Valley Hospital — Pricing
800 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 800 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 800 procedures
Procedures with negotiated rates only
These 800 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,663 – $21,540 · median $12,924 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,939 – $38,578 · median $19,835 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,939 – $38,578 · median $15,413 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,939 – $38,578 · median $12,452 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,939 – $38,578 · median $19,835 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,939 – $38,578 · median $15,112 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,939 – $38,578 · median $12,880 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,663 – $21,540 · median $12,924 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,663 – $21,540 · median $12,827 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,663 – $21,540 · median $12,827 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,663 – $21,540 · median $12,924 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,596 – $21,540 · median $10,297 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,929 – $21,540 · median $9,069 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $5,564 – $151,278 · median $74,644 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $5,564 – $103,079 · median $49,947 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $5,564 – $151,278 · median $59,845 | 12 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $5,564 – $114,115 · median $38,542 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $5,564 – $114,115 · median $24,025 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $5,564 – $135,417 · median $65,540 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $5,564 – $89,393 · median $47,247 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $5,564 – $135,417 · median $60,454 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $5,564 – $76,948 · median $41,149 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $5,564 – $135,417 · median $45,510 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $5,564 – $68,469 · median $26,237 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $5,564 – $68,469 · median $17,424 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $5,564 – $49,380 · median $13,959 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $5,564 – $70,679 · median $37,796 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $5,564 – $49,380 · median $17,888 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $5,564 – $49,380 · median $12,086 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $5,564 – $68,469 · median $26,532 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $5,564 – $68,469 · median $21,699 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $5,564 – $30,431 · median $13,595 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $5,564 – $68,469 · median $26,351 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $5,564 – $68,469 · median $14,676 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $5,564 – $68,469 · median $11,739 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $5,564 – $51,592 · median $27,589 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $5,564 – $153,236 · median $81,944 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $5,564 – $103,079 · median $46,015 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $5,564 – $76,607 · median $40,966 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $5,564 – $59,474 · median $31,804 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $5,564 – $36,926 · median $19,746 | 11 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $5,564 – $25,302 · median $13,531 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,564 – $23,743 · median $12,697 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,564 – $23,500 · median $7,130 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,564 – $23,500 · median $5,609 | 11 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,564 – $28,283 · median $15,125 | 11 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,564 – $23,500 · median $5,731 | 11 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,342 – $23,500 · median $5,564 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $5,564 – $32,014 · median $17,120 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,564 – $23,500 · median $8,428 | 11 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $5,564 – $39,506 · median $21,126 | 11 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,564 – $23,500 · median $12,195 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $5,564 – $407,403 · median $217,863 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $5,564 – $159,391 · median $85,236 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $5,564 – $66,424 · median $35,521 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,380 – $96,435 · median $51,570 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,180 – $68,469 · median $40,780 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,701 – $74,242 · median $44,541 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,642 – $68,469 · median $37,698 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,353 – $68,469 · median $27,384 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,243 – $68,469 · median $39,812 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,139 – $68,469 · median $34,157 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,572 – $23,500 · median $9,641 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $133,622 – $309,970 · median $165,759 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $109,286 – $204,366 · median $109,286 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $23,500 – $78,043 · median $41,734 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $23,500 – $59,352 · median $31,739 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,496 – $38,327 · median $20,496 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $23,500 – $545,446 · median $291,683 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $23,500 – $116,588 · median $62,347 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $23,500 – $79,948 · median $42,753 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,500 – $51,064 · median $27,307 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $23,500 – $82,514 · median $44,125 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,500 – $54,984 · median $29,403 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,500 – $64,684 · median $34,590 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,500 – $44,237 · median $23,656 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,087 – $35,692 · median $19,087 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $23,500 – $87,929 · median $47,021 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,500 – $48,549 · median $25,962 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,212 – $32,186 · median $17,212 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,500 – $60,609 · median $32,411 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,518 – $30,888 · median $16,518 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,340 – $23,500 · median $12,340 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,500 – $56,244 · median $30,077 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,594 – $32,900 · median $17,594 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,178 – $26,513 · median $14,178 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,500 – $48,031 · median $25,685 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,462 – $23,500 · median $12,462 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,804 – $23,500 · median $8,804 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,500 – $54,556 · median $29,174 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,470 – $32,669 · median $17,470 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,594 – $25,421 · median $13,594 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,566 – $29,108 · median $15,566 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,126 – $23,500 · median $7,126 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,595 – $23,500 · median $11,595 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,438 – $23,500 · median $8,438 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,368 – $36,218 · median $19,368 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,324 – $23,500 · median $10,324 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,276 – $26,697 · median $14,276 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,464 – $23,500 · median $9,464 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,903 – $23,500 · median $6,903 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,909 – $39,100 · median $20,909 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,774 – $25,758 · median $13,774 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,865 – $23,500 · median $10,865 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,385 – $28,771 · median $15,385 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,866 – $23,500 · median $7,866 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,324 – $23,500 · median $5,324 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,260 – $23,500 · median $11,260 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,819 – $23,500 · median $6,819 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,189 – $23,500 · median $6,189 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,449 – $25,149 · median $13,449 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,151 – $23,500 · median $8,151 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,802 – $23,500 · median $5,802 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,954 – $23,500 · median $11,954 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,063 – $23,500 · median $8,063 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,323 – $24,913 · median $13,323 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,092 – $23,500 · median $7,092 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,960 – $23,500 · median $11,960 | 9 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,718 – $23,500 · median $7,718 | 9 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,157 – $23,500 · median $5,157 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,375 – $28,752 · median $15,375 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,998 – $23,500 · median $6,998 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,946 – $33,558 · median $17,946 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,754 – $23,500 · median $10,754 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,395 – $23,500 · median $7,395 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,526 – $32,774 · median $17,526 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,145 – $23,500 · median $10,145 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,838 – $23,500 · median $6,838 | 9 plans |
| 088 | CONCUSSION WITH MCC | $10,911 – $23,500 · median $10,911 | 9 plans |
| 089 | CONCUSSION WITH CC | $8,293 – $23,500 · median $8,293 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,630 – $23,500 · median $6,630 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,099 – $26,365 · median $14,099 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,190 – $23,500 · median $8,190 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,105 – $23,500 · median $6,105 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,500 – $52,771 · median $28,220 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,540 – $34,671 · median $18,540 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,540 – $34,671 · median $18,540 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,500 – $51,851 · median $27,728 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,778 – $31,374 · median $16,778 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,776 – $23,500 · median $10,776 | 9 plans |
| 100 | SEIZURES WITH MCC | $15,355 – $28,714 · median $15,355 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $7,128 – $23,500 · median $7,128 | 9 plans |
| 102 | HEADACHES WITH MCC | $8,968 – $23,500 · median $8,968 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $6,576 – $23,500 · median $6,576 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,454 – $32,640 · median $17,454 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,143 – $23,500 · median $9,143 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,841 – $23,500 · median $11,841 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,906 – $24,133 · median $12,906 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,343 – $23,500 · median $8,343 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,996 – $23,500 · median $8,996 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,247 – $23,500 · median $5,247 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,213 – $23,500 · median $6,213 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,085 – $23,500 · median $10,085 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,387 – $23,500 · median $6,387 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,648 – $34,872 · median $18,648 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,566 – $23,500 · median $7,566 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,817 – $23,500 · median $10,817 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,292 – $23,500 · median $6,292 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,619 – $23,500 · median $10,619 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,500 – $61,169 · median $32,711 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,617 – $31,073 · median $16,617 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,162 – $23,500 · median $12,162 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,500 – $47,756 · median $25,538 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,587 – $25,408 · median $13,587 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,163 – $23,500 · median $9,163 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,743 – $33,179 · median $17,743 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,628 – $23,500 · median $9,628 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,193 – $23,500 · median $6,193 | 9 plans |
| 149 | DYSEQUILIBRIUM | $5,782 – $23,500 · median $5,782 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $10,690 – $23,500 · median $10,690 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,863 – $23,500 · median $5,863 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,777 – $23,500 · median $8,777 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,505 – $23,500 · median $5,505 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,578 – $23,522 · median $12,578 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,221 – $23,500 · median $7,221 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,201 – $23,500 · median $5,201 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,665 – $23,684 · median $12,665 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,275 – $23,500 · median $7,275 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,102 – $23,500 · median $5,102 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,500 – $66,664 · median $35,649 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,467 – $36,403 · median $19,467 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,417 – $26,960 · median $14,417 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,500 – $55,701 · median $29,787 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,132 – $26,427 · median $14,132 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,471 – $23,500 · median $10,471 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,500 – $44,382 · median $23,734 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,899 – $23,500 · median $10,899 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,300 – $23,500 · median $6,300 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,503 – $23,500 · median $12,503 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,674 – $23,500 · median $7,674 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,954 – $23,500 · median $5,954 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,518 – $25,279 · median $13,518 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,587 – $23,500 · median $8,587 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,478 – $23,500 · median $6,478 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,277 – $23,500 · median $12,277 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,261 – $23,500 · median $8,261 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,015 – $23,500 · median $6,015 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,221 – $23,500 · median $12,221 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,765 – $23,500 · median $7,765 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,678 – $23,500 · median $5,678 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,572 – $23,500 · median $9,572 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,689 – $23,500 · median $8,689 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,645 – $23,500 · median $6,645 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,006 – $23,500 · median $5,006 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,193 – $23,500 · median $10,193 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,343 – $23,500 · median $6,343 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,817 – $23,500 · median $4,817 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,574 – $27,253 · median $14,574 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,657 – $23,500 · median $7,657 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,417 – $23,500 · median $5,417 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,654 – $25,532 · median $13,654 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,566 – $23,500 · median $8,566 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,236 – $23,500 · median $5,236 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,477 – $23,500 · median $7,477 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,386 – $23,500 · median $5,386 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,272 – $23,500 · median $6,272 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,601 – $27,304 · median $14,601 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,006 – $23,500 · median $7,006 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $23,500 – $93,550 · median $50,027 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,761 – $38,823 · median $20,761 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $23,500 – $157,560 · median $84,256 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $23,500 – $72,849 · median $38,957 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,524 – $42,120 · median $22,524 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,678 – $23,500 · median $11,678 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,237 – $37,843 · median $20,237 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,100 – $24,497 · median $13,100 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,899 – $23,500 · median $6,899 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,744 – $38,791 · median $20,744 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,500 – $50,551 · median $27,033 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $23,500 – $86,646 · median $46,335 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $23,500 – $68,045 · median $36,388 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,380 – $102,211 · median $54,658 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,910 – $89,591 · median $47,910 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,984 – $67,290 · median $35,984 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $23,500 – $72,363 · median $38,697 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,500 – $46,346 · median $24,784 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,093 – $23,500 · median $10,093 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,662 – $23,500 · median $6,662 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,246 – $23,500 · median $4,246 | 9 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,498 – $23,500 · median $9,498 | 9 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,109 – $23,500 · median $6,109 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,672 – $23,697 · median $12,672 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,448 – $23,500 · median $5,448 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,416 – $23,500 · median $3,416 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,513 – $23,500 · median $12,513 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,280 – $23,500 · median $8,280 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,517 – $23,500 · median $5,517 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,997 – $23,500 · median $8,997 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,201 – $23,500 · median $5,201 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $9,087 – $23,500 · median $9,087 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,807 – $23,500 · median $5,807 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,582 – $23,500 · median $11,582 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,165 – $23,500 · median $7,165 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,328 – $23,500 · median $9,328 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,718 – $23,500 · median $5,718 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,328 – $23,500 · median $4,328 | 9 plans |
| 311 | ANGINA PECTORIS | $5,403 – $23,500 · median $5,403 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,739 – $23,500 · median $6,739 | 9 plans |
| 313 | CHEST PAIN | $5,517 – $23,500 · median $5,517 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,656 – $31,147 · median $16,656 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,443 – $23,500 · median $7,443 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,280 – $23,500 · median $5,280 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $23,500 – $89,475 · median $47,848 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $23,500 – $63,534 · median $33,975 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,903 – $33,479 · median $17,903 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,019 – $49,380 · median $22,019 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,993 – $49,380 · median $13,993 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,944 – $61,606 · median $32,944 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,713 – $49,380 · median $24,713 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,137 – $41,396 · median $22,137 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $23,500 – $73,459 · median $39,283 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,781 – $35,120 · median $18,781 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,325 – $23,500 · median $12,325 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,500 – $66,415 · median $35,516 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,283 – $34,189 · median $18,283 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,770 – $23,880 · median $12,770 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,500 – $50,169 · median $26,828 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $16,437 – $30,738 · median $16,437 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,827 – $23,987 · median $12,827 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,500 – $52,417 · median $28,030 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,339 – $30,554 · median $16,339 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,873 – $23,500 · median $11,873 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,841 – $38,972 · median $20,841 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,519 – $23,500 · median $11,519 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,631 – $23,500 · median $9,631 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,305 – $34,231 · median $18,305 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,737 – $23,500 · median $9,737 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,814 – $23,500 · median $6,814 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,717 – $35,000 · median $18,717 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,639 – $23,500 · median $11,639 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,528 – $23,500 · median $8,528 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,685 – $42,420 · median $22,685 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,158 – $24,605 · median $13,158 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,311 – $23,500 · median $10,311 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $23,500 – $61,695 · median $32,992 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,418 – $32,572 · median $17,418 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,481 – $23,500 · median $10,481 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,916 – $24,154 · median $12,916 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,871 – $23,500 · median $7,871 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,398 – $23,500 · median $5,398 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,523 – $25,288 · median $13,523 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,961 – $23,500 · median $7,961 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,610 – $23,500 · median $5,610 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,332 – $30,541 · median $16,332 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,504 – $23,500 · median $9,504 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,829 – $23,500 · median $6,829 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,063 – $26,297 · median $14,063 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,626 – $23,500 · median $7,626 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,924 – $23,500 · median $4,924 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,884 – $27,833 · median $14,884 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,424 – $23,500 · median $8,424 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,796 – $23,500 · median $5,796 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,778 – $23,500 · median $9,778 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,726 – $23,500 · median $6,726 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,567 – $23,500 · median $12,567 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,676 – $23,500 · median $7,676 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,185 – $23,500 · median $5,185 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,370 – $23,500 · median $11,370 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,201 – $23,500 · median $6,201 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,232 – $23,500 · median $4,232 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,939 – $23,500 · median $9,939 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,036 – $23,500 · median $6,036 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,808 – $23,951 · median $12,808 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,281 – $23,500 · median $7,281 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,922 – $23,500 · median $4,922 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,164 – $35,836 · median $19,164 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,705 – $23,500 · median $11,705 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,695 – $23,500 · median $8,695 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,500 – $56,833 · median $30,392 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $23,500 – $78,517 · median $41,988 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,721 – $40,618 · median $21,721 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,519 – $30,890 · median $16,519 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,500 – $50,640 · median $27,080 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,215 – $30,321 · median $16,215 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,997 – $23,500 · median $11,997 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,166 – $39,580 · median $21,166 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,487 – $30,830 · median $16,487 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,858 – $24,045 · median $12,858 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,500 – $50,677 · median $27,100 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,300 – $28,610 · median $15,300 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,598 – $23,500 · median $10,598 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,382 – $34,374 · median $18,382 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,828 – $23,989 · median $12,828 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,191 – $23,500 · median $10,191 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,500 – $51,047 · median $27,298 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,666 – $23,685 · median $12,666 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,365 – $23,500 · median $11,365 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,500 – $58,827 · median $31,458 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,659 – $33,023 · median $17,659 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,956 – $23,500 · median $11,956 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,500 – $151,608 · median $81,074 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $23,500 – $102,677 · median $54,907 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $23,500 – $79,628 · median $42,582 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $23,500 – $120,631 · median $64,509 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $23,500 – $79,120 · median $42,310 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,153 – $28,337 · median $15,153 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,274 – $23,500 · median $8,274 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,387 – $23,500 · median $5,387 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,112 – $26,390 · median $14,112 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,722 – $23,500 · median $8,722 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,073 – $23,500 · median $6,073 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,869 – $24,065 · median $12,869 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,654 – $23,500 · median $6,654 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,758 – $23,500 · median $4,758 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,621 – $27,342 · median $14,621 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,473 – $23,500 · median $7,473 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,435 – $23,500 · median $5,435 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,029 – $24,365 · median $13,029 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,388 – $23,500 · median $8,388 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,166 – $23,500 · median $6,166 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,500 – $96,971 · median $51,856 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,500 – $59,060 · median $31,583 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,500 – $74,486 · median $39,832 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,500 – $44,634 · median $23,868 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $23,500 – $122,491 · median $65,503 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $23,500 – $83,010 · median $44,390 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,500 – $62,452 · median $33,397 | 9 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $23,500 – $88,762 · median $47,466 | 9 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,150 – $41,420 · median $22,150 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,500 – $78,117 · median $41,774 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,807 – $42,649 · median $22,807 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,427 – $25,108 · median $13,427 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $23,500 – $73,685 · median $39,404 | 9 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $23,500 – $49,538 · median $26,491 | 9 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,290 – $37,942 · median $20,290 | 9 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,500 – $47,276 · median $25,281 | 9 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,584 – $27,272 · median $14,584 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $23,500 – $70,252 · median $37,568 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,408 – $41,903 · median $22,408 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,310 – $34,240 · median $18,310 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,500 – $64,863 · median $34,686 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,685 – $31,201 · median $16,685 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,996 – $23,500 · median $8,996 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,500 – $49,739 · median $26,599 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,087 – $33,823 · median $18,087 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,735 – $25,684 · median $13,735 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,748 – $42,539 · median $22,748 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,049 – $30,012 · median $16,049 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,271 – $23,500 · median $12,271 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,709 – $36,856 · median $19,709 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,500 – $46,627 · median $24,934 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,403 – $30,674 · median $16,403 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,222 – $23,500 · median $12,222 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,201 – $28,426 · median $15,201 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,580 – $23,500 · median $9,580 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,500 – $51,362 · median $27,466 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,571 – $34,728 · median $18,571 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,584 – $27,272 · median $14,584 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,500 – $50,918 · median $27,229 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,260 – $28,536 · median $15,260 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,388 – $23,500 · median $10,388 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,528 – $36,518 · median $19,528 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,979 – $23,500 · median $8,979 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,500 – $45,830 · median $24,508 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,806 – $25,817 · median $13,806 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,806 – $23,500 · median $10,806 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,470 – $38,279 · median $20,470 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,579 – $25,393 · median $13,579 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,579 – $25,393 · median $13,579 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,595 – $23,500 · median $11,595 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,991 – $28,033 · median $14,991 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,983 – $23,500 · median $9,983 | 9 plans |
| 509 | ARTHROSCOPY | $13,586 – $25,406 · median $13,586 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,106 – $41,339 · median $22,106 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,171 – $28,370 · median $15,171 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,435 – $23,500 · median $12,435 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,645 – $23,500 · median $11,645 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,886 – $23,500 · median $7,886 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,500 – $44,726 · median $23,918 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,559 – $29,096 · median $15,559 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,545 – $23,500 · median $11,545 | 9 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,500 – $51,837 · median $27,720 | 9 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,251 – $28,519 · median $15,251 | 9 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,085 – $23,500 · median $11,085 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,544 – $42,157 · median $22,544 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,307 – $30,493 · median $16,307 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,794 – $23,500 · median $11,794 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,295 – $23,500 · median $6,295 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,287 – $23,500 · median $10,287 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,272 – $23,500 · median $6,272 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,108 – $23,500 · median $7,108 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,194 – $23,500 · median $5,194 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,645 – $29,257 · median $15,645 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,012 – $23,500 · median $10,012 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,766 – $23,500 · median $6,766 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,425 – $26,974 · median $14,425 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,205 – $23,500 · median $8,205 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,845 – $23,500 · median $5,845 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,544 – $36,547 · median $19,544 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,955 – $23,500 · median $8,955 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,772 – $23,500 · median $5,772 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,582 – $29,138 · median $15,582 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,320 – $23,500 · median $9,320 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,668 – $23,500 · median $6,668 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,198 – $24,680 · median $13,198 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,455 – $23,500 · median $7,455 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,104 – $23,500 · median $10,104 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,456 – $23,500 · median $6,456 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,415 – $23,500 · median $10,415 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,316 – $23,500 · median $6,316 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,987 – $23,500 · median $11,987 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,681 – $23,500 · median $6,681 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,357 – $26,847 · median $14,357 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,808 – $23,500 · median $8,808 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,324 – $23,500 · median $6,324 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,321 – $23,500 · median $11,321 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,913 – $23,500 · median $6,913 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,138 – $23,500 · median $12,138 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,886 – $23,500 · median $7,886 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,786 – $23,500 · median $5,786 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,285 – $43,543 · median $23,285 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,954 – $24,225 · median $12,954 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,836 – $23,500 · median $8,836 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,500 – $89,067 · median $47,630 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,500 – $50,114 · median $26,799 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,443 – $28,878 · median $15,443 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,500 – $78,033 · median $41,729 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,595 – $38,512 · median $20,595 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,074 – $24,449 · median $13,074 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,500 – $47,140 · median $25,209 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,713 – $25,644 · median $13,713 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,131 – $23,500 · median $11,131 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,544 – $25,328 · median $13,544 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,704 – $23,757 · median $12,704 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,836 – $29,612 · median $15,836 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,354 – $28,711 · median $15,354 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $15,904 – $29,741 · median $15,904 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $9,457 – $23,500 · median $9,457 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,564 – $23,500 · median $6,564 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,359 – $30,592 · median $16,359 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,361 – $23,500 · median $8,361 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,586 – $25,406 · median $13,586 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,345 – $23,500 · median $8,345 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,613 – $23,500 · median $6,613 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,404 – $23,500 · median $7,404 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,637 – $23,500 · median $4,637 | 9 plans |
| 602 | CELLULITIS WITH MCC | $11,366 – $23,500 · median $11,366 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,814 – $23,500 · median $6,814 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,492 – $23,500 · median $11,492 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,145 – $23,500 · median $7,145 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,454 – $23,500 · median $12,454 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,685 – $23,500 · median $6,685 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,626 – $32,961 · median $17,626 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,083 – $23,500 · median $11,083 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,500 – $55,903 · median $29,894 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,945 – $27,948 · median $14,945 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,630 – $23,500 · median $9,630 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,088 – $39,435 · median $21,088 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,352 – $23,500 · median $12,352 | 9 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,306 – $23,500 · median $11,306 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,500 – $54,154 · median $28,959 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,804 – $27,684 · median $14,804 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,759 – $23,500 · median $7,759 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,175 – $41,467 · median $22,175 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,673 – $23,500 · median $11,673 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,799 – $23,500 · median $9,799 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,500 – $57,080 · median $30,524 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,404 – $32,546 · median $17,404 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,838 – $23,500 · median $10,838 | 9 plans |
| 637 | DIABETES WITH MCC | $11,264 – $23,500 · median $11,264 | 9 plans |
| 638 | DIABETES WITH CC | $7,094 – $23,500 · median $7,094 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,847 – $23,500 · median $4,847 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,273 – $23,500 · median $10,273 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,045 – $23,500 · median $6,045 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,600 – $23,500 · median $9,600 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,819 – $23,971 · median $12,819 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,994 – $23,500 · median $7,994 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,025 – $23,500 · median $6,025 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $23,500 – $80,626 · median $43,116 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,827 – $40,816 · median $21,827 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,067 – $30,045 · median $16,067 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,500 – $47,120 · median $25,198 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,139 – $26,440 · median $14,139 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,632 – $23,500 · median $11,632 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,988 – $37,378 · median $19,988 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,364 – $23,500 · median $10,364 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,941 – $23,500 · median $7,941 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,500 – $45,120 · median $24,128 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,813 – $23,500 · median $11,813 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,352 – $23,500 · median $8,352 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,500 – $49,661 · median $26,557 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $12,741 – $23,825 · median $12,741 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,949 – $23,500 · median $7,949 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,556 – $42,179 · median $22,556 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,970 – $23,500 · median $11,970 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,391 – $23,500 · median $7,391 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,332 – $24,930 · median $13,332 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,464 – $23,500 · median $8,464 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,500 – $60,605 · median $32,409 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,854 – $33,388 · median $17,854 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,107 – $23,500 · median $12,107 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $11,618 – $23,500 · median $11,618 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $6,876 – $23,500 · median $6,876 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,699 – $23,500 · median $4,699 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,585 – $27,274 · median $14,585 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,142 – $23,500 · median $8,142 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,602 – $23,500 · median $5,602 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,053 – $23,500 · median $9,053 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,208 – $23,500 · median $6,208 | 9 plans |
| 693 | URINARY STONES WITH MCC | $11,373 – $23,500 · median $11,373 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,044 – $23,500 · median $6,044 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,723 – $23,500 · median $8,723 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,350 – $23,500 · median $5,350 | 9 plans |
| 697 | URETHRAL STRICTURE | $7,749 – $23,500 · median $7,749 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,002 – $24,313 · median $13,002 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,888 – $23,500 · median $7,888 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,369 – $23,500 · median $5,369 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,009 – $28,068 · median $15,009 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,466 – $23,500 · median $11,466 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,380 – $32,501 · median $17,380 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,612 – $23,500 · median $11,612 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,778 – $27,635 · median $14,778 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,273 – $23,500 · median $8,273 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,184 – $23,500 · median $11,184 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,268 – $23,500 · median $7,268 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,467 – $32,663 · median $17,467 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,977 – $23,500 · median $10,977 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,351 – $26,837 · median $14,351 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,528 – $23,500 · median $9,528 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,372 – $25,006 · median $13,372 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,685 – $23,500 · median $8,685 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,636 – $23,500 · median $5,636 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,770 – $23,500 · median $9,770 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,757 – $23,500 · median $5,757 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,365 – $23,500 · median $11,365 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,320 – $23,500 · median $6,320 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,515 – $23,500 · median $8,515 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,694 – $23,500 · median $4,694 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,264 – $30,414 · median $16,264 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,389 – $23,500 · median $9,389 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,500 – $56,950 · median $30,454 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,457 – $28,904 · median $15,457 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,732 – $23,500 · median $11,732 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $23,500 – $57,577 · median $30,790 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,064 – $26,299 · median $14,064 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,624 – $23,500 · median $10,624 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,128 – $26,420 · median $14,128 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,271 – $23,500 · median $9,271 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,113 – $28,262 · median $15,113 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,927 – $23,500 · median $7,927 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,952 – $24,220 · median $12,952 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,388 – $23,500 · median $7,388 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,536 – $23,500 · median $10,536 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,021 – $37,439 · median $20,021 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,974 – $23,500 · median $9,974 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,994 – $26,169 · median $13,994 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,586 – $23,500 · median $8,586 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,386 – $23,500 · median $7,386 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,946 – $23,500 · median $10,946 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,884 – $23,500 · median $7,884 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,950 – $23,500 · median $4,950 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,623 – $23,500 · median $7,623 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,903 – $23,500 · median $4,903 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,748 – $23,500 · median $10,748 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,322 – $23,500 · median $8,322 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,518 – $23,500 · median $5,518 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $7,230 – $23,500 · median $7,230 | 9 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,944 – $26,075 · median $13,944 | 9 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $21,570 – $85,989 · median $45,984 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,570 – $58,726 · median $31,404 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,949 – $35,434 · median $18,949 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $21,570 – $60,324 · median $32,259 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,418 – $21,570 · median $11,418 | 9 plans |
| 795 | NORMAL NEWBORN | $1,545 – $7,850 · median $1,545 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $23,500 – $68,770 · median $36,775 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,536 – $42,143 · median $22,536 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,698 – $23,746 · median $12,698 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,500 – $51,848 · median $27,726 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,767 – $25,745 · median $13,767 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,551 – $23,500 · median $8,551 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,716 – $33,129 · median $17,716 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,580 – $23,500 · median $9,580 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,361 – $23,500 · median $7,361 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,881 – $23,500 · median $10,881 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,138 – $23,500 · median $7,138 | 9 plans |
| 813 | COAGULATION DISORDERS | $11,973 – $23,500 · median $11,973 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,168 – $30,234 · median $16,168 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,859 – $23,500 · median $7,859 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,100 – $23,500 · median $5,100 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,609 – $36,668 · median $19,609 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,962 – $23,500 · median $9,962 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,316 – $23,500 · median $6,316 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $23,500 – $84,209 · median $45,031 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,266 – $32,287 · median $17,266 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,846 – $23,500 · median $8,846 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,500 – $67,681 · median $36,193 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,011 – $31,811 · median $17,011 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,519 – $23,500 · median $9,519 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $23,500 – $69,069 · median $36,935 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,252 – $34,131 · median $18,252 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,397 – $23,500 · median $12,397 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,500 – $44,602 · median $23,851 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,311 – $23,500 · median $11,311 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,902 – $23,500 · median $8,902 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,780 – $23,500 · median $5,780 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,021 – $23,500 · median $4,021 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $23,500 – $79,942 · median $42,750 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,520 – $30,893 · median $16,520 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,829 – $23,500 · median $9,829 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $23,500 – $72,419 · median $38,727 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,687 – $29,335 · median $15,687 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,599 – $23,500 · median $10,599 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,500 – $46,132 · median $24,670 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,127 – $23,500 · median $12,127 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,136 – $23,500 · median $8,136 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,643 – $27,382 · median $14,643 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,244 – $23,500 · median $9,244 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,472 – $23,500 · median $6,472 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,752 – $36,936 · median $19,752 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,828 – $23,500 · median $9,828 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,334 – $23,500 · median $6,334 | 9 plans |
| 849 | RADIOTHERAPY | $20,659 – $38,632 · median $20,659 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $23,500 – $133,234 · median $71,248 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $23,500 – $72,343 · median $38,686 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,456 – $28,902 · median $15,456 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,573 – $23,511 · median $12,573 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $23,500 – $65,252 · median $34,894 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,853 – $31,516 · median $16,853 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,966 – $23,500 · median $9,966 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,221 – $26,594 · median $14,221 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,734 – $23,500 · median $7,734 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,945 – $23,500 · median $6,945 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,416 – $23,500 · median $11,416 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,843 – $23,500 · median $6,843 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,585 – $31,014 · median $16,585 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,122 – $23,500 · median $8,122 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,565 – $23,500 · median $5,565 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $23,500 – $100,620 · median $53,807 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,178 – $28,383 · median $15,178 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,975 – $23,500 · median $7,975 | 9 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,827 – $23,500 · median $4,827 | 9 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,199 – $23,500 · median $11,199 | 9 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,774 – $25,758 · median $13,774 | 9 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,824 – $23,500 · median $6,824 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,500 – $64,079 · median $34,267 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,676 – $27,444 · median $14,676 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,429 – $23,500 · median $9,429 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,500 – $55,845 · median $29,863 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,748 – $23,838 · median $12,748 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,881 – $31,567 · median $16,881 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,500 – $57,618 · median $30,812 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,601 – $29,174 · median $15,601 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,809 – $23,500 · median $9,809 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,517 – $23,500 · median $12,517 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,087 – $23,500 · median $7,087 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,442 – $25,136 · median $13,442 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,136 – $23,500 · median $5,136 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,682 – $23,715 · median $12,682 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,841 – $23,500 · median $6,841 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,104 – $26,374 · median $14,104 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,857 – $23,500 · median $7,857 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,318 – $23,500 · median $5,318 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,066 – $24,433 · median $13,066 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,888 – $23,500 · median $7,888 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $23,500 – $343,130 · median $183,492 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $23,500 – $96,599 · median $51,657 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,500 – $45,999 · median $24,598 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,500 – $62,582 · median $33,466 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,597 – $31,036 · median $16,597 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $16,988 – $31,768 · median $16,988 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,500 – $45,906 · median $24,549 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,331 – $30,538 · median $16,331 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,115 – $28,266 · median $15,115 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,806 – $23,500 · median $11,806 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,635 – $23,500 · median $8,635 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,948 – $23,500 · median $9,948 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,145 – $23,500 · median $6,145 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,345 – $23,500 · median $8,345 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,533 – $23,500 · median $4,533 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,385 – $23,500 · median $4,385 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $23,500 – $98,760 · median $52,813 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,500 – $55,285 · median $29,564 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,500 – $107,956 · median $57,731 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,500 – $59,440 · median $31,786 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,449 – $38,239 · median $20,449 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,012 – $39,293 · median $21,012 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,604 – $23,500 · median $11,604 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,058 – $23,500 · median $7,058 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $23,500 – $91,470 · median $48,914 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,522 – $38,376 · median $20,522 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,096 – $43,190 · median $23,096 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,994 – $23,500 · median $10,994 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,757 – $23,500 · median $7,757 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,152 – $23,500 · median $11,152 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,500 – $68,767 · median $36,774 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,939 – $35,416 · median $18,939 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,902 – $24,128 · median $12,902 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,500 – $50,668 · median $27,095 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,273 – $24,821 · median $13,273 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,937 – $23,500 · median $8,937 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $23,500 – $154,023 · median $82,365 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $23,500 – $70,135 · median $37,505 | 8 plans |
| 007 | LUNG TRANSPLANT | $23,500 – $189,016 · median $101,078 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $23,500 – $78,697 · median $42,084 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $23,500 – $115,317 · median $61,667 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $23,500 – $189,494 · median $101,333 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $23,500 – $87,298 · median $46,684 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $23,500 – $87,298 · median $46,684 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $23,500 – $114,653 · median $61,312 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $23,500 – $66,636 · median $35,634 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,500 – $50,222 · median $26,857 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $23,500 – $44,422 · median $23,755 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,500 – $56,835 · median $30,393 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,415 – $23,500 · median $10,492 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $7,070 – $23,500 · median $10,005 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,440 – $23,500 · median $10,528 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,359 – $26,851 · median $18,929 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,918 – $24,157 · median $18,209 | 8 plans |
| 885 | PSYCHOSES | $10,902 – $23,500 · median $15,427 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,895 – $25,983 · median $18,697 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,199 – $23,500 · median $13,017 | 8 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $16,372 – $16,372 · median $16,372 | 1 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $10,043 – $10,043 · median $10,043 | 1 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $17,702 – $17,702 · median $17,702 | 1 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $10,295 – $10,295 · median $10,295 | 1 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $14,134 – $14,134 · median $14,134 | 1 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $8,073 – $8,073 · median $8,073 | 1 plans |
| 222 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC | $54,802 – $54,802 · median $54,802 | 1 plans |
| 223 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC | $42,808 – $42,808 · median $42,808 | 1 plans |
| 224 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC | $50,004 – $50,004 · median $50,004 | 1 plans |
| 225 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC | $38,519 – $38,519 · median $38,519 | 1 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC | $45,919 – $45,919 · median $45,919 | 1 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC | $35,807 – $35,807 · median $35,807 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $21,813 – $21,813 · median $21,813 | 1 plans |
| 247 | PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC | $13,989 – $13,989 · median $13,989 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $21,367 – $21,367 · median $21,367 | 1 plans |
| 249 | PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC | $13,403 – $13,403 · median $13,403 | 1 plans |
| 338 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC | $19,294 – $19,294 · median $19,294 | 1 plans |
| 339 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC | $11,723 – $11,723 · median $11,723 | 1 plans |
| 340 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $8,000 – $8,000 · median $8,000 | 1 plans |
| 341 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC | $15,386 – $15,386 · median $15,386 | 1 plans |
| 342 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC | $9,555 – $9,555 · median $9,555 | 1 plans |
| 343 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $7,309 – $7,309 · median $7,309 | 1 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $63,960 – $63,960 · median $63,960 | 1 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $42,677 – $42,677 · median $42,677 | 1 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $33,674 – $33,674 · median $33,674 | 1 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL W MCC | $43,000 – $43,000 · median $43,000 | 1 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL W/O MCC | $27,192 – $27,192 · median $27,192 | 1 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $10,939 – $10,939 · median $10,939 | 1 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $7,614 – $7,614 · median $7,614 | 1 plans |
No procedures match that keyword.