Wakemed, Raleigh Campus — Pricing
786 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 786 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 786 procedures
Procedures with negotiated rates only
These 786 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 |
|---|---|---|---|
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $20,950 – $123,934 · median $54,531 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $20,950 – $83,377 · median $36,686 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,950 – $80,252 · median $24,839 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $20,950 – $90,252 · median $39,711 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $20,950 – $61,612 · median $27,110 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $20,950 – $71,611 · median $31,509 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,818 – $48,970 · median $24,407 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,893 – $75,503 · median $22,497 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $20,950 – $94,631 · median $40,230 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,601 – $53,733 · median $23,300 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,698 – $46,166 · median $22,303 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $15,598 – $70,568 · median $30,000 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,628 – $33,563 · median $14,768 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,134 – $44,761 · median $20,774 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,950 – $51,851 · median $22,484 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,864 – $26,022 · median $13,586 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,871 – $39,018 · median $16,152 | 16 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $20,950 – $60,814 · median $25,938 | 16 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,636 – $34,630 · median $15,237 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $20,950 – $132,354 · median $58,236 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $20,950 – $93,919 · median $41,324 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $20,950 – $65,718 · median $28,916 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $20,950 – $99,824 · median $38,275 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $17,810 – $44,854 · median $23,077 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $20,950 – $81,985 · median $36,074 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,950 – $55,544 · median $25,408 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,400 – $43,281 · median $23,449 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,309 – $47,773 · median $24,655 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,915 – $30,380 · median $21,387 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $20,950 – $76,052 · median $33,463 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,726 – $46,401 · median $24,287 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,346 – $38,450 · median $21,400 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,500 – $45,869 · median $24,144 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,024 – $32,988 · median $21,464 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,921 – $26,022 · median $15,613 | 16 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,560 – $43,657 · median $23,550 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,950 – $50,827 · median $24,839 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,001 – $32,935 · median $22,303 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,487 – $26,022 · median $13,732 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,844 – $28,810 · median $21,430 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,478 – $26,022 · median $15,346 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,688 – $43,960 · median $23,631 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,516 – $29,440 · median $19,676 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,004 – $28,237 · median $15,809 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,034 – $26,022 · median $14,147 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,095 – $28,451 · median $19,143 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,140 – $26,022 · median $14,046 | 16 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $20,224 – $47,573 · median $24,601 | 16 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $13,923 – $32,751 · median $21,101 | 16 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $11,084 – $26,073 · median $14,589 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,541 – $26,022 · median $14,884 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,845 – $26,022 · median $9,427 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $20,950 – $106,015 · median $46,647 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,360 – $60,964 · median $26,435 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,006 – $46,526 · median $16,332 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,008 – $46,526 · median $24,064 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $49,193 – $156,823 · median $70,002 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $49,193 – $154,079 · median $68,778 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $44,026 – $103,561 · median $54,112 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,026 – $103,561 · median $54,112 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,193 – $120,933 · median $54,112 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $35,707 – $83,992 · median $49,193 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,748 – $79,383 · median $42,284 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,126 – $89,757 · median $49,193 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,088 – $54,112 · median $37,708 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $49,193 – $132,771 · median $59,266 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $40,593 – $95,486 · median $51,277 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $49,193 – $120,412 · median $54,112 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $36,576 – $86,038 · median $49,193 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,294 – $92,430 · median $49,637 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,047 – $65,974 · median $44,971 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $22,864 – $77,517 · median $34,602 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,086 – $44,895 · median $24,110 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,269 – $27,426 · median $17,148 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,378 – $50,287 · median $27,005 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,268 – $33,562 · median $22,864 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,102 – $28,468 · median $22,388 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $22,864 – $71,858 · median $32,076 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,613 – $34,374 · median $17,480 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,007 – $26,323 · median $17,480 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,061 – $42,484 · median $22,864 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,369 – $27,426 · median $16,011 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $22,864 – $108,327 · median $48,355 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $22,864 – $66,515 · median $29,691 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $22,864 – $83,102 · median $37,095 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,864 – $56,012 · median $27,426 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,094 – $40,210 · median $22,278 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $12,904 – $34,852 · median $15,557 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,165 – $16,854 · median $12,904 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,218 – $45,206 · median $24,276 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,179 – $33,354 · median $23,655 | 15 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $187,639 – $441,376 · median $237,026 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $75,874 – $264,352 · median $95,844 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $142,117 – $334,297 · median $179,523 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $92,744 – $218,160 · median $117,155 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $69,036 – $207,705 · median $87,206 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,048 – $147,432 · median $39,220 | 13 plans |
| 007 | LUNG TRANSPLANT | $86,710 – $250,710 · median $109,533 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $37,527 – $101,300 · median $47,404 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $48,046 – $129,696 · median $60,692 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $36,519 – $85,902 · median $46,131 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $28,229 – $66,402 · median $35,659 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $19,296 – $45,388 · median $24,374 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $80,468 – $250,985 · median $101,647 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $39,703 – $93,393 · median $50,153 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,373 – $488,568 · median $45,946 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $147,854 – $680,129 · median $294,921 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $47,771 – $131,176 · median $60,344 | 13 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,568 – $27,211 · median $14,613 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,128 – $28,528 · median $15,320 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,556 – $17,511 · median $8,282 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,224 – $24,049 · median $12,915 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,827 – $16,059 · median $8,624 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,555 – $40,634 · median $19,649 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,675 – $20,406 · median $10,958 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,446 – $26,925 · median $14,459 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,309 – $19,544 · median $10,496 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,159 – $14,487 · median $7,780 | 13 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,461 – $43,424 · median $23,320 | 13 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,766 – $27,676 · median $14,862 | 13 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,399 – $22,110 · median $11,873 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,465 – $31,673 · median $17,009 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,765 – $15,912 · median $8,545 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,583 – $10,779 · median $5,789 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,834 – $23,132 · median $12,422 | 13 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,788 – $13,614 · median $7,311 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,349 – $12,581 · median $6,756 | 13 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,147 – $26,221 · median $14,081 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,870 – $16,160 · median $8,678 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,063 – $11,910 · median $6,396 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,742 – $25,268 · median $13,569 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,902 – $16,235 · median $8,719 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,258 – $30,201 · median $13,096 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,331 – $12,997 · median $5,636 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,119 – $28,508 · median $15,309 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,997 – $14,106 · median $6,792 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,304 – $35,998 · median $19,332 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,346 – $21,984 · median $11,806 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,400 – $15,054 · median $8,084 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,212 – $35,782 · median $18,661 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,722 – $20,518 · median $11,018 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,610 – $14,407 · median $6,247 | 13 plans |
| 088 | CONCUSSION WITH MCC | $9,051 – $21,291 · median $11,434 | 13 plans |
| 089 | CONCUSSION WITH CC | $7,356 – $17,303 · median $9,292 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,512 – $12,965 · median $6,963 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,759 – $27,660 · median $14,854 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,850 – $16,112 · median $8,653 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,332 – $12,542 · median $6,735 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,565 – $55,431 · median $29,767 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,269 – $40,622 · median $21,815 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,269 – $40,622 · median $21,815 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,183 – $56,886 · median $30,549 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,366 – $36,145 · median $19,410 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,122 – $21,458 · median $11,523 | 13 plans |
| 100 | SEIZURES WITH MCC | $12,968 – $30,505 · median $16,381 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $6,044 – $14,216 · median $7,634 | 13 plans |
| 102 | HEADACHES WITH MCC | $7,505 – $17,654 · median $9,481 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $5,600 – $13,172 · median $7,073 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,742 – $37,030 · median $19,886 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,059 – $21,310 · median $11,444 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,277 – $24,175 · median $12,982 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,106 – $28,478 · median $15,293 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,264 – $17,087 · median $9,176 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,789 – $18,322 · median $9,422 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,261 – $12,376 · median $5,942 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,347 – $12,578 · median $6,755 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,859 – $20,839 · median $11,191 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,141 – $12,093 · median $6,494 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,530 – $34,178 · median $18,354 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,798 – $18,351 · median $8,587 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,998 – $23,518 · median $11,985 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,934 – $13,958 · median $7,495 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,274 – $19,462 · median $10,452 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,559 – $67,178 · median $36,076 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,604 – $34,352 · median $18,448 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,689 – $25,143 · median $13,502 | 13 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,086 – $59,009 · median $31,689 | 13 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,603 – $27,293 · median $14,657 | 13 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,050 – $18,936 · median $8,584 | 13 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $14,177 – $33,349 · median $17,909 | 13 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $8,514 – $20,026 · median $10,754 | 13 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,337 – $13,358 · median $6,742 | 13 plans |
| 149 | DYSEQUILIBRIUM | $5,032 – $11,838 · median $6,357 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $8,915 – $20,971 · median $11,262 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,915 – $11,561 · median $6,208 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,916 – $18,620 · median $9,999 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,943 – $11,627 · median $5,571 | 13 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $10,469 – $24,625 · median $13,224 | 13 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $6,137 – $14,435 · median $7,691 | 13 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,627 – $10,885 · median $5,845 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,495 – $27,040 · median $14,521 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,092 – $14,329 · median $7,695 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,744 – $11,159 · median $5,992 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $30,009 – $70,588 · median $37,907 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,900 – $39,753 · median $21,348 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,817 – $30,149 · median $16,190 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,026 – $58,869 · median $31,613 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,075 – $28,404 · median $15,253 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,149 – $21,521 · median $11,557 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,929 – $46,878 · median $25,174 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,197 – $21,634 · median $11,618 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,390 – $12,679 · median $6,809 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,463 – $24,613 · median $13,217 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,535 – $15,372 · median $8,255 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,055 – $11,891 · median $6,386 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,825 – $27,815 · median $14,937 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,171 – $16,868 · median $9,059 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,047 – $12,716 · median $6,376 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,244 – $24,096 · median $12,940 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,125 – $16,760 · median $9,000 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,266 – $12,387 · median $6,652 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,435 – $24,546 · median $13,182 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,623 – $15,578 · median $8,366 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,802 – $11,296 · median $6,066 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,272 – $19,458 · median $10,449 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,417 – $17,446 · median $9,369 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,644 – $13,277 · median $7,130 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,299 – $10,112 · median $5,430 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,801 – $20,702 · median $11,117 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,396 – $12,693 · median $6,816 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,208 – $9,899 · median $5,316 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,636 – $29,723 · median $15,962 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,355 – $14,948 · median $8,027 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,795 – $11,280 · median $6,058 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,812 – $27,785 · median $14,725 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,361 – $17,314 · median $9,298 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,788 – $11,263 · median $6,048 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,503 – $15,296 · median $8,214 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,486 – $10,553 · median $5,205 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,406 – $12,717 · median $6,829 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,260 – $28,838 · median $15,163 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,301 – $14,822 · median $7,960 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $43,085 – $101,347 · median $54,425 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,404 – $43,292 · median $23,249 | 13 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $73,234 – $178,271 · median $77,303 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $72,809 – $171,267 · median $91,973 | 13 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $38,212 – $89,884 · median $48,269 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,357 – $54,941 · median $29,504 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,379 – $40,881 · median $21,954 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,930 – $28,062 · median $15,070 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,313 – $17,202 · median $9,238 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,038 – $49,488 · median $26,576 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,962 – $31,848 · median $13,810 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,780 – $51,232 · median $27,512 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,658 – $29,775 · median $15,990 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,913 – $25,671 · median $13,786 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,471 – $55,261 · median $25,859 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,368 – $52,614 · median $28,255 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $24,226 – $56,987 · median $30,603 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $41,034 – $96,522 · median $51,834 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $31,877 – $74,983 · median $40,267 | 13 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $27,623 – $64,977 · median $34,893 | 13 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $22,040 – $51,844 · median $27,841 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $47,743 – $112,304 · median $60,309 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $40,218 – $94,604 · median $50,804 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $30,924 – $72,741 · median $39,063 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $37,269 – $87,668 · median $47,079 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,147 – $56,801 · median $30,503 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $10,741 – $25,265 · median $13,567 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $6,154 – $14,476 · median $7,774 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $4,842 – $11,389 · median $6,116 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $13,263 – $31,198 · median $16,754 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $4,635 – $10,902 · median $5,855 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $4,010 – $10,423 · median $5,066 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,120 – $42,623 · median $22,889 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,429 – $26,884 · median $14,437 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,225 – $16,805 · median $7,863 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,596 – $20,220 · median $10,858 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,685 – $13,372 · median $7,181 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,790 – $8,915 · median $4,787 | 13 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $10,458 – $24,600 · median $13,211 | 13 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,245 – $10,274 · median $5,362 | 13 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,047 – $8,226 · median $3,849 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,932 – $25,715 · median $13,187 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,148 – $16,813 · median $9,029 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,819 – $11,335 · median $6,087 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,012 – $18,846 · median $10,121 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,508 – $10,603 · median $5,694 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $7,968 – $18,743 · median $10,065 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,056 – $11,893 · median $6,387 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,551 – $24,819 · median $13,328 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,114 – $14,383 · median $7,724 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,062 – $18,963 · median $10,183 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,926 – $11,587 · median $6,223 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,790 – $8,916 · median $4,788 | 13 plans |
| 311 | ANGINA PECTORIS | $4,700 – $11,055 · median $5,937 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,836 – $13,728 · median $7,372 | 13 plans |
| 313 | CHEST PAIN | $4,821 – $11,340 · median $6,090 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,962 – $32,842 · median $17,637 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,450 – $15,172 · median $8,148 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,567 – $10,743 · median $5,769 | 13 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $44,771 – $105,312 · median $56,554 | 13 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,218 – $38,150 · median $19,863 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $29,882 – $70,291 · median $37,747 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,105 – $37,883 · median $20,344 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,218 – $42,853 · median $23,013 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,804 – $27,767 · median $14,911 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $28,975 – $68,157 · median $36,601 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,098 – $49,628 · median $26,651 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,496 – $50,564 · median $27,154 | 13 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $33,394 – $78,552 · median $42,183 | 13 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,366 – $38,496 · median $20,673 | 13 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,707 – $25,236 · median $10,943 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,777 – $72,395 · median $38,877 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,051 – $37,756 · median $20,276 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,268 – $26,506 · median $14,234 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,243 – $65,442 · median $30,624 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $15,683 – $36,890 · median $19,810 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,967 – $25,797 · median $13,853 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,910 – $56,242 · median $30,203 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,119 – $33,212 · median $17,835 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,278 – $24,176 · median $12,983 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,294 – $40,679 · median $18,181 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,075 – $23,699 · median $12,727 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,942 – $18,683 · median $10,033 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,371 – $36,156 · median $19,416 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,763 – $20,614 · median $10,742 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,829 – $13,712 · median $7,364 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,685 – $39,247 · median $21,076 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,208 – $24,011 · median $12,894 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,819 – $18,393 · median $9,546 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,431 – $45,707 · median $24,545 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,265 – $26,498 · median $14,230 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,006 – $21,184 · median $11,376 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $29,413 – $69,187 · median $37,154 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,571 – $36,627 · median $19,669 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,360 – $22,017 · median $11,823 | 13 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $23,024 – $54,158 · median $29,084 | 13 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,165 – $38,025 · median $20,420 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,659 – $25,072 · median $13,464 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,697 – $15,753 · median $8,460 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,692 – $11,038 · median $5,927 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,872 – $27,926 · median $14,997 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,836 – $16,081 · median $8,636 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,870 – $11,457 · median $6,152 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,320 – $33,685 · median $18,089 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,099 – $19,051 · median $10,231 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,189 – $14,558 · median $7,818 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,240 – $28,791 · median $15,461 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,566 – $15,446 · median $8,295 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,221 – $9,929 · median $5,332 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,138 – $30,905 · median $16,596 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,255 – $17,065 · median $9,164 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,361 – $12,609 · median $6,771 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,207 – $21,746 · median $9,430 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,723 – $13,463 · median $7,230 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,595 – $24,921 · median $13,383 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,537 – $15,377 · median $8,258 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,562 – $10,730 · median $5,762 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,888 – $23,260 · median $12,491 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,288 – $12,439 · median $6,680 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,642 – $8,568 · median $4,601 | 13 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,492 – $19,976 · median $10,727 | 13 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,220 – $12,279 · median $6,594 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,708 – $25,189 · median $13,527 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,265 – $14,737 · median $7,914 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,345 – $10,222 · median $5,489 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,035 – $37,720 · median $20,256 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,135 – $23,839 · median $12,802 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,665 – $18,029 · median $9,682 | 13 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $26,920 – $63,323 · median $34,005 | 13 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $36,629 – $86,160 · median $46,269 | 13 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $19,419 – $45,678 · median $24,530 | 13 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,862 – $34,959 · median $18,773 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,874 – $56,158 · median $30,158 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,578 – $34,292 · median $18,144 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,631 – $25,006 · median $13,429 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,118 – $52,027 · median $27,939 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,078 – $33,114 · median $17,783 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,118 – $26,153 · median $14,045 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,854 – $56,111 · median $30,132 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,838 – $32,551 · median $17,480 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,128 – $21,472 · median $11,531 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,979 – $37,586 · median $20,184 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,326 – $26,643 · median $14,308 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,145 – $21,511 · median $11,552 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,813 – $53,662 · median $28,817 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,634 – $27,366 · median $14,696 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,371 – $22,042 · median $11,837 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,807 – $65,410 · median $35,126 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,649 – $34,459 · median $18,505 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,046 – $25,559 · median $12,690 | 13 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $73,794 – $173,584 · median $93,217 | 13 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $48,333 – $113,693 · median $61,055 | 13 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $37,643 – $88,547 · median $47,551 | 13 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $60,325 – $141,901 · median $76,203 | 13 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,615 – $90,832 · median $48,778 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,178 – $30,999 · median $16,647 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,072 – $16,635 · median $8,933 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,771 – $11,222 · median $6,026 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,298 – $28,928 · median $15,535 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,573 – $17,815 · median $9,567 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,713 – $13,439 · median $7,217 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,915 – $25,676 · median $13,788 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,632 – $13,249 · median $7,115 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,161 – $9,787 · median $5,256 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,017 – $28,267 · median $15,180 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,463 – $15,203 · median $8,165 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,685 – $11,020 · median $5,918 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,188 – $26,317 · median $14,132 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,328 – $17,237 · median $9,256 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,539 – $13,030 · median $6,997 | 13 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,738 – $105,235 · median $56,513 | 13 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,395 – $66,793 · median $35,869 | 13 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $35,685 – $83,941 · median $45,078 | 13 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,630 – $50,879 · median $27,323 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,162 – $89,767 · median $48,206 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,855 – $49,057 · median $26,344 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,211 – $28,723 · median $15,425 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,744 – $67,613 · median $36,309 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,237 – $35,842 · median $19,248 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,902 – $18,588 · median $9,982 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,131 – $54,410 · median $29,219 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,466 – $38,732 · median $20,800 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,447 – $29,278 · median $15,723 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $24,584 – $57,828 · median $31,054 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $16,981 – $39,944 · median $21,450 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $13,435 – $31,602 · median $16,430 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,277 – $57,105 · median $30,666 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,078 – $28,411 · median $15,257 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,090 – $19,031 · median $10,220 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,200 – $47,515 · median $25,516 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,814 – $31,733 · median $13,760 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,190 – $49,846 · median $26,768 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,705 – $27,533 · median $14,785 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,012 – $21,198 · median $11,384 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,338 – $50,194 · median $26,955 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,914 – $32,730 · median $17,577 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,289 – $24,203 · median $12,997 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,024 – $58,862 · median $29,175 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,393 – $31,503 · median $16,918 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,003 – $23,529 · median $12,635 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,497 – $24,691 · median $13,260 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,397 – $12,696 · median $6,818 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,584 – $20,192 · median $10,843 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,407 – $12,720 · median $6,831 | 13 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $6,390 – $15,030 · median $8,071 | 13 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $4,823 – $11,345 · median $6,092 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,188 – $31,023 · median $16,660 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,680 – $20,417 · median $10,964 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,272 – $12,402 · median $6,660 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,828 – $27,822 · median $14,941 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,883 – $16,191 · median $8,695 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,053 – $11,885 · median $6,382 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,617 – $39,087 · median $20,990 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,723 – $18,166 · median $9,755 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,599 – $13,170 · median $7,073 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,929 – $30,412 · median $16,332 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,083 – $19,013 · median $10,211 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,853 – $13,767 · median $7,393 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,223 – $26,399 · median $14,176 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,437 – $15,140 · median $8,131 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,680 – $20,417 · median $10,964 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,558 – $13,074 · median $7,021 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,850 – $20,818 · median $11,180 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,561 – $13,082 · median $7,025 | 13 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $9,956 – $23,419 · median $12,576 | 13 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $5,981 – $14,068 · median $7,311 | 13 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,487 – $29,372 · median $15,773 | 13 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,540 – $17,736 · median $9,525 | 13 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,383 – $13,522 · median $6,799 | 13 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $9,540 – $22,441 · median $11,976 | 13 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $5,996 – $14,104 · median $7,574 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,335 – $24,312 · median $13,056 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,524 – $15,347 · median $8,241 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,017 – $11,801 · median $6,338 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,693 – $46,322 · median $24,876 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,312 – $26,610 · median $14,290 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,675 – $18,054 · median $9,695 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,866 – $118,412 · median $55,412 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,243 – $54,675 · median $29,361 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,032 – $32,480 · median $15,199 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,817 – $88,586 · median $41,454 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,748 – $41,749 · median $22,420 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,680 – $25,301 · median $10,971 | 13 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $21,684 – $51,006 · median $27,391 | 13 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,570 – $27,216 · median $14,615 | 13 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,663 – $22,729 · median $12,206 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,900 – $30,344 · median $16,295 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,546 – $29,339 · median $14,585 | 13 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,333 – $33,716 · median $15,206 | 13 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,917 – $30,383 · median $15,206 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $12,958 – $30,481 · median $16,369 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $7,943 – $18,684 · median $10,034 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,804 – $13,652 · median $7,331 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,200 – $33,401 · median $17,937 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,248 – $17,049 · median $7,447 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,162 – $26,257 · median $14,100 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,575 – $17,818 · median $9,569 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,152 – $13,730 · median $6,508 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,974 – $16,405 · median $8,810 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,051 – $9,529 · median $5,117 | 13 plans |
| 602 | CELLULITIS WITH MCC | $9,517 – $22,385 · median $12,021 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,831 – $13,717 · median $7,366 | 13 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,857 – $23,186 · median $12,451 | 13 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,133 – $14,427 · median $7,748 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,132 – $23,833 · median $12,799 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,069 – $14,276 · median $7,666 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,676 – $34,521 · median $18,507 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,369 – $22,039 · median $11,835 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,350 – $54,927 · median $29,496 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,523 – $29,457 · median $15,819 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,496 – $22,338 · median $11,996 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,333 – $45,477 · median $24,422 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,715 – $25,205 · median $13,535 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,100 – $23,757 · median $12,758 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,831 – $56,057 · median $30,104 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,011 – $28,254 · median $15,173 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,382 – $19,717 · median $8,636 | 13 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,222 – $47,567 · median $25,544 | 13 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,039 – $23,616 · median $12,682 | 13 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,894 – $20,921 · median $11,235 | 13 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,953 – $58,697 · median $30,454 | 13 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,589 – $34,316 · median $18,428 | 13 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,772 – $22,987 · median $12,344 | 13 plans |
| 637 | DIABETES WITH MCC | $9,620 – $22,628 · median $12,152 | 13 plans |
| 638 | DIABETES WITH CC | $6,001 – $14,115 · median $7,580 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,159 – $9,784 · median $5,254 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $8,943 – $21,036 · median $11,297 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,211 – $12,257 · median $6,582 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,522 – $22,398 · median $12,028 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,022 – $25,926 · median $13,923 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,863 – $16,144 · median $8,669 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,144 – $12,101 · median $6,498 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,479 – $136,933 · median $39,764 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,813 – $91,812 · median $31,344 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $21,624 – $128,629 · median $27,315 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,793 – $81,843 · median $43,951 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,743 – $44,089 · median $23,676 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,172 – $33,336 · median $17,902 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,318 – $50,145 · median $25,404 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,253 – $28,823 · median $15,478 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,390 – $24,441 · median $13,125 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,013 – $40,019 · median $21,491 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,850 – $20,817 · median $11,179 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,933 – $16,308 · median $8,757 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,499 – $48,219 · median $25,894 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,179 – $23,943 · median $12,858 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,010 – $16,489 · median $8,855 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,899 – $49,159 · median $26,399 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $11,713 – $27,551 · median $14,796 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,407 – $18,059 · median $9,356 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,551 – $45,990 · median $24,697 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,392 – $24,444 · median $13,127 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,544 – $15,392 · median $8,266 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,019 – $28,271 · median $15,182 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,228 – $19,511 · median $9,130 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $28,133 – $66,175 · median $35,537 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,659 – $36,833 · median $19,780 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,990 – $25,852 · median $13,883 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $9,916 – $23,326 · median $12,526 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $5,864 – $13,794 · median $7,408 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,019 – $9,455 · median $5,077 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,077 – $28,408 · median $15,256 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,016 – $16,503 · median $8,862 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,292 – $12,447 · median $6,684 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,769 – $18,275 · median $9,814 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,420 – $12,750 · median $6,847 | 13 plans |
| 693 | URINARY STONES WITH MCC | $9,002 – $21,176 · median $11,372 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,234 – $12,312 · median $6,612 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,659 – $18,015 · median $9,674 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,613 – $10,852 · median $5,828 | 13 plans |
| 697 | URETHRAL STRICTURE | $7,217 – $16,975 · median $9,116 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,077 – $26,057 · median $13,993 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,796 – $15,986 · median $8,585 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,619 – $10,866 · median $5,835 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,393 – $31,505 · median $16,919 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,273 – $24,164 · median $12,976 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,582 – $36,652 · median $19,683 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,382 – $24,719 · median $11,851 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,952 – $32,820 · median $17,625 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,363 – $17,320 · median $9,301 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,066 – $23,679 · median $12,716 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,080 – $16,654 · median $8,943 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,980 – $35,237 · median $18,923 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,849 – $23,168 · median $12,442 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,658 – $29,775 · median $15,990 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,764 – $21,154 · median $9,173 | 13 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $12,117 – $28,503 · median $15,306 | 13 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $7,651 – $17,998 · median $9,665 | 13 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,390 – $11,851 · median $5,546 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,835 – $18,431 · median $9,898 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,834 – $11,372 · median $6,107 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,929 – $23,356 · median $12,542 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,432 – $12,776 · median $6,861 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,089 – $16,675 · median $8,954 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,499 – $10,584 · median $5,684 | 13 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,262 – $33,548 · median $18,016 | 13 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,009 – $21,192 · median $11,380 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,934 – $56,298 · median $30,233 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,797 – $32,454 · median $17,429 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,833 – $23,129 · median $12,421 | 13 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $23,989 – $56,429 · median $30,303 | 13 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $12,116 – $28,501 · median $15,306 | 13 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $9,549 – $22,461 · median $12,062 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,285 – $28,898 · median $15,472 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,307 – $19,541 · median $10,494 | 13 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,720 – $32,273 · median $17,331 | 13 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,616 – $17,916 · median $9,621 | 13 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,631 – $27,359 · median $13,478 | 13 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,756 – $13,540 · median $7,271 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,289 – $21,850 · median $11,734 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,192 – $40,440 · median $21,717 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,881 – $23,244 · median $12,482 | 13 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,331 – $29,007 · median $15,577 | 13 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,284 – $17,133 · median $9,201 | 13 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,431 – $15,128 · median $8,124 | 13 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,588 – $22,552 · median $12,111 | 13 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,555 – $15,419 · median $8,056 | 13 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,443 – $10,452 · median $5,613 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,746 – $15,868 · median $8,521 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,820 – $8,985 · median $4,825 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,314 – $26,614 · median $14,292 | 13 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,714 – $15,793 · median $8,481 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,384 – $10,312 · median $5,219 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $5,633 – $13,250 · median $6,435 | 13 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,211 – $28,385 · median $12,670 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $8,211 – $93,610 · median $41,786 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,211 – $63,929 · median $27,178 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $8,211 – $38,575 · median $16,399 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,211 – $65,671 · median $27,918 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,277 – $23,245 · median $9,882 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,324 – $71,330 · median $38,305 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,811 – $44,248 · median $23,331 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,781 – $30,065 · median $16,145 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,676 – $62,750 · median $27,880 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,447 – $29,278 · median $15,723 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,079 – $24,509 · median $11,469 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,783 – $34,774 · median $18,674 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,476 – $19,938 · median $10,707 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,008 – $16,484 · median $7,148 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,403 – $22,118 · median $11,878 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,148 – $14,462 · median $7,766 | 13 plans |
| 813 | COAGULATION DISORDERS | $10,213 – $24,023 · median $12,901 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,240 – $33,496 · median $17,988 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,789 – $15,971 · median $8,177 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,232 – $9,954 · median $5,345 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,277 – $35,935 · median $16,384 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,762 – $18,257 · median $9,805 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,758 – $13,543 · median $7,273 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,269 – $92,371 · median $49,604 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,989 – $35,258 · median $18,934 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,062 – $18,963 · median $10,183 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $30,698 – $72,211 · median $38,778 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,170 – $35,683 · median $19,162 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,035 – $22,291 · median $11,413 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,321 – $73,675 · median $39,565 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,475 – $36,401 · median $19,548 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,408 – $26,835 · median $14,411 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,158 – $49,770 · median $26,727 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,077 – $23,925 · median $12,729 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,052 – $18,939 · median $9,182 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,832 – $11,365 · median $6,103 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,501 – $8,236 · median $4,423 | 13 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $36,759 – $111,517 · median $46,434 | 13 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,966 – $41,571 · median $17,642 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,165 – $22,041 · median $10,315 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $32,168 – $75,668 · median $39,964 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,977 – $32,877 · median $15,362 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,668 – $22,741 · median $11,839 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,660 – $50,950 · median $27,361 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,923 – $25,695 · median $13,798 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,765 – $15,914 · median $8,546 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,357 – $31,418 · median $16,872 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,151 – $19,174 · median $10,297 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,702 – $13,413 · median $7,203 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,359 – $40,832 · median $19,520 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,759 – $20,604 · median $11,065 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,687 – $13,378 · median $7,184 | 13 plans |
| 849 | RADIOTHERAPY | $18,142 – $42,675 · median $20,730 | 13 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $57,981 – $136,387 · median $69,252 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,067 – $77,783 · median $41,771 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,379 – $31,470 · median $16,900 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,025 – $23,581 · median $12,663 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,457 – $71,642 · median $38,473 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,339 – $33,729 · median $18,113 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,326 – $21,938 · median $11,781 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,211 – $28,723 · median $13,408 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,682 – $15,717 · median $8,440 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,944 – $13,981 · median $7,043 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,959 – $23,598 · median $10,233 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,823 – $13,696 · median $6,563 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,015 – $32,968 · median $17,704 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,904 – $16,240 · median $8,721 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,886 – $11,493 · median $6,172 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $46,279 – $108,861 · median $58,460 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,006 – $30,594 · median $16,430 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,852 – $16,117 · median $8,655 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,099 – $66,096 · median $35,495 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,819 – $30,153 · median $16,193 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,831 – $18,421 · median $9,892 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,594 – $57,851 · median $31,067 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,932 – $26,812 · median $12,547 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,152 – $30,938 · median $16,614 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,707 – $60,469 · median $32,473 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,359 – $31,424 · median $16,875 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,789 – $20,675 · median $11,103 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,945 – $25,745 · median $13,825 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,929 – $13,947 · median $7,490 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,259 – $26,485 · median $14,223 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,461 – $10,494 · median $5,636 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,501 – $24,702 · median $13,266 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,739 – $13,499 · median $7,249 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,258 – $28,835 · median $15,485 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,711 – $15,786 · median $8,477 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,609 – $10,842 · median $5,822 | 13 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,713 – $27,553 · median $14,796 | 13 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,814 – $16,029 · median $8,608 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $142,956 – $336,270 · median $180,583 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,827 – $112,970 · median $48,987 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,543 – $50,728 · median $21,997 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,074 – $70,385 · median $32,937 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $11,821 – $34,817 · median $15,097 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $12,490 – $32,445 · median $14,069 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,295 – $57,149 · median $30,690 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,647 – $36,806 · median $19,766 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,577 – $31,936 · median $17,150 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,499 – $19,993 · median $10,737 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,360 – $12,608 · median $6,771 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,966 – $24,216 · median $10,062 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,203 – $15,857 · median $5,309 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,026 – $8,757 · median $3,797 | 13 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,196 – $62,068 · median $31,827 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $51,020 – $120,013 · median $64,449 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,215 – $66,369 · median $35,641 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,713 – $46,370 · median $22,849 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,305 – $43,057 · median $23,122 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,262 – $24,138 · median $12,963 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,297 – $14,813 · median $7,955 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,986 – $96,410 · median $51,774 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,659 – $41,539 · median $21,003 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,324 – $45,455 · median $24,410 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,671 – $20,396 · median $10,953 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,044 – $14,218 · median $7,635 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,689 – $20,439 · median $10,976 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,415 – $73,896 · median $39,683 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,461 – $38,721 · median $20,794 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,476 – $26,996 · median $14,497 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,955 – $53,997 · median $28,997 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,005 – $25,887 · median $13,902 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,029 – $18,887 · median $10,143 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,494 – $9,271 · median $7,247 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,889 – $17,260 · median $15,440 | 12 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,098 – $11,042 · median $8,171 | 12 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,413 – $11,042 · median $7,811 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,889 – $12,706 · median $11,155 | 12 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,478 – $11,042 · median $8,370 | 12 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,420 – $11,042 · median $7,815 | 12 plans |
| 795 | NORMAL NEWBORN | $1,338 – $3,147 · median $1,547 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,494 – $11,061 · median $7,892 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,494 – $10,105 · median $6,827 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,494 – $9,598 · median $6,537 | 12 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,494 – $8,621 · median $7,298 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,049 – $7,516 · median $5,397 | 12 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,514 – $6,922 · median $5,117 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $25,878 – $60,872 · median $26,784 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,429 – $15,123 · median $6,558 | 9 plans |
| 881 | DEPRESSIVE NEUROSES | $6,300 – $14,819 · median $6,426 | 9 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,190 – $16,912 · median $7,334 | 9 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,166 – $30,969 · median $13,429 | 9 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,773 – $25,340 · median $10,988 | 9 plans |
| 885 | PSYCHOSES | $9,353 – $22,000 · median $9,540 | 9 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,896 – $32,686 · median $14,173 | 9 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,170 – $16,867 · median $7,314 | 9 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $4,131 – $9,716 · median $4,213 | 9 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $9,478 – $22,296 · median $9,668 | 9 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $11,685 – $27,485 · median $11,918 | 9 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $5,911 – $13,904 · median $6,029 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,369 – $24,390 · median $10,576 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,679 – $18,062 · median $7,832 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,079 – $24,354 · median $23,341 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,440 – $15,717 · median $15,063 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,639 – $10,501 · median $10,064 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,386 – $19,341 · median $18,537 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,680 – $12,439 · median $11,922 | 3 plans |
| 509 | ARTHROSCOPY | $14,858 – $27,668 · median $26,517 | 3 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $20,950 – $20,950 · median $20,950 | 1 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $20,950 – $20,950 · median $20,950 | 1 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $20,950 – $20,950 · median $20,950 | 1 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $20,950 – $20,950 · median $20,950 | 1 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,950 – $20,950 · median $20,950 | 1 plans |
| 765 | CESAREAN SECTION W CC/MCC | $8,889 – $8,889 · median $8,889 | 1 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $8,889 – $8,889 · median $8,889 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $5,494 – $5,494 · median $5,494 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $5,494 – $5,494 · median $5,494 | 1 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $5,494 – $5,494 · median $5,494 | 1 plans |
No procedures match that keyword.