Deborah Heart and Lung Rehabilitate Center — 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY | $223,054 – $722,178 · median $305,478 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $106,884 – $364,707 · median $167,808 | 17 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $152,991 – $493,275 · median $222,223 | 17 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $93,179 – $391,755 · median $193,347 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $43,130 – $275,828 · median $102,113 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $19,639 – $128,903 · median $45,924 | 17 plans |
| 007 | LUNG TRANSPLANT | $52,929 – $326,900 · median $128,257 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $22,036 – $146,159 · median $55,507 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $32,094 – $142,996 · median $67,683 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $21,853 – $137,415 · median $54,017 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $16,620 – $106,731 · median $41,755 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $10,733 – $71,574 · median $28,541 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $53,062 – $331,944 · median $119,023 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $24,445 – $179,187 · median $58,727 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $24,445 – $164,617 · median $53,801 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $32,647 – $281,617 · median $82,385 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $22,386 – $215,323 · median $55,425 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $14,298 – $128,350 · median $33,267 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $23,106 – $151,074 · median $56,752 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $15,397 – $104,529 · median $38,743 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $18,113 – $117,686 · median $45,030 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $12,387 – $79,267 · median $30,793 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,995 – $64,837 · median $24,986 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $24,622 – $160,596 · median $59,505 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $13,595 – $91,362 · median $33,788 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $9,013 – $61,801 · median $21,741 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $16,972 – $113,846 · median $44,374 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $8,649 – $57,399 · median $21,105 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $6,462 – $44,266 · median $16,469 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURE WITH COMORBITY | $19,227 – $103,972 · median $38,335 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | $18,583 – $61,282 · median $23,675 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY | $14,134 – $48,189 · median $20,238 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $19,227 – $89,960 · median $32,604 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $13,522 – $43,597 · median $19,227 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,132 – $30,408 · median $17,408 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $15,277 – $102,616 · median $38,241 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $9,146 – $61,718 · median $21,776 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,118 – $48,102 · median $17,111 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,151 – $51,821 · median $17,939 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,732 – $26,218 · median $9,698 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,071 – $39,269 · median $15,122 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,419 – $28,601 · median $10,098 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $10,142 – $63,800 · median $23,008 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,404 – $36,329 · median $12,831 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $7,476 – $50,871 · median $16,931 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,956 – $31,639 · median $12,290 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,614 – $23,916 · median $9,110 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $10,949 – $74,695 · median $27,306 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $7,213 – $52,341 · median $17,403 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,689 – $43,743 · median $13,903 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $8,056 – $53,380 · median $19,917 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,118 – $27,087 · median $10,006 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,788 – $18,660 · median $6,778 | 17 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,892 – $38,114 · median $14,546 | 17 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,570 – $23,511 · median $8,561 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,240 – $21,285 · median $7,911 | 17 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $7,042 – $47,690 · median $16,488 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $4,268 – $28,297 · median $10,161 | 17 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,038 – $20,867 · median $7,489 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $6,260 – $40,321 · median $15,889 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,222 – $27,348 · median $10,209 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $6,976 – $51,003 · median $18,991 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,713 – $24,585 · median $8,173 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,051 – $58,862 · median $17,926 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,664 – $24,238 · median $8,870 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,397 – $60,717 · median $22,636 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,631 – $36,148 · median $13,824 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,872 – $24,510 · median $9,466 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $9,177 – $60,570 · median $22,501 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,312 – $35,101 · median $12,902 | 17 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $3,580 – $23,617 · median $9,059 | 17 plans |
| 088 | CONCUSSION WITH MCC | $5,713 – $40,876 · median $13,388 | 17 plans |
| 089 | CONCUSSION WITH CC | $4,342 – $30,645 · median $10,880 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,472 – $24,912 · median $8,153 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $7,383 – $47,682 · median $17,393 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,288 – $27,346 · median $10,132 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,197 – $20,638 · median $7,886 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $14,777 – $96,545 · median $34,856 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $9,709 – $63,539 · median $25,544 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,709 – $58,871 · median $25,544 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $14,518 – $96,923 · median $35,771 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $8,786 – $57,417 · median $22,728 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,643 – $35,183 · median $13,493 | 17 plans |
| 100 | SEIZURES WITH MCC | $8,040 – $52,834 · median $19,182 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $3,733 – $24,241 · median $8,939 | 17 plans |
| 102 | HEADACHES WITH MCC | $4,696 – $32,156 · median $11,101 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $3,443 – $22,450 · median $8,283 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,139 – $66,820 · median $23,285 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,788 – $32,827 · median $13,400 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $6,201 – $41,691 · median $15,201 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,758 – $49,213 · median $17,907 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,368 – $31,937 · median $10,745 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY | $4,711 – $34,144 · median $11,521 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY | $2,747 – $20,107 · median $7,782 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,253 – $21,427 · median $7,909 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH COMORBITY | $5,281 – $36,159 · median $13,104 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,344 – $21,253 · median $7,604 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $9,765 – $70,678 · median $21,491 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,962 – $30,970 · median $10,055 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,664 – $40,100 · median $14,788 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,295 – $23,071 · median $8,777 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,561 – $32,123 · median $12,238 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,291 – $56,258 · median $20,970 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,041 – $32,934 · median $12,593 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,243 – $23,711 · median $7,894 | 17 plans |
| 149 | DYSEQUILIBRIUM | $3,027 – $19,846 · median $7,444 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $5,598 – $35,031 · median $13,187 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,070 – $20,539 · median $7,269 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,596 – $31,666 · median $11,708 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,882 – $19,582 · median $7,311 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $6,587 – $40,993 · median $15,485 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,781 – $25,227 · median $9,077 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,723 – $17,469 · median $6,845 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $6,632 – $45,492 · median $17,003 | 17 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $3,809 – $25,011 · median $9,011 | 17 plans |
| 159 | DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY | $2,671 – $17,994 · median $7,017 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $39,339 – $126,838 · median $45,462 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $20,434 – $67,968 · median $37,377 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,926 – $50,006 · median $28,347 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $15,594 – $108,140 · median $37,018 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,400 – $49,822 · median $17,861 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,483 – $36,129 · median $13,533 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $5,707 – $37,591 · median $13,604 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $3,299 – $22,080 · median $7,973 | 17 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $6,547 – $49,218 · median $15,477 | 17 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $4,018 – $32,357 · median $10,036 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,117 – $22,540 · median $7,477 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,079 – $46,323 · median $17,490 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,497 – $29,981 · median $10,607 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,392 – $21,934 · median $7,466 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $6,429 – $41,960 · median $15,152 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,326 – $28,033 · median $10,539 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,150 – $20,139 · median $7,789 | 17 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $6,399 – $41,363 · median $15,435 | 17 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $4,066 – $26,751 · median $9,796 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY | $2,974 – $19,894 · median $7,103 | 17 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $5,011 – $68,959 · median $12,235 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $4,548 – $29,773 · median $10,970 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $3,479 – $23,235 · median $8,349 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $2,621 – $18,457 · median $6,358 | 17 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $5,337 – $35,354 · median $13,018 | 17 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $3,321 – $23,126 · median $7,982 | 17 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $2,522 – $17,752 · median $6,225 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $7,631 – $50,512 · median $18,691 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,010 – $26,585 · median $9,400 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,837 – $20,739 · median $7,093 | 17 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $7,149 – $47,280 · median $17,471 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,485 – $28,702 · median $10,887 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,742 – $18,818 · median $7,082 | 17 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $3,915 – $25,517 · median $9,619 | 17 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $2,821 – $18,519 · median $6,636 | 17 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $3,285 – $21,930 · median $7,996 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $7,646 – $48,245 · median $18,134 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,668 – $24,345 · median $9,321 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $26,192 – $184,098 · median $63,728 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $10,869 – $72,056 · median $27,223 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $93,917 – $335,361 · median $116,455 | 17 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $81,060 – $261,353 · median $114,409 | 17 plans |
| 217 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION | $53,690 – $173,108 · median $97,371 | 17 plans |
| 218 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITHOUT COMPLICATION/COMORBITY | $43,599 – $151,817 · median $90,468 | 17 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY | $63,283 – $205,503 · median $101,489 | 17 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION | $42,828 – $138,086 · median $78,971 | 17 plans |
| 221 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY | $37,099 – $123,885 · median $74,638 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $46,665 – $163,601 · median $64,372 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $29,707 – $106,830 · median $46,640 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $66,281 – $216,270 · median $88,845 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,322 – $158,530 · median $88,845 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY | $62,709 – $207,859 · median $91,516 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $42,024 – $135,494 · median $80,895 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY | $47,499 – $153,147 · median $82,824 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY | $32,522 – $107,698 · median $62,030 | 17 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $20,399 – $128,101 · median $48,744 | 17 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $11,794 – $71,829 · median $26,887 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,115 – $39,462 · median $13,711 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $29,955 – $413,000 · median $39,235 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $20,099 – $413,000 · median $31,556 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | — | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $39,235 – $413,000 · median $47,767 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $20,584 – $66,366 · median $32,320 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $13,585 – $43,800 · median $22,131 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $19,905 – $89,379 · median $34,548 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $21,040 – $67,987 · median $32,965 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,691 – $47,368 · median $26,384 | 17 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $10,597 – $73,218 · median $26,715 | 17 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $6,859 – $44,672 · median $16,816 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,612 – $29,523 · median $10,817 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH COMORBITY | $24,689 – $79,603 · median $43,763 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,810 – $54,200 · median $29,944 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY | $26,767 – $96,282 · median $32,215 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $15,728 – $50,710 · median $26,767 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,541 – $43,847 · median $24,137 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,863 – $75,292 · median $30,280 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $14,155 – $87,039 · median $33,085 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $14,447 – $94,184 · median $35,834 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY | $57,482 – $185,334 · median $77,477 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY | $44,905 – $147,707 · median $60,845 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | $27,004 – $182,678 · median $68,118 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $16,851 – $111,033 · median $41,826 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $41,248 – $132,993 · median $63,654 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $28,639 – $92,337 · median $52,664 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $20,997 – $67,699 · median $37,806 | 17 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY | $15,837 – $103,855 · median $40,858 | 17 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY | $12,640 – $86,367 · median $32,600 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $13,164 – $42,952 · median $23,754 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $7,819 – $37,132 · median $13,611 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $5,956 – $31,827 · median $10,708 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $7,919 – $52,538 · median $19,618 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,001 – $19,713 · median $6,855 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,274 – $13,476 · median $5,931 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $15,832 – $57,447 · median $21,915 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $9,300 – $29,986 · median $12,779 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $11,063 – $69,159 · median $26,802 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,386 – $43,300 · median $16,905 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,965 – $27,322 · median $9,208 | 17 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $5,284 – $35,024 · median $12,715 | 17 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $3,488 – $23,566 · median $8,408 | 17 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $2,222 – $17,054 · median $5,606 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $6,636 – $42,725 · median $15,469 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,853 – $19,417 · median $6,279 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,789 – $13,096 · median $4,507 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $6,551 – $42,006 · median $16,170 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $4,336 – $28,436 · median $10,572 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $2,889 – $18,916 · median $7,128 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,711 – $29,877 · median $11,851 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $2,723 – $17,585 · median $6,667 | 17 plans |
| 304 | HYPERTENSION WITH COMORBITY | $4,758 – $30,621 · median $11,786 | 17 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $3,040 – $20,081 · median $7,478 | 17 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $6,064 – $40,956 · median $15,606 | 17 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $3,752 – $25,120 · median $9,044 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $4,884 – $32,039 · median $11,924 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $2,994 – $19,846 · median $7,286 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $2,266 – $14,737 · median $5,607 | 17 plans |
| 311 | ANGINA PECTORIS | $2,828 – $18,604 · median $6,951 | 17 plans |
| 312 | SYNCOPE & COLLAPSE | $3,529 – $23,012 · median $8,632 | 17 plans |
| 313 | CHEST PAIN | $2,889 – $19,284 · median $7,131 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $8,722 – $55,792 · median $20,651 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $3,897 – $25,779 · median $9,540 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $2,765 – $19,316 · median $6,755 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,791 – $116,245 · median $44,200 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY | $9,375 – $61,099 · median $23,822 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $20,570 – $137,165 · median $49,394 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $9,834 – $66,960 · median $24,207 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,454 – $42,568 · median $15,869 | 17 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $18,597 – $127,710 · median $45,523 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,573 – $65,760 · median $23,741 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,687 – $44,559 · median $16,667 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $14,787 – $96,676 · median $37,908 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $8,607 – $58,900 · median $23,197 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $6,717 – $42,776 · median $16,221 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $14,675 – $105,274 · median $35,366 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $8,555 – $58,978 · median $20,884 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $6,217 – $42,673 · median $15,202 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,913 – $77,947 · median $25,580 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,029 – $42,507 · median $14,902 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,043 – $34,320 · median $11,748 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $9,586 – $68,612 · median $22,735 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,099 – $36,677 · median $12,962 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,568 – $26,005 · median $8,622 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $9,796 – $63,960 · median $24,679 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $6,093 – $38,792 · median $15,098 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,466 – $29,555 · median $11,566 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $11,879 – $77,933 · median $28,741 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $6,889 – $45,779 · median $16,662 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $5,399 – $36,313 · median $13,321 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $17,276 – $114,027 · median $43,506 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $9,121 – $58,567 · median $23,031 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $5,488 – $35,696 · median $13,845 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $6,764 – $49,541 · median $15,766 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,121 – $27,667 · median $9,906 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,827 – $19,820 · median $6,941 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,079 – $46,576 · median $17,560 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,169 – $27,777 · median $10,112 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,938 – $19,305 · median $7,204 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,551 – $55,938 · median $21,181 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,976 – $31,935 · median $11,980 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,576 – $26,059 · median $9,154 | 17 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $7,364 – $47,712 · median $18,104 | 17 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $3,993 – $26,218 · median $9,713 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,579 – $16,875 · median $6,243 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $7,793 – $51,928 · median $19,433 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,411 – $28,595 · median $10,731 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,035 – $20,596 · median $7,929 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,120 – $37,262 · median $13,674 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,522 – $23,337 · median $8,466 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $6,580 – $41,908 · median $15,671 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,020 – $25,893 · median $9,669 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,715 – $18,236 · median $6,747 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,953 – $39,691 · median $14,626 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,246 – $21,853 · median $7,822 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,216 – $15,084 · median $5,388 | 17 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $5,202 – $33,997 · median $12,561 | 17 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $3,160 – $20,936 · median $7,721 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $6,707 – $43,162 · median $15,839 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,812 – $24,968 · median $9,267 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,577 – $17,256 · median $6,428 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $21,986 – $146,714 · median $54,179 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $11,374 – $76,949 · median $28,723 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $8,650 – $57,324 · median $21,983 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $14,180 – $99,197 · median $35,313 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $8,491 – $62,299 · median $21,564 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,282 – $43,202 · median $15,724 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $11,082 – $99,686 · median $32,715 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $8,633 – $61,861 · median $20,823 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $6,733 – $42,090 · median $16,445 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY | $14,190 – $93,947 · median $35,283 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,011 – $53,395 · median $20,468 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $5,549 – $35,690 · median $13,502 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $9,625 – $62,738 · median $23,635 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $6,717 – $43,565 · median $16,753 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,336 – $34,997 · median $13,527 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $14,294 – $89,391 · median $33,743 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,632 – $47,917 · median $17,208 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $5,951 – $37,603 · median $13,860 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $16,473 – $110,299 · median $41,131 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $9,247 – $58,593 · median $21,669 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $6,260 – $42,691 · median $14,859 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $7,934 – $51,061 · median $19,493 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,333 – $27,476 · median $10,460 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,821 – $17,842 · median $7,056 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $7,390 – $46,901 · median $18,190 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,567 – $29,334 · median $11,202 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,180 – $22,847 · median $8,451 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $6,738 – $44,474 · median $16,145 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,484 – $22,791 · median $8,331 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,491 – $16,406 · median $6,154 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,656 – $48,722 · median $17,774 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,913 – $25,357 · median $9,560 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,846 – $19,047 · median $6,930 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,822 – $43,525 · median $16,548 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,392 – $28,963 · median $10,839 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,229 – $21,360 · median $8,193 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $34,300 – $236,338 · median $83,226 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $23,245 – $169,509 · median $59,058 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $17,488 – $122,159 · median $41,325 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $24,854 – $181,713 · median $54,699 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $11,598 – $81,625 · median $26,344 | 17 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $21,874 – $150,938 · median $56,447 | 17 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $11,942 – $79,987 · median $30,847 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,031 – $49,857 · median $18,062 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $20,633 – $138,223 · median $51,553 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $13,872 – $92,910 · median $34,927 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $10,624 – $73,185 · median $27,216 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $13,238 – $88,739 · median $30,040 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $7,636 – $51,228 · median $19,104 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $19,672 – $131,091 · median $47,823 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $11,734 – $79,155 · median $29,178 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $9,588 – $65,575 · median $24,178 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $18,163 – $114,670 · median $42,516 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $8,737 – $57,156 · median $22,538 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,711 – $31,364 · median $11,689 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,928 – $89,784 · median $34,214 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,471 – $63,526 · median $24,356 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $7,192 – $49,676 · median $18,410 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $11,911 – $78,588 · median $28,843 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $8,403 – $55,296 · median $20,744 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $6,425 – $42,819 · median $16,153 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $10,320 – $66,204 · median $27,452 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $13,038 – $87,785 · median $31,961 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $8,590 – $55,969 · median $20,710 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,400 – $41,827 · median $15,511 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,960 – $56,141 · median $17,519 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,016 – $32,985 · median $11,061 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $14,382 – $92,265 · median $36,363 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $9,724 – $64,005 · median $25,117 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,636 – $49,814 · median $19,872 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $14,258 – $95,439 · median $35,908 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,991 – $53,104 · median $17,866 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,438 – $38,239 · median $11,967 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $10,226 – $69,583 · median $29,878 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,701 – $34,373 · median $19,276 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $12,833 – $86,421 · median $31,344 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,228 – $46,256 · median $17,313 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,659 – $36,849 · median $13,330 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $10,719 – $71,473 · median $27,643 | 17 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $7,108 – $46,027 · median $18,512 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,108 – $45,457 · median $17,756 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,071 – $38,978 · median $13,362 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,850 – $56,810 · median $17,890 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,227 – $40,557 · median $14,998 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $11,575 – $72,558 · median $29,915 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $7,943 – $53,135 · median $20,594 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $6,512 – $43,008 · median $16,395 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,098 – $43,200 · median $15,592 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,129 – $27,763 · median $10,125 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $12,524 – $84,254 · median $31,563 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $8,147 – $54,387 · median $20,581 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,045 – $39,826 · median $15,219 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $14,515 – $97,320 · median $37,014 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $7,986 – $52,463 · median $19,810 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $5,804 – $38,149 · median $14,795 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,176 – $43,477 · median $15,526 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,297 – $21,587 · median $7,983 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,386 – $34,557 · median $12,697 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,284 – $20,976 · median $7,998 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,722 – $25,771 · median $9,451 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,720 – $18,898 · median $7,134 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $8,191 – $52,884 · median $19,508 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,241 – $34,597 · median $12,838 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $3,543 – $23,597 · median $7,798 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $7,554 – $48,602 · median $17,495 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $4,297 – $29,067 · median $10,181 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | $3,061 – $20,454 · median $7,473 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $10,234 – $66,444 · median $24,578 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,689 – $31,961 · median $11,423 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,022 – $21,677 · median $8,282 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH COMORBITY | $8,159 – $51,962 · median $19,123 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $4,881 – $32,145 · median $11,956 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT COMPLICATION/COMORBITY | $3,492 – $24,539 · median $8,657 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $6,911 – $45,356 · median $16,600 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $3,903 – $25,752 · median $9,521 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,289 – $36,017 · median $12,838 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,380 – $21,901 · median $8,221 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,454 – $37,283 · median $13,091 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,307 – $21,970 · median $8,226 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,276 – $41,489 · median $14,726 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,498 – $23,409 · median $8,846 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,518 – $49,316 · median $18,470 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,612 – $30,170 · median $11,153 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,311 – $20,792 · median $7,962 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,927 – $40,527 · median $14,111 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,620 – $23,868 · median $8,869 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,355 – $41,625 · median $15,288 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,130 – $26,634 · median $9,650 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,030 – $20,001 · median $7,421 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $12,191 – $77,877 · median $29,128 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $6,781 – $45,089 · median $16,733 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,627 – $30,370 · median $11,353 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $24,941 – $165,712 · median $64,884 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | $14,033 – $90,765 · median $34,380 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,087 – $54,526 · median $17,797 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $21,851 – $151,455 · median $48,541 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,784 – $70,599 · median $26,252 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $6,846 – $42,920 · median $15,910 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,201 – $89,070 · median $32,074 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,181 – $46,547 · median $17,114 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $5,829 – $35,890 · median $14,292 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY | $7,092 – $44,428 · median $19,081 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $6,653 – $40,559 · median $17,078 | 17 plans |
| 584 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY | $8,292 – $52,197 · median $21,201 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,040 – $44,879 · median $19,105 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $8,328 – $55,701 · median $19,167 | 17 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $4,952 – $32,244 · median $11,749 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,437 – $21,072 · median $8,585 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $8,566 – $57,964 · median $21,003 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,378 – $26,890 · median $10,721 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,115 – $44,058 · median $16,511 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,370 – $31,948 · median $11,204 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,462 – $18,098 · median $7,620 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,874 – $27,330 · median $10,316 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,428 – $16,592 · median $5,992 | 17 plans |
| 602 | CELLULITIS WITH COMORBITY | $5,950 – $39,642 · median $14,076 | 17 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $3,567 – $23,577 · median $8,625 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,017 – $40,140 · median $14,579 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,741 – $24,220 · median $9,072 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,522 – $42,262 · median $14,986 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,500 – $23,812 · median $8,977 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $9,230 – $63,327 · median $21,707 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $5,804 – $39,205 · median $13,858 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $15,653 – $105,473 · median $34,539 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,823 – $53,385 · median $18,523 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,043 – $32,648 · median $14,047 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $24,849 – $80,118 · median $41,822 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,486 – $46,704 · median $23,698 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,689 – $40,911 · median $22,337 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $15,155 – $101,952 · median $35,250 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,747 – $50,816 · median $17,766 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,063 – $29,701 · median $12,399 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $11,612 – $77,850 · median $29,911 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,113 – $43,795 · median $14,850 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,131 – $32,939 · median $13,155 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $15,980 – $106,986 · median $36,910 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $9,109 – $60,451 · median $21,578 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,675 – $37,705 · median $14,455 | 17 plans |
| 637 | DIABETES WITH MCC | $5,898 – $38,624 · median $14,229 | 17 plans |
| 638 | DIABETES WITH CC | $3,715 – $23,969 · median $8,876 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,538 – $16,590 · median $6,152 | 17 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $9,801 – $35,050 · median $19,778 | 17 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $6,107 – $22,424 · median $11,524 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,026 – $34,733 · median $14,084 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $6,712 – $43,842 · median $16,303 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $4,185 – $28,294 · median $10,151 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,154 – $20,278 · median $7,609 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $12,439 – $88,092 · median $31,984 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $22,577 – $144,272 · median $51,464 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $11,430 – $73,188 · median $27,724 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,413 – $56,173 · median $20,962 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $13,195 – $84,857 · median $31,532 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,404 – $50,338 · median $18,124 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $6,091 – $40,857 · median $15,369 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $10,466 – $69,742 · median $25,165 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $5,427 – $36,974 · median $13,090 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,158 – $28,370 · median $10,254 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $12,634 – $82,361 · median $30,321 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $6,186 – $39,646 · median $15,056 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,373 – $28,799 · median $10,368 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $13,906 – $82,325 · median $30,912 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $6,672 – $46,041 · median $17,325 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,163 – $27,972 · median $10,956 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $11,811 – $75,100 · median $28,919 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $6,267 – $40,897 · median $15,371 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,871 – $25,653 · median $9,679 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $6,981 – $47,563 · median $17,777 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,432 – $26,889 · median $10,691 | 17 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $16,968 – $98,552 · median $41,612 | 17 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $9,349 – $63,610 · median $23,161 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $6,339 – $42,473 · median $16,256 | 17 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $6,083 – $39,996 · median $14,668 | 17 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $3,600 – $24,006 · median $8,674 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,460 – $16,217 · median $5,945 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $7,637 – $49,020 · median $17,864 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,263 – $27,857 · median $10,377 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,933 – $20,811 · median $7,827 | 17 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $4,740 – $31,298 · median $11,491 | 17 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $3,251 – $21,504 · median $8,017 | 17 plans |
| 693 | URINARY STONES WITH MCC | $5,955 – $37,744 · median $13,316 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,165 – $20,859 · median $7,742 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,568 – $31,873 · median $11,328 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,802 – $18,444 · median $6,824 | 17 plans |
| 697 | URETHRAL STRICTURE | $4,057 – $29,664 · median $10,674 | 17 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $6,808 – $44,090 · median $16,385 | 17 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $4,131 – $27,204 · median $10,052 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,812 – $19,303 · median $6,833 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $7,859 – $52,285 · median $19,811 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $6,004 – $38,869 · median $15,194 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $9,101 – $62,606 · median $23,047 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $6,081 – $39,969 · median $13,877 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,738 – $56,575 · median $20,638 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,332 – $31,671 · median $10,891 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $5,856 – $38,661 · median $14,889 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,806 – $25,544 · median $10,472 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $9,146 – $58,830 · median $22,158 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $5,748 – $38,140 · median $14,569 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,515 – $48,335 · median $18,723 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,989 – $31,735 · median $13,302 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,002 – $49,963 · median $17,923 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,548 – $29,696 · median $11,317 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,951 – $21,573 · median $6,494 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,114 – $33,070 · median $11,589 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,015 – $19,901 · median $7,151 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,951 – $43,200 · median $14,686 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,309 – $21,323 · median $8,034 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,459 – $27,948 · median $10,485 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,458 – $16,566 · median $6,655 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $8,516 – $57,926 · median $21,095 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,916 – $35,764 · median $13,326 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $15,947 – $112,451 · median $35,401 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $8,094 – $52,602 · median $20,408 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,143 – $36,367 · median $14,544 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $16,123 – $97,451 · median $35,483 | 17 plans |
| 740 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION | $7,364 – $47,624 · median $17,922 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,563 – $34,626 · median $14,124 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,398 – $47,488 · median $18,172 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,855 – $30,967 · median $12,288 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,914 – $50,166 · median $20,294 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,150 – $27,724 · median $11,266 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $6,782 – $44,668 · median $17,204 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,869 – $24,261 · median $8,514 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $5,517 – $37,441 · median $13,740 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,484 – $67,459 · median $25,429 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,222 – $36,244 · median $14,616 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,328 – $49,369 · median $18,240 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,496 – $28,907 · median $10,773 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,868 – $26,376 · median $9,513 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,732 – $39,751 · median $14,181 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,128 – $26,453 · median $9,696 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,592 – $17,221 · median $6,572 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,992 – $26,527 · median $9,978 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,567 – $16,139 · median $5,650 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,440 – $32,462 · median $10,613 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,627 – $41,145 · median $16,735 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,358 – $21,285 · median $9,931 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,890 – $19,100 · median $6,484 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $3,786 – $29,715 · median $8,808 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,461 – $55,818 · median $24,315 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,386 – $27,292 · median $10,499 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,538 – $23,087 · median $9,486 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,544 – $46,624 · median $16,336 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,300 – $28,012 · median $11,061 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,664 – $23,584 · median $9,496 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,301 – $48,487 · median $17,849 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $24,076 – $159,903 · median $58,863 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $16,443 – $109,204 · median $40,200 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $9,921 – $65,892 · median $24,256 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $16,891 – $112,178 · median $41,295 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,979 – $39,706 · median $14,617 | 17 plans |
| 795 | NORMAL NEWBORN | $809 – $5,375 · median $1,979 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY | $5,170 – $51,329 · median $12,218 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,921 – $26,541 · median $9,908 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,921 – $22,454 · median $9,479 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $19,257 – $132,040 · median $44,853 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $11,801 – $75,092 · median $27,824 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $6,649 – $48,750 · median $18,905 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $14,518 – $90,352 · median $39,458 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,209 – $49,521 · median $18,410 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,478 – $35,462 · median $13,430 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,042 – $27,084 · median $10,688 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,931 – $19,900 · median $7,467 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,581 – $17,437 · median $6,677 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $9,276 – $58,366 · median $21,867 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,016 – $32,097 · median $12,537 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,855 – $26,770 · median $10,365 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $5,698 – $37,406 · median $13,908 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $3,738 – $24,004 · median $9,094 | 17 plans |
| 813 | COAGULATION DISORDERS | $6,269 – $41,574 · median $15,106 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,467 – $56,714 · median $21,062 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,115 – $26,495 · median $10,042 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,671 – $18,927 · median $6,259 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,267 – $65,484 · median $22,597 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,216 – $33,153 · median $11,481 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $3,307 – $24,177 · median $8,516 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $23,580 – $161,145 · median $58,084 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $9,041 – $59,485 · median $22,171 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,632 – $33,014 · median $11,924 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $18,952 – $119,976 · median $45,407 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $8,908 – $60,511 · median $22,438 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,985 – $35,251 · median $13,364 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $19,341 – $130,515 · median $46,328 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $9,558 – $61,753 · median $22,890 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,492 – $43,717 · median $16,874 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $12,489 – $84,049 · median $31,296 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,923 – $42,139 · median $14,905 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,662 – $28,068 · median $11,909 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,027 – $19,660 · median $7,147 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,105 – $13,848 · median $5,179 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $22,386 – $152,051 · median $54,371 | 17 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $8,650 – $59,576 · median $20,657 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $5,146 – $34,291 · median $12,078 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $20,279 – $155,911 · median $48,356 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $8,214 – $56,940 · median $20,673 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,550 – $34,728 · median $14,300 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $12,915 – $83,287 · median $32,038 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $6,350 – $41,944 · median $16,157 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,260 – $29,840 · median $10,007 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $7,668 – $49,650 · median $19,756 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,841 – $31,438 · median $12,057 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,389 – $23,050 · median $8,434 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,343 – $68,357 · median $25,676 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,146 – $34,246 · median $12,956 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,317 – $25,541 · median $8,412 | 17 plans |
| 849 | RADIOTHERAPY | $10,818 – $71,726 · median $26,834 | 17 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $20,255 – $133,231 · median $48,911 | 17 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $8,092 – $56,245 · median $19,789 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,584 – $45,353 · median $14,828 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $18,272 – $118,017 · median $45,050 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $8,825 – $56,916 · median $21,209 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY | $5,218 – $35,821 · median $13,795 | 17 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $7,447 – $49,089 · median $18,062 | 17 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $4,050 – $26,797 · median $9,883 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,637 – $23,527 · median $8,792 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,977 – $43,703 · median $14,839 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,583 – $24,457 · median $8,612 | 17 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $8,684 – $56,870 · median $20,731 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,253 – $28,929 · median $10,212 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,914 – $19,324 · median $7,227 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $28,174 – $185,615 · median $68,453 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $7,947 – $52,836 · median $19,238 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $4,176 – $27,447 · median $10,135 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $15,915 – $99,444 · median $38,277 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,882 – $25,440 · median $9,510 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $3,702 – $24,158 · median $9,319 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,896 – $25,032 · median $10,635 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,508 – $49,979 · median $19,474 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,764 – $46,821 · median $15,934 | 17 plans |
| 885 | PSYCHOSES | $5,709 – $36,415 · median $13,834 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,276 – $44,817 · median $20,553 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $4,817 – $34,528 · median $10,606 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,528 – $15,310 · median $6,110 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $5,864 – $42,875 · median $14,020 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $7,212 – $47,386 · median $17,283 | 17 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,573 – $22,802 · median $8,743 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $17,944 – $115,336 · median $41,562 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION | $7,685 – $51,189 · median $18,961 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $4,937 – $33,086 · median $11,584 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $15,637 – $92,061 · median $36,378 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $6,675 – $43,316 · median $14,691 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,839 – $50,145 · median $19,454 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $16,134 – $103,829 · median $38,024 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $8,169 – $53,692 · median $19,760 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $5,137 – $36,145 · median $13,001 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $6,554 – $39,828 · median $16,189 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,711 – $24,190 · median $8,770 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,039 – $47,277 · median $16,654 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,690 – $17,557 · median $6,599 | 17 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $6,641 – $42,531 · median $15,533 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,583 – $22,943 · median $8,489 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $7,386 – $48,628 · median $18,132 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $4,114 – $27,551 · median $9,927 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $2,785 – $18,596 · median $6,818 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $6,842 – $46,502 · median $17,326 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,131 – $26,954 · median $10,079 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $96,077 – $702,459 · median $211,452 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $27,050 – $184,410 · median $71,037 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $12,881 – $85,693 · median $31,898 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $17,524 – $81,724 · median $38,568 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $8,690 – $55,765 · median $21,893 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $8,895 – $54,395 · median $20,402 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $12,855 – $95,106 · median $35,936 | 17 plans |
| 940 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION | $8,551 – $59,124 · median $23,144 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $7,915 – $50,246 · median $20,082 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $6,182 – $40,228 · median $15,337 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,522 – $28,289 · median $11,358 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,209 – $33,355 · median $12,572 | 17 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $3,218 – $21,347 · median $7,928 | 17 plans |
| 949 | AFTERCARE WITH COMPLICATION/COMORBITY | $4,370 – $28,339 · median $11,783 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,374 – $19,282 · median $6,217 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,296 – $15,724 · median $5,507 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $27,655 – $162,304 · median $66,664 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $15,481 – $103,354 · median $37,268 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $30,230 – $196,065 · median $75,466 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,645 – $109,068 · median $41,734 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,708 – $72,883 · median $29,158 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $11,003 – $72,869 · median $27,075 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $6,075 – $40,002 · median $15,179 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,696 – $25,475 · median $9,315 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $25,613 – $183,155 · median $60,624 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $10,746 – $75,915 · median $26,120 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $12,094 – $77,725 · median $28,582 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,757 – $36,332 · median $12,825 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,062 – $23,792 · median $8,940 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,840 – $37,739 · median $12,852 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $19,253 – $126,332 · median $46,467 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $9,916 – $66,252 · median $24,349 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $6,756 – $43,578 · median $16,975 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $14,186 – $89,989 · median $33,954 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $6,950 – $45,225 · median $16,278 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,680 – $29,991 · median $11,877 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $152,737 – $981,858 · median $417,493 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $32,106 – $213,027 · median $68,978 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,128 – $100,686 · median $41,237 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $8,701 – $55,211 · median $21,087 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,368 – $41,174 · median $15,434 | 14 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,373 – $88,627 · median $36,222 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,115 – $46,118 · median $16,754 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,798 – $32,542 · median $11,624 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $12,428 – $81,949 · median $28,776 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $44,120 – $287,039 · median $105,131 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $67,256 – $187,504 · median $90,122 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $56,656 – $165,502 · median $75,918 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $43,563 – $160,777 · median $58,374 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $20,263 – $118,870 · median $53,814 | 14 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $12,978 – $85,296 · median $34,867 | 14 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $25,663 – $76,611 · median $34,389 | 14 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $7,327 – $55,751 · median $17,959 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $17,251 – $110,331 · median $41,837 | 14 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $12,940 – $79,113 · median $30,464 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $11,592 – $70,471 · median $31,038 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $10,035 – $59,872 · median $23,154 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $6,128 – $40,329 · median $14,634 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,551 – $29,664 · median $11,067 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $11,805 – $79,795 · median $27,749 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $8,538 – $56,290 · median $20,474 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $18,660 – $119,858 · median $45,453 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $14,064 – $92,166 · median $35,828 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $63,069 – $110,953 · median $66,222 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $15,844 – $70,165 · median $37,922 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,425 – $187,876 · median $103,954 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $28,766 – $127,387 · median $68,087 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $22,292 – $98,716 · median $53,028 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $33,779 – $149,589 · median $84,981 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $22,156 – $98,113 · median $54,397 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,154 – $120,249 · median $63,022 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $16,538 – $73,238 · median $40,000 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $20,858 – $92,367 · median $50,270 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $12,498 – $55,347 · median $30,470 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $37,308 – $165,215 · median $81,678 | 11 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $106,761 – $167,615 · median $106,761 | 8 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $53,829 – $84,511 · median $53,829 | 8 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $22,847 – $35,869 · median $22,847 | 8 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $32,434 – $50,921 · median $32,434 | 8 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,772 – $35,752 · median $22,772 | 8 plans |
| 134 | OTHER EAR; NOSE; MOUTH & THROAT O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,760 – $31,467 · median $20,251 | 3 plans |
No procedures match that keyword.