018 – $12,877 · median $10,776 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,985 – $17,117 · median $13,719 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,227 – $32,526 · median $24,413 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,235 – $16,203 · median $13,084 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,836 – $22,734 · median $17,617 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,103 – $13,948 · median $11,520 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,348 – $12,000 · median $10,167 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,605 – $17,783 · median $14,181 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,358 – $12,808 · median $10,728 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,248 – $8,042 · median $7,420 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,265 – $12,384 · median $10,434 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,501 – $7,965 · median $7,367 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,394 – $17,459 · median $13,956 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,879 – $13,520 · median $11,222 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,851 – $8,965 · median $8,061 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $3,987 – $11,746 · median $9,991 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $38,989 – $59,744 · median $44,127 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,011 – $36,612 · median $27,249 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,462 – $20,628 · median $16,155 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,395 – $45,043 · median $33,100 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,596 – $22,366 · median $17,361 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,066 – $13,892 · median $11,481 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,623 – $28,778 · median $21,811 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,156 – $15,562 · median $12,639 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,805 – $11,959 · median $10,139 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,300 – $17,678 · median $14,108 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,046 – $11,596 · median $9,887 | 15 plans |
| 813 | COAGULATION DISORDERS | $12,586 – $19,451 · median $15,338 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,766 – $26,267 · median $20,069 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,332 – $12,767 · median $10,700 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,407 – $8,285 · median $7,590 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,788 – $31,854 · median $23,946 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,562 – $16,184 · median $13,071 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,695 – $10,259 · median $8,959 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $47,743 – $73,157 · median $52,611 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,306 – $28,050 · median $21,307 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,378 – $14,371 · median $11,813 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,460 – $58,798 · median $42,646 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,035 – $27,635 · median $21,019 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,093 – $15,465 · median $12,572 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $39,159 – $60,004 · median $43,483 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,281 – $29,652 · median $22,418 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,257 – $20,140 · median $15,817 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,714 – $38,748 · median $28,731 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,894 – $18,376 · median $14,593 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,345 – $14,462 · median $11,876 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,129 – $9,391 · median $8,357 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,262 – $6,531 · median $6,251 | 15 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $39,731 – $69,451 · median $50,039 | 15 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,514 – $26,838 · median $20,799 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,420 – $15,966 · median $12,920 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $41,059 – $62,915 · median $46,370 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,631 – $28,133 · median $19,751 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,237 – $17,219 · median $13,790 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,778 – $40,070 · median $29,648 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,858 – $19,702 · median $15,513 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,626 – $13,217 · median $11,012 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,318 – $23,789 · median $18,349 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,801 – $15,018 · median $12,262 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,862 – $10,514 · median $9,136 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,741 – $32,089 · median $24,109 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,591 – $15,966 · median $12,920 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,715 – $10,289 · median $8,980 | 15 plans |
| 849 | RADIOTHERAPY | $11,669 – $33,562 · median $25,132 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $41,011 – $62,841 · median $46,318 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,384 – $25,106 · median $19,458 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,330 – $20,426 · median $16,015 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,995 – $56,688 · median $41,966 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,867 – $27,378 · median $20,840 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,565 – $16,189 · median $13,075 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,077 – $23,103 · median $17,873 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,199 – $12,564 · median $10,559 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,364 – $11,283 · median $9,670 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,102 – $18,545 · median $14,710 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,123 – $11,118 · median $9,555 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,583 – $26,943 · median $20,881 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,611 – $13,195 · median $10,997 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,901 – $9,042 · median $8,114 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,728 – $87,408 · median $62,502 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,089 – $29,432 · median $18,949 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,454 – $15,465 · median $10,830 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $36,330 – $55,669 · median $40,475 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,560 – $23,843 · median $18,387 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,215 – $15,318 · median $12,470 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,998 – $48,515 · median $35,509 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,909 – $20,710 · median $16,212 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $9,082 – $27,423 · median $20,871 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $32,666 – $50,055 · median $36,578 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,540 – $25,345 · median $19,429 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,122 – $15,936 · median $12,899 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,247 – $25,750 · median $15,951 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,171 – $15,450 · median $9,831 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,403 – $21,837 · median $16,994 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,102 – $8,344 · median $7,631 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,438 – $22,914 · median $17,742 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,330 – $12,765 · median $10,698 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,564 – $8,641 · median $7,836 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,921 – $21,227 · median $16,571 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,959 – $12,815 · median $10,733 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $124,852 – $298,077 · median $208,709 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,224 – $83,920 · median $60,081 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,258 – $39,962 · median $29,573 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $20,981 – $54,368 · median $39,571 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,183 – $26,962 · median $20,551 | 15 plans |
| 935 | Non-extensive burns | $11,369 – $27,598 · median $20,993 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,991 – $39,881 · median $29,518 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,290 – $26,530 · median $20,251 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,270 – $24,556 · median $18,881 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,261 – $19,180 · median $15,151 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,155 – $14,029 · median $11,576 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,848 – $13,558 · median $11,249 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,806 – $7,364 · median $6,950 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,649 – $7,124 · median $6,775 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,614 – $103,000 · median $61,384 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,237 – $77,250 · median $35,172 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,261 – $103,000 · median $66,929 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,218 – $77,250 · median $37,678 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,998 – $46,350 · median $24,895 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,277 – $46,350 · median $25,530 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,301 – $25,750 · median $14,921 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,483 – $15,450 · median $9,797 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $50,062 – $79,465 · median $56,989 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,757 – $33,339 · median $24,977 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,552 – $37,522 · median $27,880 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,655 – $17,860 · median $14,234 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,151 – $12,603 · median $10,586 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,579 – $18,117 · median $14,413 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,982 – $59,733 · median $44,119 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,076 – $30,763 · median $23,631 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,679 – $20,961 · median $16,387 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,722 – $44,011 · median $32,384 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,071 – $21,562 · median $16,803 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,794 – $14,519 · median $9,415 | 15 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $225,930 – $353,935 · median $249,832 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $90,362 – $138,463 · median $103,322 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $87,325 – $133,810 · median $95,607 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $39,763 – $60,930 · median $44,546 | 14 plans |
| 007 | Lung transplant | $85,940 – $164,209 · median $116,906 | 14 plans |
| 008 | Simultaneous pancreas/kidney transplant | $44,617 – $68,367 · median $49,757 | 14 plans |
| 010 | Pancreas transplant | $38,862 – $100,181 · median $72,046 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,903 – $131,623 · median $93,188 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $31,903 – $89,245 · median $63,777 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $31,903 – $69,159 · median $49,837 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,203 – $38,776 · median $29,024 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,256 – $22,650 · median $17,559 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,714 – $74,696 · median $53,680 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,855 – $51,013 · median $37,243 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,014 – $30,780 · median $23,201 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,668 – $52,402 · median $38,207 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,854 – $18,548 · median $14,712 | 12 plans |
| 795 | NORMAL NEWBORN | $1,530 – $3,650 · median $3,548 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $54,724 – $77,732 · median $55,786 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,903 – $49,157 · median $35,955 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $36,688 – $104,800 · median $74,572 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $31,903 – $68,737 · median $49,544 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,903 – $84,245 · median $60,306 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,903 – $51,309 · median $37,449 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,903 – $64,711 · median $46,750 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,605 – $115,748 · median $82,170 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,409 – $31,464 · median $26,230 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,206 – $16,767 · median $13,978 | 9 plans |
| 876 | OR procedure w principal diagnoses of mental illness | $23,536 – $49,375 · median $41,163 | 9 plans |
| 880 | Acute adjustment reaction & psychosocial dysfunction | $5,628 – $12,045 · median $10,199 | 9 plans |
| 881 | Depressive neuroses | $5,498 – $11,486 · median $9,804 | 9 plans |
| 882 | Neuroses except depressive | $6,068 – $12,088 · median $10,228 | 9 plans |
| 883 | Disorders of personality & impulse control | $10,170 – $23,294 · median $19,420 | 9 plans |
| 884 | Organic disturbances & intellectual disabilities | $8,592 – $20,986 · median $17,495 | 9 plans |
| 885 | Psychoses | $8,089 – $17,712 · median $14,766 | 9 plans |
| 886 | Behavioral & developmental disorders | $7,177 – $22,573 · median $18,818 | 9 plans |
| 887 | Other mental disorder diagnoses | $7,577 – $14,945 · median $12,459 | 9 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $3,655 – $7,842 · median $6,693 | 9 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $8,855 – $18,193 · median $15,167 | 9 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $12,867 – $22,376 · median $18,654 | 9 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $5,716 – $11,085 · median $9,462 | 9 plans |
| 917 | Poisoning and toxic effects of drugs w MCC | $13,134 – $20,603 · median $17,176 | 9 plans |
| 918 | Poisoning and toxic effects of drugs w/out MCC | $5,308 – $11,115 · median $9,487 | 9 plans |
| 947 | Signs and Symptoms w MCC | $9,928 – $16,161 · median $13,473 | 9 plans |
| 948 | Signs and Symptoms w/out MCC | $6,080 – $9,983 · median $8,521 | 9 plans |
No procedures match that keyword.