Christus St Vincent Regional Medical 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $158,740 – $402,631 · median $218,902 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $101,017 – $265,458 · median $144,324 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $40,111 – $101,373 · median $55,114 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $22,631 – $77,095 · median $41,915 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,918 – $49,784 · median $27,067 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $45,775 – $113,395 · median $61,651 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $82,336 – $151,441 · median $93,094 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $56,456 – $103,847 · median $66,283 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $36,060 – $66,329 · median $51,411 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,398 – $107,180 · median $58,272 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $38,831 – $71,421 · median $43,524 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $42,649 – $84,020 · median $46,914 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $31,237 – $57,461 · median $34,360 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,206 – $46,361 · median $28,934 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $29,918 – $114,214 · median $62,096 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $29,077 – $63,062 · median $34,285 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,773 – $41,807 · median $22,730 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,100 – $78,727 · median $42,803 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,687 – $40,122 · median $21,813 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,105 – $29,974 · median $16,296 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $38,607 – $73,057 · median $42,468 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,430 – $42,735 · median $23,235 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,392 – $34,438 · median $18,723 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,287 – $62,389 · median $33,920 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,740 – $30,269 · median $16,458 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,903 – $21,385 · median $11,993 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $33,727 – $70,865 · median $38,528 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,736 – $42,435 · median $23,065 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,999 – $33,020 · median $17,952 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,061 – $37,809 · median $20,556 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,655 – $17,309 · median $9,521 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,444 – $28,165 · median $15,312 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,312 – $20,496 · median $11,143 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $7,511 – $47,045 · median $25,577 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,347 – $25,076 · median $13,630 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $7,967 – $34,677 · median $18,854 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,856 – $22,987 · median $12,498 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,060 – $16,766 · median $9,115 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,879 – $50,788 · median $27,613 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,897 – $33,458 · median $19,687 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,900 – $26,392 · median $15,290 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,466 – $37,371 · median $20,318 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,112 – $19,107 · median $11,124 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,030 – $12,932 · median $8,254 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,617 – $27,352 · median $14,979 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,875 – $16,564 · median $9,763 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,785 – $15,034 · median $8,172 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,760 – $32,667 · median $20,852 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,765 – $19,799 · median $12,638 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,663 – $14,093 · median $8,663 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,978 – $29,037 · median $15,787 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,353 – $19,585 · median $10,647 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $4,471 – $32,360 · median $17,593 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,107 – $17,227 · median $9,365 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $6,602 – $29,050 · median $15,794 | 9 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,323 – $18,747 · median $10,193 | 9 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,947 – $12,526 · median $6,810 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,487 – $37,347 · median $20,303 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,236 – $16,999 · median $9,242 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,410 – $43,590 · median $25,751 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,202 – $26,121 · median $17,504 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,766 – $17,961 · median $13,837 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,562 – $42,572 · median $23,145 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,299 – $24,642 · median $13,397 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,032 – $16,609 · median $9,029 | 9 plans |
| 088 | CONCUSSION WITH MCC | $5,977 – $26,502 · median $14,409 | 9 plans |
| 089 | CONCUSSION WITH CC | $5,489 – $20,143 · median $10,950 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,462 – $16,105 · median $8,756 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $8,477 – $34,247 · median $18,619 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,233 – $19,893 · median $10,814 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,530 – $14,829 · median $8,062 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,836 – $68,546 · median $37,268 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,008 – $45,035 · median $24,485 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,303 – $45,035 · median $24,485 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $16,975 – $67,351 · median $36,613 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,455 – $40,753 · median $22,157 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,864 – $26,175 · median $14,231 | 9 plans |
| 100 | SEIZURES WITH MCC | $4,953 – $37,298 · median $20,278 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $4,185 – $17,315 · median $9,414 | 9 plans |
| 102 | HEADACHES WITH MCC | $4,483 – $21,783 · median $11,843 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $3,443 – $15,974 · median $8,684 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $6,870 – $42,397 · median $23,049 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,088 – $22,209 · median $12,074 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $6,563 – $28,763 · median $15,638 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,489 – $31,348 · median $17,043 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,546 – $20,265 · median $11,017 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,689 – $21,852 · median $11,881 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,629 – $12,744 · median $6,928 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,447 – $15,091 · median $8,204 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $5,204 – $24,496 · median $13,318 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,153 – $15,513 · median $8,434 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $5,501 – $45,296 · median $24,627 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,074 – $18,378 · median $9,991 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,674 – $26,275 · median $14,285 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,145 – $15,284 · median $8,309 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,531 – $25,794 · median $14,024 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $13,017 – $79,454 · median $43,197 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $8,438 – $40,362 · median $21,945 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,092 – $29,540 · median $16,060 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $10,106 – $62,032 · median $33,726 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $6,073 – $33,003 · median $17,943 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,752 – $22,258 · median $12,102 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,428 – $43,098 · median $23,432 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,352 – $23,385 · median $12,714 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,178 – $15,044 · median $9,097 | 9 plans |
| 149 | DYSEQUILIBRIUM | $3,688 – $14,044 · median $7,635 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $7,520 – $25,967 · median $14,118 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,582 – $14,241 · median $7,742 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,463 – $21,319 · median $11,591 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,230 – $13,371 · median $7,269 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $6,147 – $30,553 · median $16,611 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,523 – $17,540 · median $9,536 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,702 – $12,633 · median $6,868 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,312 – $30,763 · median $16,725 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,909 – $17,670 · median $9,607 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,122 – $12,393 · median $6,737 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $41,801 – $86,592 · median $47,078 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $22,018 – $47,286 · median $25,709 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,255 – $35,019 · median $19,039 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $18,310 – $72,353 · median $39,327 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,433 – $34,328 · median $18,663 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,396 – $25,435 · median $13,829 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $14,977 – $57,649 · median $31,343 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,393 – $26,474 · median $19,301 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,319 – $15,303 · median $13,835 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,511 – $30,371 · median $18,236 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,133 – $18,640 · median $11,872 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,268 – $14,461 · median $7,995 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,197 – $32,836 · median $17,852 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,812 – $20,858 · median $11,893 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,267 – $15,735 · median $8,554 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,273 – $29,820 · median $16,213 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,561 – $20,066 · median $10,910 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,814 – $14,610 · median $7,943 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,765 – $29,685 · median $16,138 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,969 – $18,861 · median $10,255 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,598 – $13,792 · median $7,499 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,409 – $23,250 · median $12,639 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,307 – $21,105 · median $11,470 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,908 – $16,141 · median $8,775 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,568 – $12,160 · median $6,611 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,530 – $24,759 · median $13,459 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,046 – $15,406 · median $8,375 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,409 – $11,701 · median $6,360 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,112 – $35,400 · median $19,244 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,995 – $18,598 · median $10,112 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,912 – $13,159 · median $7,154 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,438 – $33,165 · median $18,031 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,005 – $20,806 · median $11,312 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,180 – $12,718 · median $6,916 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,094 – $18,162 · median $9,874 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,529 – $13,082 · median $7,115 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,287 – $15,235 · median $8,284 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $8,406 – $35,466 · median $19,282 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,093 – $17,018 · median $9,252 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $55,542 – $121,515 · median $66,056 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $23,735 – $50,429 · median $27,412 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $60,128 – $204,660 · median $111,270 | 9 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,027 – $199,044 · median $108,215 | 9 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $76,270 – $181,312 · median $98,576 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $54,084 – $121,322 · median $65,961 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,978 – $111,772 · median $60,766 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $57,198 – $145,363 · median $79,031 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,476 – $99,507 · median $54,100 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,199 – $86,280 · median $46,909 | 9 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $46,450 – $93,619 · median $51,095 | 9 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $27,869 – $58,357 · median $31,728 | 9 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,783 – $159,198 · median $86,552 | 9 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $52,379 – $114,763 · median $62,394 | 9 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $50,491 – $146,843 · median $79,837 | 9 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $45,574 – $99,950 · median $54,341 | 9 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,004 – $110,545 · median $60,101 | 9 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $40,699 – $77,253 · median $44,769 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,144 – $94,626 · median $51,447 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,733 – $54,711 · median $29,745 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,529 – $28,366 · median $15,422 | 9 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,030 – $63,729 · median $34,646 | 9 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,630 – $42,324 · median $23,010 | 9 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,593 – $33,907 · median $19,353 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,204 – $91,808 · median $49,914 | 9 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,898 – $43,451 · median $23,621 | 9 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,189 – $29,356 · median $15,960 | 9 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $19,905 – $64,447 · median $35,038 | 9 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,865 – $47,964 · median $26,076 | 9 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,211 – $32,866 · median $17,868 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,924 – $49,155 · median $26,725 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,971 – $31,819 · median $17,299 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,186 – $16,757 · median $9,110 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,391 – $52,708 · median $28,655 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,844 – $33,022 · median $17,953 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,056 – $64,007 · median $34,791 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,024 – $35,648 · median $19,382 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,261 – $28,515 · median $15,503 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $6,452 – $50,388 · median $27,395 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $14,624 – $65,662 · median $35,699 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $19,631 – $67,015 · median $36,435 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $60,163 – $112,548 · median $66,179 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,849 – $88,386 · median $48,054 | 9 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $33,154 – $125,263 · median $68,103 | 9 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $13,271 – $78,166 · median $42,497 | 9 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $51,745 – $96,435 · median $56,920 | 9 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,820 – $64,713 · median $35,181 | 9 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,406 – $47,008 · median $25,557 | 9 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $39,940 – $73,461 · median $62,643 | 9 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $31,878 – $58,634 · median $44,909 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $61,938 – $132,765 · median $72,182 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $49,283 – $116,373 · median $63,270 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,729 – $87,406 · median $47,515 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $21,778 – $93,994 · median $51,104 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $14,982 – $60,201 · median $32,730 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,765 – $30,841 · median $19,684 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,415 – $18,674 · median $16,976 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,406 – $15,009 · median $13,623 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,421 – $36,738 · median $19,972 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,569 – $15,027 · median $13,661 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,734 – $12,542 · median $10,546 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,541 – $41,583 · median $22,607 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,266 – $20,471 · median $11,130 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,238 – $51,316 · median $27,900 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,104 – $29,621 · median $18,908 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,112 – $18,393 · median $10,000 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,751 – $24,516 · median $13,327 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,433 – $16,182 · median $8,796 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,311 – $10,315 · median $5,604 | 9 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,531 – $23,070 · median $12,543 | 9 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,875 – $14,839 · median $8,067 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,351 – $30,780 · median $16,887 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,195 – $13,234 · median $10,540 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,512 – $9,473 · median $8,297 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,821 – $30,393 · median $16,522 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,379 – $20,113 · median $10,935 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,702 – $13,401 · median $7,287 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,469 – $21,854 · median $11,882 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,109 – $12,633 · median $6,868 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $6,235 – $22,072 · median $11,999 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,645 – $14,104 · median $7,668 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,294 – $28,133 · median $19,819 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,462 – $28,755 · median $17,403 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,282 – $22,658 · median $12,317 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,705 – $13,890 · median $7,551 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,962 – $10,512 · median $5,715 | 9 plans |
| 311 | ANGINA PECTORIS | $4,971 – $13,123 · median $7,132 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,137 – $16,370 · median $8,899 | 9 plans |
| 313 | CHEST PAIN | $4,075 – $13,401 · median $7,287 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,342 – $40,458 · median $21,996 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,413 – $18,080 · median $9,829 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,973 – $12,825 · median $8,391 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $56,771 – $116,223 · median $63,188 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $44,868 – $82,526 · median $55,373 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $23,643 – $45,073 · median $40,975 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $29,077 – $63,896 · median $53,484 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,479 – $44,912 · median $33,989 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $21,545 – $80,022 · median $43,506 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,449 – $60,028 · median $32,635 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $13,761 – $53,771 · median $29,233 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $27,656 – $95,419 · median $51,877 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,576 – $45,619 · median $24,833 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,687 – $29,937 · median $16,276 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,129 – $86,269 · median $46,902 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,228 – $44,409 · median $24,143 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,163 – $31,019 · median $16,863 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,043 – $65,166 · median $35,429 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $17,061 – $39,926 · median $21,708 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,222 – $31,158 · median $16,941 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,870 – $68,086 · median $37,009 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,787 – $39,688 · median $21,575 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,664 – $28,840 · median $15,680 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,296 – $50,622 · median $27,522 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,228 – $27,979 · median $15,206 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,548 – $23,395 · median $12,719 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,868 – $44,464 · median $24,175 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,867 – $23,650 · median $12,858 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,813 – $16,550 · median $8,998 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $5,959 – $45,463 · median $24,705 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $4,537 – $28,270 · median $15,367 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,069 – $20,714 · median $11,262 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $13,848 – $55,101 · median $29,958 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,045 – $31,960 · median $17,375 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,119 – $25,046 · median $13,617 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,764 – $80,138 · median $43,570 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,974 – $42,309 · median $23,002 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,963 – $25,458 · median $13,841 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,201 – $31,374 · median $17,057 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,776 – $19,119 · median $10,394 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,542 – $13,112 · median $7,129 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,817 – $32,847 · median $17,854 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,886 – $19,338 · median $10,513 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,266 – $13,627 · median $7,409 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,036 – $39,671 · median $21,566 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,788 – $23,085 · median $12,550 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,080 – $16,588 · median $9,019 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,243 – $34,158 · median $18,571 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,482 – $18,523 · median $10,070 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,972 – $11,960 · median $6,503 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,028 – $36,154 · median $19,655 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,501 – $20,462 · median $11,124 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,673 – $14,078 · median $7,653 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,474 – $23,752 · median $12,913 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,647 – $16,338 · median $8,882 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,187 – $30,525 · median $16,596 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,473 – $18,645 · median $10,137 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,176 – $12,594 · median $6,846 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,285 – $27,618 · median $15,014 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,835 – $15,062 · median $8,188 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,262 – $10,279 · median $5,589 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,211 – $24,141 · median $13,120 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,714 – $14,660 · median $7,970 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $6,889 – $31,111 · median $16,914 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,233 – $17,685 · median $9,614 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,443 – $11,957 · median $6,500 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $10,906 – $46,549 · median $25,308 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,076 – $28,432 · median $15,456 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,971 – $21,120 · median $11,478 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $18,265 – $73,822 · median $39,959 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $24,036 – $101,989 · median $55,449 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,615 – $52,760 · median $28,685 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,848 – $40,124 · median $21,815 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,845 – $65,779 · median $35,762 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,843 – $39,385 · median $21,414 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,360 – $29,140 · median $15,843 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $12,066 – $51,411 · median $27,950 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,849 – $40,047 · median $21,772 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,289 – $31,233 · median $16,981 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,000 – $65,826 · median $35,788 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,554 – $37,163 · median $20,204 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,299 – $25,743 · median $13,995 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $11,396 – $44,650 · median $24,274 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,604 – $31,160 · median $16,939 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,772 – $24,755 · median $13,458 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,294 – $66,307 · median $36,050 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,726 – $30,765 · median $19,638 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,272 – $27,605 · median $15,699 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,883 – $76,413 · median $41,544 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,103 – $42,895 · median $23,322 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,789 – $29,041 · median $17,448 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,660 – $196,928 · median $106,996 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $32,546 – $133,370 · median $72,547 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $28,245 – $103,432 · median $56,219 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $44,934 – $156,692 · median $85,191 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $29,335 – $102,772 · median $55,876 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,903 – $36,808 · median $20,010 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,962 – $20,098 · median $10,927 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,069 – $13,084 · median $7,114 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,997 – $34,279 · median $18,636 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,117 – $21,185 · median $11,518 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,116 – $14,750 · median $8,020 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,831 – $31,259 · median $16,993 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,254 – $16,161 · median $8,786 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,729 – $11,557 · median $6,302 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,106 – $35,515 · median $19,309 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,615 – $18,153 · median $9,869 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,409 – $13,200 · median $7,177 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,315 – $31,648 · median $17,204 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,747 – $20,374 · median $11,077 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,656 – $14,978 · median $8,144 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $35,562 – $125,959 · median $68,482 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,457 – $76,715 · median $41,709 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,289 – $96,753 · median $52,603 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,940 – $57,976 · median $31,520 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $39,583 – $159,108 · median $86,504 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $31,335 – $107,824 · median $58,622 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,147 – $81,121 · median $44,104 | 9 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,970 – $115,296 · median $62,680 | 9 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $29,251 – $53,801 · median $34,343 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,556 – $101,468 · median $55,166 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,298 – $55,398 · median $30,117 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,474 – $32,614 · median $17,733 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $47,200 – $95,712 · median $52,036 | 9 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $32,284 – $64,347 · median $35,513 | 9 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,215 – $49,285 · median $27,737 | 9 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $31,252 – $61,409 · median $34,377 | 9 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,259 – $35,425 · median $22,611 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,161 – $91,253 · median $49,612 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $14,673 – $54,429 · median $29,592 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $11,485 – $44,475 · median $24,181 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,155 – $84,253 · median $45,807 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,026 – $40,528 · median $22,035 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,794 – $21,850 · median $11,880 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,222 – $64,608 · median $35,126 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,940 – $43,934 · median $23,886 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,925 – $33,362 · median $18,138 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,664 – $55,256 · median $30,039 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,600 – $38,983 · median $21,193 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,675 – $29,805 · median $16,203 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $12,988 – $47,874 · median $26,027 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,485 – $60,565 · median $32,882 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,063 – $39,844 · median $21,663 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,453 – $29,687 · median $16,140 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,076 – $36,924 · median $20,075 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,972 – $23,271 · median $12,649 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $13,037 – $66,716 · median $36,272 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $9,083 – $45,110 · median $24,524 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,671 – $35,425 · median $19,257 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,577 – $66,139 · median $35,959 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,940 – $37,067 · median $20,152 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,428 – $25,232 · median $13,713 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $6,566 – $47,434 · median $25,789 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,863 – $21,809 · median $11,856 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $12,507 – $59,530 · median $32,365 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $6,564 – $33,535 · median $18,229 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,800 – $26,249 · median $14,271 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $11,365 – $49,722 · median $27,032 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,451 – $32,984 · median $17,926 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $5,133 – $32,984 · median $17,926 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,884 – $28,163 · median $15,312 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,469 – $36,413 · median $19,797 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,012 – $24,248 · median $13,182 | 9 plans |
| 509 | ARTHROSCOPY | $6,789 – $33,001 · median $17,943 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $10,550 – $53,696 · median $29,193 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $6,993 – $36,851 · median $20,032 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $6,411 – $30,205 · median $16,422 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,839 – $28,285 · median $15,378 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,970 – $19,156 · median $10,414 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,652 – $58,096 · median $31,586 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,311 – $37,794 · median $20,548 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,852 – $28,043 · median $15,246 | 9 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $16,436 – $67,332 · median $36,607 | 9 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,053 – $37,044 · median $20,141 | 9 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,903 – $26,925 · median $14,639 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $29,771 – $54,760 · median $34,953 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $21,532 – $39,609 · median $25,485 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,513 – $28,648 · median $15,575 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,284 – $15,292 · median $8,314 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,425 – $24,986 · median $13,584 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,696 – $15,235 · median $8,283 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,243 – $17,264 · median $9,387 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,912 – $12,616 · median $6,859 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,653 – $38,002 · median $20,657 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,275 – $24,319 · median $13,218 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,707 – $16,436 · median $8,936 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,459 – $35,038 · median $19,050 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,944 – $19,930 · median $10,939 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,719 – $14,198 · median $8,784 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $14,161 – $47,472 · median $25,810 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,905 – $21,751 · median $11,825 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,568 – $14,020 · median $7,622 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,768 – $37,848 · median $20,577 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,541 – $22,640 · median $12,309 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,740 – $16,197 · median $8,805 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,532 – $32,058 · median $17,429 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,856 – $18,108 · median $9,844 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,339 – $24,543 · median $21,886 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,525 – $15,680 · median $9,570 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,323 – $25,298 · median $13,754 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,995 – $15,340 · median $8,340 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,522 – $29,116 · median $15,829 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,250 – $16,229 · median $8,823 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,906 – $34,872 · median $18,960 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,911 – $21,396 · median $11,631 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,890 – $15,361 · median $8,351 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,148 – $27,500 · median $14,948 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,576 – $16,791 · median $9,129 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,019 – $29,482 · median $16,028 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,209 – $19,156 · median $10,415 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,476 – $14,053 · median $7,641 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,064 – $56,559 · median $30,746 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,970 – $31,466 · median $17,101 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,350 – $21,463 · median $11,668 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,720 – $115,693 · median $62,900 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,570 – $65,095 · median $35,390 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,790 – $37,510 · median $20,394 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,611 – $101,359 · median $55,108 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,073 – $50,025 · median $27,198 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,310 – $31,757 · median $17,266 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,897 – $61,232 · median $33,292 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,444 – $33,309 · median $18,109 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $5,616 – $27,038 · median $14,700 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $6,846 – $32,900 · median $17,887 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $6,373 – $30,859 · median $16,779 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,783 – $38,465 · median $20,912 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $5,763 – $37,294 · median $20,276 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $10,713 – $38,632 · median $21,003 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $5,419 – $22,970 · median $12,489 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,330 – $15,944 · median $8,669 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,604 – $39,737 · median $24,449 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,230 – $20,310 · median $11,042 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,679 – $33,001 · median $17,943 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,264 – $20,270 · median $11,020 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,501 – $16,062 · median $8,732 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,487 – $17,984 · median $9,771 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,825 – $11,263 · median $6,123 | 9 plans |
| 602 | CELLULITIS WITH MCC | $9,343 – $27,607 · median $15,006 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,485 – $16,550 · median $8,996 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $4,127 – $27,913 · median $15,175 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,826 – $17,354 · median $9,435 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,125 – $30,251 · median $16,448 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,270 – $16,238 · median $8,827 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,688 – $42,814 · median $23,278 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,926 – $26,921 · median $14,637 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,382 – $72,614 · median $39,477 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,559 – $36,302 · median $19,729 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,479 – $23,391 · median $13,727 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,215 – $51,224 · median $27,848 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,301 – $30,003 · median $16,312 | 9 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,206 – $27,462 · median $14,931 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,233 – $70,342 · median $38,221 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,266 – $35,960 · median $19,537 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,749 – $18,846 · median $10,246 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $9,764 – $53,863 · median $29,285 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,548 – $28,355 · median $15,416 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,939 – $23,801 · median $12,940 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,589 – $74,143 · median $40,301 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,101 – $42,275 · median $22,972 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,246 – $26,326 · median $14,313 | 9 plans |
| 637 | DIABETES WITH MCC | $7,340 – $27,361 · median $14,875 | 9 plans |
| 638 | DIABETES WITH CC | $4,689 – $17,232 · median $9,368 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,707 – $11,773 · median $6,400 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,616 – $24,952 · median $13,564 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,900 – $14,683 · median $7,981 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,205 – $23,318 · median $12,677 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,655 – $31,137 · median $16,928 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,128 – $19,417 · median $10,555 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,418 – $14,636 · median $7,954 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,423 – $104,728 · median $56,939 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,822 – $53,018 · median $28,825 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,430 – $39,026 · median $21,218 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,252 – $61,206 · median $33,277 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,820 – $34,344 · median $18,672 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,851 – $28,255 · median $15,362 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,525 – $48,552 · median $26,396 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,537 – $25,174 · median $13,790 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,896 – $19,288 · median $10,486 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $15,402 – $58,607 · median $31,864 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,847 – $28,695 · median $15,601 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,321 – $20,287 · median $11,029 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $10,146 – $64,507 · median $35,071 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $7,883 – $30,948 · median $16,826 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,718 – $19,308 · median $10,498 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,694 – $54,788 · median $29,787 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $6,052 – $29,074 · median $15,806 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,343 – $17,954 · median $9,762 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $5,406 – $32,383 · median $17,606 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,206 – $20,560 · median $11,178 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $16,415 – $78,722 · median $42,793 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $10,225 – $43,368 · median $23,578 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $5,838 – $29,407 · median $15,988 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $15,340 – $28,220 · median $20,501 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $9,079 – $16,701 · median $12,967 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,204 – $11,414 · median $8,377 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,072 – $35,427 · median $19,261 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,752 – $19,776 · median $12,624 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,397 – $13,606 · median $9,179 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,048 – $21,989 · median $11,953 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,650 – $15,079 · median $8,198 | 9 plans |
| 693 | URINARY STONES WITH MCC | $5,891 – $27,624 · median $15,019 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,100 – $14,681 · median $7,981 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,656 – $21,187 · median $11,519 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,998 – $12,996 · median $7,066 | 9 plans |
| 697 | URETHRAL STRICTURE | $6,429 – $18,822 · median $10,232 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,729 – $31,581 · median $17,169 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,045 – $19,160 · median $10,417 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,402 – $13,041 · median $7,091 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,017 – $36,458 · median $19,821 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,266 – $27,851 · median $15,142 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $8,647 – $42,217 · median $22,952 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $6,272 – $28,206 · median $15,335 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $8,041 – $35,896 · median $19,515 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,955 – $20,096 · median $10,925 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,807 – $27,166 · median $14,769 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,854 – $17,653 · median $9,598 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,497 – $42,427 · median $23,066 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,719 – $26,664 · median $14,497 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,244 – $34,859 · median $18,952 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,365 – $23,143 · median $12,583 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,363 – $32,481 · median $17,659 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,302 – $21,097 · median $11,469 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,270 – $13,689 · median $7,442 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,237 – $23,731 · median $12,896 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,303 – $13,984 · median $7,603 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,996 – $27,605 · median $15,008 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,874 – $15,352 · median $8,346 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,197 – $20,682 · median $11,245 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,645 – $11,402 · median $6,199 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,895 – $39,506 · median $21,478 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,399 – $22,805 · median $13,763 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,892 – $73,974 · median $40,219 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,725 – $37,544 · median $20,412 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,423 – $28,498 · median $15,494 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $11,690 – $74,789 · median $40,661 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $8,280 – $34,160 · median $18,572 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,528 – $25,805 · median $14,030 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,112 – $34,318 · median $18,658 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,433 – $22,519 · median $12,244 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $6,789 – $36,710 · median $19,958 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,274 – $19,254 · median $10,467 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,966 – $31,461 · median $17,104 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,788 – $17,944 · median $9,756 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $5,678 – $25,593 · median $13,915 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $12,891 – $48,631 · median $26,440 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,147 – $24,227 · median $13,171 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,667 – $33,991 · median $18,480 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,967 – $20,857 · median $11,339 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,339 – $17,941 · median $9,754 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,422 – $26,589 · median $14,456 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,158 – $19,151 · median $10,411 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,279 – $12,022 · median $6,537 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,815 – $18,516 · median $10,067 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,462 – $11,910 · median $6,475 | 9 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,567 – $20,597 · median $11,198 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,679 – $26,106 · median $14,192 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,384 – $20,214 · median $10,990 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,139 – $13,403 · median $7,288 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $2,559 – $17,561 · median $9,548 | 9 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,717 – $34,608 · median $18,815 | 9 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,796 – $20,347 · median $11,062 | 9 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,249 – $16,438 · median $8,922 | 9 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,316 – $30,358 · median $16,505 | 9 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,022 – $19,949 · median $10,845 | 9 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,439 – $17,003 · median $9,241 | 9 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,038 – $33,869 · median $18,412 | 9 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $34,945 – $111,695 · median $60,720 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,169 – $76,281 · median $41,468 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,756 – $46,027 · median $25,021 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,316 – $78,357 · median $42,597 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,347 – $27,735 · median $15,078 | 9 plans |
| 795 | NORMAL NEWBORN | $637 – $3,754 · median $2,041 | 9 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,052 – $23,985 · median $13,039 | 9 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,717 – $18,191 · median $9,889 | 9 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,373 – $18,191 · median $9,889 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $21,282 – $89,328 · median $48,566 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $15,617 – $54,741 · median $29,762 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,718 – $30,844 · median $16,768 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,775 – $67,347 · median $36,615 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,923 – $33,441 · median $18,181 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,710 – $20,770 · median $11,781 | 9 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,372 – $18,749 · median $10,194 | 9 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,506 – $13,593 · median $7,391 | 9 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,226 – $11,972 · median $6,509 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,998 – $43,032 · median $23,393 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,534 – $23,269 · median $12,650 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,517 – $17,881 · median $9,722 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,126 – $26,431 · median $14,370 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,358 – $17,339 · median $9,427 | 9 plans |
| 813 | COAGULATION DISORDERS | $5,101 – $29,082 · median $15,811 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,914 – $39,273 · median $21,352 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,951 – $19,090 · median $10,378 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,838 – $12,389 · median $6,735 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $6,905 – $47,629 · median $25,894 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,412 – $24,199 · median $13,156 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,484 – $15,340 · median $8,340 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,429 – $109,382 · median $59,469 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,495 – $41,939 · median $22,802 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,223 – $21,486 · median $11,682 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,721 – $87,913 · median $47,796 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,270 – $41,320 · median $22,465 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,811 – $23,122 · median $12,571 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $24,336 – $89,716 · median $48,777 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,570 – $44,334 · median $24,104 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,170 – $30,113 · median $16,372 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $13,119 – $57,935 · median $31,498 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,808 – $27,476 · median $14,938 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,397 – $21,623 · median $11,756 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,864 – $14,040 · median $7,634 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,018 – $9,766 · median $5,309 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $47,320 – $103,839 · median $56,456 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $21,816 – $40,127 · median $30,833 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $12,979 – $45,398 · median $23,874 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $16,899 – $94,068 · median $51,144 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $11,314 – $38,104 · median $20,716 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,113 – $25,745 · median $13,997 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,241 – $59,922 · median $32,572 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,630 – $29,458 · median $17,193 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,744 – $19,761 · median $12,403 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,505 – $35,568 · median $20,355 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,890 – $22,454 · median $12,208 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,538 – $15,720 · median $8,547 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,510 – $47,977 · median $26,085 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,367 – $23,872 · median $12,979 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,220 – $15,385 · median $8,364 | 9 plans |
| 849 | RADIOTHERAPY | $7,007 – $50,181 · median $27,283 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $50,075 – $173,062 · median $94,090 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,869 – $93,968 · median $51,083 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,383 – $37,542 · median $20,409 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,033 – $30,540 · median $16,604 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,389 – $84,758 · median $46,081 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,688 – $40,937 · median $22,255 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,629 – $24,206 · median $13,160 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,288 – $34,544 · median $18,780 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,649 – $18,786 · median $10,213 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,066 – $16,870 · median $9,172 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,136 – $27,729 · median $15,075 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,047 – $16,958 · median $9,037 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,670 – $40,285 · median $12,836 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,961 – $19,727 · median $10,726 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,801 – $16,958 · median $7,481 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $11,992 – $130,699 · median $43,450 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,992 – $36,868 · median $13,858 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,729 – $19,370 · median $10,531 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $40,018 – $83,235 · median $45,253 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,209 – $35,648 · median $19,382 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,166 – $22,903 · median $12,452 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,431 – $72,539 · median $39,437 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,052 – $30,965 · median $16,835 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,109 – $41,003 · median $22,292 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,169 – $74,842 · median $40,690 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,652 – $37,895 · median $20,603 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,345 – $23,827 · median $12,954 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,738 – $30,403 · median $16,529 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,274 – $17,215 · median $9,360 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,762 – $32,650 · median $17,751 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,311 – $12,475 · median $6,783 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,918 – $30,805 · median $16,748 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,019 – $16,616 · median $9,035 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $6,226 – $34,258 · median $18,626 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,623 – $19,085 · median $10,376 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,698 – $12,919 · median $7,024 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,451 – $31,737 · median $17,256 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,611 – $19,160 · median $10,417 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $136,779 – $445,704 · median $242,305 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $31,166 – $125,476 · median $68,218 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,992 – $59,750 · median $19,180 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $11,992 – $81,290 · median $21,720 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $8,529 – $40,313 · median $21,917 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $3,781 – $41,264 · median $22,434 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $14,889 – $59,629 · median $32,419 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,757 – $39,667 · median $21,566 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $6,360 – $36,716 · median $19,961 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,211 – $24,163 · median $11,992 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,800 – $16,958 · median $8,115 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,658 – $20,270 · median $11,021 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,640 – $16,958 · median $5,986 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,395 – $16,958 · median $5,791 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $11,992 – $128,283 · median $41,746 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $39,042 – $71,811 · median $45,838 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,331 – $140,228 · median $76,239 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,901 – $77,209 · median $41,978 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $25,920 – $49,670 · median $28,512 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,013 – $51,039 · median $27,748 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,322 – $28,186 · median $17,989 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,321 – $17,144 · median $13,241 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $64,596 – $118,813 · median $72,708 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,101 – $55,528 · median $49,848 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,329 – $56,101 · median $30,501 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,868 – $26,703 · median $14,518 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,295 – $18,842 · median $10,245 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,793 – $27,089 · median $14,728 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,629 – $89,324 · median $48,556 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,061 – $46,002 · median $25,007 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,567 – $31,340 · median $17,039 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $15,816 – $65,814 · median $35,777 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,633 – $32,240 · median $17,527 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,564 – $21,708 · median $11,802 | 9 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $193,181 – $529,190 · median $312,753 | 8 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $105,165 – $207,038 · median $123,915 | 8 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $90,333 – $200,066 · median $118,240 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $42,919 – $91,101 · median $53,841 | 8 plans |
| 007 | LUNG TRANSPLANT | $82,859 – $245,520 · median $145,103 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,360 – $102,222 · median $60,413 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $33,580 – $149,789 · median $88,524 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $102,917 – $246,140 · median $145,469 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,038 – $113,395 · median $67,017 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $194,262 – $708,499 · median $418,725 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,345 – $148,927 · median $88,017 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $47,059 – $86,556 · median $72,516 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $35,468 – $65,236 · median $55,459 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $31,371 – $76,629 · median $54,893 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,367 – $11,726 · median $2,603 | 5 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $5,147 – $27,203 · median $5,661 | 5 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $5,697 – $33,458 · median $6,267 | 5 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,980 – $16,575 · median $4,377 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $13,660 – $15,026 · median $13,660 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,131 – $4,545 · median $4,131 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $4,365 – $4,802 · median $4,365 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,907 – $5,398 · median $4,907 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,665 – $7,331 · median $6,665 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,778 – $7,456 · median $6,778 | 3 plans |
| 885 | PSYCHOSES | $6,060 – $6,666 · median $6,060 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $8,470 – $9,317 · median $8,470 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,912 – $9,803 · median $8,912 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $17,755 – $19,531 · median $17,755 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $13,115 – $14,426 · median $13,115 | 3 plans |
No procedures match that keyword.