Brooks-Tlc Hospital System, Inc — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | Heart Transplant Or Implant Of Heart Assist System With Mcc | $256,419 – $435,912 · median $326,095 | 13 plans |
| 002 | Heart Transplant Or Implant Of Heart Assist System Without Mcc | $104,031 – $176,853 · median $127,580 | 13 plans |
| 003 | Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major | $194,351 – $330,397 · median $248,107 | 13 plans |
| 004 | Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. | $127,034 – $215,957 · median $163,579 | 13 plans |
| 005 | Liver Transplant With Mcc Or Intestinal Transplant | $94,708 – $161,003 · median $123,283 | 13 plans |
| 006 | Liver Transplant Without Mcc | $42,913 – $72,951 · median $56,138 | 13 plans |
| 007 | Lung Transplant | $118,806 – $201,971 · median $151,293 | 13 plans |
| 008 | Simultaneous Pancreas And Kidney Transplant | $51,746 – $87,968 · median $62,991 | 13 plans |
| 010 | Pancreas Transplant | $66,089 – $112,352 · median $92,302 | 13 plans |
| 011 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc | $50,372 – $85,633 · median $62,467 | 13 plans |
| 012 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc | $39,069 – $66,418 · median $47,507 | 13 plans |
| 013 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc | $26,889 – $45,711 · median $30,678 | 13 plans |
| 014 | Allogeneic Bone Marrow Transplant | $110,295 – $187,502 · median $151,675 | 13 plans |
| 016 | Autologous Bone Marrow Transplant With Cc/Mcc | $54,714 – $93,014 · median $69,876 | 13 plans |
| 017 | Autologous Bone Marrow Transplant Without Cc/Mcc | $50,173 – $85,294 · median $69,876 | 13 plans |
| 018 | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies | $394,809 – $671,175 · median $436,587 | 13 plans |
| 019 | Simultaneous Pancreas And Kidney Transplant With Hemodialysis | $65,714 – $111,714 · median $91,771 | 13 plans |
| 020 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc | $72,417 – $123,108 · median $93,320 | 13 plans |
| 021 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc | $48,909 – $83,145 · median $63,992 | 13 plans |
| 022 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc | $29,587 – $50,299 · median $40,873 | 13 plans |
| 023 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla | $52,894 – $89,919 · median $66,046 | 13 plans |
| 024 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc | $36,293 – $61,698 · median $44,010 | 13 plans |
| 025 | Craniotomy And Endovascular Intracranial Procedures With Mcc | $42,088 – $71,550 · median $51,774 | 13 plans |
| 026 | Craniotomy And Endovascular Intracranial Procedures With Cc | $28,965 – $49,240 · median $35,408 | 13 plans |
| 027 | Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc | $23,612 – $40,141 · median $28,568 | 13 plans |
| 028 | Spinal Procedures With Mcc | $55,432 – $94,234 · median $70,380 | 13 plans |
| 029 | Spinal Procedures With Cc Or Spinal Neurostimulators | $31,726 – $53,933 · median $38,860 | 13 plans |
| 030 | Spinal Procedures Without Cc/Mcc | $20,621 – $35,055 · median $25,762 | 13 plans |
| 031 | Ventricular Shunt Procedures With Mcc | $41,484 – $70,523 · median $48,513 | 13 plans |
| 032 | Ventricular Shunt Procedures With Cc | $20,035 – $34,059 · median $24,724 | 13 plans |
| 033 | Ventricular Shunt Procedures Without Cc/Mcc | $15,761 – $26,794 · median $18,471 | 13 plans |
| 034 | Carotid Artery Stent Procedures With Mcc | $35,917 – $61,059 · median $45,019 | 13 plans |
| 035 | Carotid Artery Stent Procedures With Cc | $22,404 – $38,086 · median $26,334 | 13 plans |
| 036 | Carotid Artery Stent Procedures Without Cc/Mcc | $18,316 – $31,138 · median $21,221 | 13 plans |
| 037 | Extracranial Procedures With Mcc | $30,635 – $52,079 · median $38,445 | 13 plans |
| 038 | Extracranial Procedures With Cc | $15,393 – $26,169 · median $18,652 | 13 plans |
| 039 | Extracranial Procedures Without Cc/Mcc | $11,312 – $19,230 · median $13,177 | 13 plans |
| 040 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc | $35,830 – $60,911 · median $43,668 | 13 plans |
| 041 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator | $20,653 – $35,109 · median $26,149 | 13 plans |
| 042 | Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc | $16,353 – $27,800 · median $20,347 | 13 plans |
| 052 | Spinal Disorders And Injuries With Cc/Mcc | $17,116 – $29,097 · median $23,298 | 13 plans |
| 053 | Spinal Disorders And Injuries Without Cc/Mcc | $9,519 – $16,183 · median $10,666 | 13 plans |
| 054 | Nervous System Neoplasms With Mcc | $14,520 – $24,683 · median $17,356 | 13 plans |
| 055 | Nervous System Neoplasms Without Mcc | $9,888 – $16,810 · median $12,630 | 13 plans |
| 056 | Degenerative Nervous System Disorders With Mcc | $21,788 – $37,040 · median $28,990 | 13 plans |
| 057 | Degenerative Nervous System Disorders Without Mcc | $12,408 – $21,094 · median $15,452 | 13 plans |
| 058 | Multiple Sclerosis And Cerebellar Ataxia With Mcc | $16,187 – $27,517 · median $21,368 | 13 plans |
| 059 | Multiple Sclerosis And Cerebellar Ataxia With Cc | $11,909 – $20,245 · median $14,165 | 13 plans |
| 060 | Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc | $8,977 – $15,261 · median $10,332 | 13 plans |
| 061 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc | $25,750 – $43,776 · median $31,296 | 13 plans |
| 062 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc | $16,622 – $28,257 · median $20,617 | 13 plans |
| 063 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc | $13,396 – $22,773 · median $16,263 | 13 plans |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With Mcc | $18,939 – $32,196 · median $23,029 | 13 plans |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $9,803 – $16,666 · median $11,774 | 13 plans |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | $6,828 – $11,608 · median $7,969 | 13 plans |
| 067 | Precerebral Occlusion Without Infarction With Mcc | $13,988 – $23,780 · median $16,854 | 13 plans |
| 068 | Precerebral Occlusion Without Infarction Without Mcc | $8,471 – $14,401 · median $10,207 | 13 plans |
| 069 | Transient Ischemia Without Thrombolytic | $7,873 – $13,383 · median $9,264 | 13 plans |
| 070 | Other Cerebrovascular Disorders With Mcc | $15,779 – $26,823 · median $20,130 | 13 plans |
| 071 | Other Cerebrovascular Disorders With Cc | $9,947 – $16,909 · median $12,200 | 13 plans |
| 072 | Other Cerebrovascular Disorders Without Cc/Mcc | $7,484 – $12,722 · median $8,684 | 13 plans |
| 073 | Cranial And Peripheral Nerve Disorders With Mcc | $15,226 – $25,885 · median $17,893 | 13 plans |
| 074 | Cranial And Peripheral Nerve Disorders Without Mcc | $9,991 – $16,984 · median $12,068 | 13 plans |
| 075 | Viral Meningitis With Cc/Mcc | $18,085 – $30,745 · median $19,941 | 13 plans |
| 076 | Viral Meningitis Without Cc/Mcc | $8,114 – $13,793 · median $10,615 | 13 plans |
| 080 | Nontraumatic Stupor And Coma With Mcc | $17,104 – $29,077 · median $23,014 | 13 plans |
| 081 | Nontraumatic Stupor And Coma Without Mcc | $8,756 – $14,886 · median $10,475 | 13 plans |
| 082 | Traumatic Stupor And Coma >1 Hour With Mcc | $21,446 – $36,458 · median $26,861 | 13 plans |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $13,323 – $22,649 · median $16,096 | 13 plans |
| 084 | Traumatic Stupor And Coma >1 Hour Without Cc/Mcc | $9,306 – $15,820 · median $11,068 | 13 plans |
| 085 | Traumatic Stupor And Coma <1 Hour With Mcc | $21,321 – $36,246 · median $26,233 | 13 plans |
| 086 | Traumatic Stupor And Coma <1 Hour With Cc | $12,473 – $21,204 · median $15,185 | 13 plans |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/Mcc | $8,931 – $15,182 · median $10,234 | 13 plans |
| 088 | Concussion With Mcc | $12,921 – $21,966 · median $16,331 | 13 plans |
| 089 | Concussion With Cc | $10,609 – $18,036 · median $12,412 | 13 plans |
| 090 | Concussion Without Cc/Mcc | $8,095 – $13,762 · median $9,924 | 13 plans |
| 091 | Other Disorders Of Nervous System With Mcc | $16,613 – $28,242 · median $21,103 | 13 plans |
| 092 | Other Disorders Of Nervous System With Cc | $9,919 – $16,863 · median $12,258 | 13 plans |
| 093 | Other Disorders Of Nervous System Without Cc/Mcc | $7,850 – $13,344 · median $9,138 | 13 plans |
| 094 | Bacterial And Tuberculous Infections Of Nervous System With Mcc | $32,710 – $55,606 · median $42,239 | 13 plans |
| 095 | Bacterial And Tuberculous Infections Of Nervous System With Cc | $24,126 – $41,015 · median $27,751 | 13 plans |
| 096 | Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc | $24,126 – $41,015 · median $27,751 | 13 plans |
| 097 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc | $33,553 – $57,041 · median $41,503 | 13 plans |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $21,531 – $36,602 · median $25,113 | 13 plans |
| 099 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc | $13,018 – $22,130 · median $16,130 | 13 plans |
| 100 | Seizures With Mcc | $18,262 – $31,045 · median $22,984 | 13 plans |
| 101 | Seizures Without Mcc | $8,820 – $14,994 · median $10,670 | 13 plans |
| 102 | Headaches With Mcc | $10,813 – $18,382 · median $13,423 | 13 plans |
| 103 | Headaches Without Mcc | $8,215 – $13,965 · median $9,843 | 13 plans |
| 113 | Orbital Procedures With Cc/Mcc | $22,044 – $37,475 · median $26,126 | 13 plans |
| 114 | Orbital Procedures Without Cc/Mcc | $12,892 – $21,984 · median $13,900 | 13 plans |
| 115 | Extraocular Procedures Except Orbit | $14,593 – $24,807 · median $17,724 | 13 plans |
| 116 | Intraocular Procedures With Cc/Mcc | $17,087 – $29,047 · median $19,317 | 13 plans |
| 117 | Intraocular Procedures Without Cc/Mcc | $10,484 – $17,824 · median $12,487 | 13 plans |
| 121 | Acute Major Eye Infections With Cc/Mcc | $11,200 – $19,040 · median $13,466 | 13 plans |
| 122 | Acute Major Eye Infections Without Cc/Mcc | $7,397 – $13,182 · median $8,147 | 13 plans |
| 123 | Neurological Eye Disorders | $7,871 – $13,380 · median $9,299 | 13 plans |
| 124 | Other Disorders Of The Eye With Mcc Or Thrombolytic Agent | $12,659 – $21,520 · median $15,095 | 13 plans |
| 125 | Other Disorders Of The Eye Without Mcc | $7,590 – $12,902 · median $9,559 | 13 plans |
| 135 | Sinus And Mastoid Procedures With Cc/Mcc | $20,391 – $34,664 · median $27,912 | 13 plans |
| 136 | Sinus And Mastoid Procedures Without Cc/Mcc | $9,849 – $16,743 · median $11,325 | 13 plans |
| 137 | Mouth Procedures With Cc/Mcc | $14,212 – $24,160 · median $16,191 | 13 plans |
| 138 | Mouth Procedures Without Cc/Mcc | $8,670 – $14,740 · median $9,448 | 13 plans |
| 139 | Salivary Gland Procedures | $11,861 – $20,164 · median $15,895 | 13 plans |
| 140 | Major Head And Neck Procedures With Mcc | $39,519 – $67,183 · median $48,961 | 13 plans |
| 141 | Major Head And Neck Procedures With Cc | $20,492 – $34,836 · median $24,872 | 13 plans |
| 142 | Major Head And Neck Procedures Without Cc/Mcc | $15,154 – $25,762 · median $18,203 | 13 plans |
| 143 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc | $34,784 – $59,133 · median $38,225 | 13 plans |
| 144 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc | $16,400 – $27,880 · median $20,337 | 13 plans |
| 145 | Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc | $11,556 – $19,646 · median $13,716 | 13 plans |
| 146 | Ear, Nose, Mouth And Throat Malignancy With Mcc | $19,910 – $33,848 · median $26,557 | 13 plans |
| 147 | Ear, Nose, Mouth And Throat Malignancy With Cc | $12,188 – $20,720 · median $14,410 | 13 plans |
| 148 | Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc | $7,857 – $13,357 · median $9,270 | 13 plans |
| 149 | Dysequilibrium | $7,442 – $12,651 · median $8,654 | 13 plans |
| 150 | Epistaxis With Mcc | $12,736 – $21,651 · median $16,001 | 13 plans |
| 151 | Epistaxis Without Mcc | $7,281 – $12,378 · median $8,776 | 13 plans |
| 152 | Otitis Media And Uri With Mcc | $11,373 – $19,334 · median $13,137 | 13 plans |
| 153 | Otitis Media And Uri Without Mcc | $7,319 – $12,443 · median $8,240 | 13 plans |
| 154 | Other Ear, Nose, Mouth And Throat Diagnoses With Mcc | $14,854 – $25,251 · median $18,827 | 13 plans |
| 155 | Other Ear, Nose, Mouth And Throat Diagnoses With Cc | $8,947 – $15,210 · median $10,809 | 13 plans |
| 156 | Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc | $6,889 – $11,712 · median $7,785 | 13 plans |
| 157 | Dental And Oral Diseases With Mcc | $16,253 – $27,630 · median $18,957 | 13 plans |
| 158 | Dental And Oral Diseases With Cc | $8,886 – $15,106 · median $10,889 | 13 plans |
| 159 | Dental And Oral Diseases Without Cc/Mcc | $7,048 – $11,982 · median $7,670 | 13 plans |
| 163 | Major Chest Procedures With Mcc | $41,496 – $70,543 · median $53,359 | 13 plans |
| 164 | Major Chest Procedures With Cc | $23,622 – $40,158 · median $29,138 | 13 plans |
| 165 | Major Chest Procedures Without Cc/Mcc | $18,055 – $30,694 · median $21,579 | 13 plans |
| 166 | Other Respiratory System O.R. Procedures With Mcc | $34,703 – $58,994 · median $44,585 | 13 plans |
| 167 | Other Respiratory System O.R. Procedures With Cc | $17,044 – $28,974 · median $21,153 | 13 plans |
| 168 | Other Respiratory System O.R. Procedures Without Cc/Mcc | $13,054 – $22,192 · median $15,674 | 13 plans |
| 173 | Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism | $27,752 – $47,179 · median $35,524 | 13 plans |
| 175 | Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | $13,120 – $22,304 · median $16,314 | 13 plans |
| 176 | Pulmonary Embolism Without Mcc | $7,929 – $13,480 · median $9,430 | 13 plans |
| 177 | Respiratory Infections And Inflammations With Mcc | $14,846 – $25,239 · median $18,715 | 13 plans |
| 178 | Respiratory Infections And Inflammations With Cc | $9,490 – $16,133 · median $11,486 | 13 plans |
| 179 | Respiratory Infections And Inflammations Without Cc/Mcc | $7,473 – $12,704 · median $8,911 | 13 plans |
| 180 | Respiratory Neoplasms With Mcc | $16,702 – $28,394 · median $20,234 | 13 plans |
| 181 | Respiratory Neoplasms With Cc | $10,358 – $17,608 · median $12,853 | 13 plans |
| 182 | Respiratory Neoplasms Without Cc/Mcc | $7,462 – $12,685 · median $9,696 | 13 plans |
| 183 | Major Chest Trauma With Mcc | $14,547 – $24,730 · median $18,376 | 13 plans |
| 184 | Major Chest Trauma With Cc | $10,295 – $17,501 · median $12,365 | 13 plans |
| 185 | Major Chest Trauma Without Cc/Mcc | $7,760 – $13,192 · median $9,003 | 13 plans |
| 186 | Pleural Effusion With Mcc | $14,808 – $25,174 · median $18,292 | 13 plans |
| 187 | Pleural Effusion With Cc | $9,610 – $16,337 · median $11,623 | 13 plans |
| 188 | Pleural Effusion Without Cc/Mcc | $7,128 – $12,117 · median $8,499 | 13 plans |
| 189 | Pulmonary Edema And Respiratory Failure | $11,858 – $20,159 · median $14,327 | 13 plans |
| 190 | Chronic Obstructive Pulmonary Disease With Mcc | $10,693 – $18,177 · median $13,005 | 13 plans |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $8,276 – $14,069 · median $9,946 | 13 plans |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/Mcc | $6,441 – $10,950 · median $7,493 | 13 plans |
| 193 | Simple Pneumonia And Pleurisy With Mcc | $12,580 – $21,385 · median $15,257 | 13 plans |
| 194 | Simple Pneumonia And Pleurisy With Cc | $7,937 – $13,493 · median $9,494 | 13 plans |
| 195 | Simple Pneumonia And Pleurisy Without Cc/Mcc | $6,318 – $10,740 · median $7,210 | 13 plans |
| 196 | Interstitial Lung Disease With Mcc | $17,809 – $30,275 · median $21,814 | 13 plans |
| 197 | Interstitial Lung Disease With Cc | $9,245 – $15,716 · median $11,461 | 13 plans |
| 198 | Interstitial Lung Disease Without Cc/Mcc | $7,118 – $12,101 · median $8,109 | 13 plans |
| 199 | Pneumothorax With Mcc | $16,685 – $28,365 · median $20,436 | 13 plans |
| 200 | Pneumothorax With Cc | $10,616 – $18,047 · median $12,821 | 13 plans |
| 201 | Pneumothorax Without Cc/Mcc | $7,108 – $12,084 · median $7,837 | 13 plans |
| 202 | Bronchitis And Asthma With Cc/Mcc | $9,446 – $16,059 · median $11,192 | 13 plans |
| 203 | Bronchitis And Asthma Without Cc/Mcc | $6,697 – $11,384 · median $8,061 | 13 plans |
| 204 | Respiratory Signs And Symptoms | $7,951 – $13,517 · median $9,388 | 13 plans |
| 205 | Other Respiratory System Diagnoses With Mcc | $17,296 – $29,403 · median $21,855 | 13 plans |
| 206 | Other Respiratory System Diagnoses Without Mcc | $9,172 – $15,592 · median $10,487 | 13 plans |
| 207 | Respiratory System Diagnosis With Ventilator Support >96 Hours | $59,324 – $100,851 · median $74,879 | 13 plans |
| 208 | Respiratory System Diagnosis With Ventilator Support <=96 Hours | $25,674 – $43,645 · median $31,075 | 13 plans |
| 212 | Concomitant Aortic And Mitral Valve Procedures | $99,853 – $169,750 · median $126,114 | 13 plans |
| 215 | Other Heart Assist System Implant | $91,481 – $155,517 · median $122,654 | 13 plans |
| 216 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | $89,890 – $152,813 · median $111,727 | 13 plans |
| 217 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc | $60,608 – $103,034 · median $74,760 | 13 plans |
| 218 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc | $60,608 – $103,034 · median $68,875 | 13 plans |
| 219 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc | $70,678 – $120,152 · median $89,575 | 13 plans |
| 220 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc | $49,265 – $83,750 · median $61,318 | 13 plans |
| 221 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M | $46,594 – $79,209 · median $53,167 | 13 plans |
| 228 | Other Cardiothoracic Procedures With Mcc | $45,746 – $77,769 · median $57,689 | 13 plans |
| 229 | Other Cardiothoracic Procedures Without Mcc | $29,333 – $49,866 · median $35,961 | 13 plans |
| 231 | Coronary Bypass With Ptca With Mcc | $77,539 – $131,817 · median $98,100 | 13 plans |
| 232 | Coronary Bypass With Ptca Without Mcc | $55,927 – $95,077 · median $70,718 | 13 plans |
| 233 | Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc | $70,375 – $119,638 · median $90,487 | 13 plans |
| 234 | Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc | $50,451 – $85,766 · median $61,591 | 13 plans |
| 235 | Coronary Bypass Without Cardiac Catheterization With Mcc | $54,156 – $92,066 · median $68,119 | 13 plans |
| 236 | Coronary Bypass Without Cardiac Catheterization Without Mcc | $38,821 – $65,995 · median $47,604 | 13 plans |
| 239 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc | $45,512 – $77,370 · median $58,310 | 13 plans |
| 240 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc | $26,603 – $45,225 · median $33,713 | 13 plans |
| 241 | Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc | $13,219 – $22,472 · median $17,480 | 13 plans |
| 242 | Permanent Cardiac Pacemaker Implant With Mcc | $29,728 – $50,538 · median $39,271 | 13 plans |
| 243 | Permanent Cardiac Pacemaker Implant With Cc | $20,034 – $34,057 · median $26,080 | 13 plans |
| 244 | Permanent Cardiac Pacemaker Implant Without Cc/Mcc | $17,081 – $29,038 · median $20,894 | 13 plans |
| 245 | Aicd Generator Procedures | $42,232 – $71,794 · median $56,573 | 13 plans |
| 250 | Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc | $20,505 – $34,858 · median $26,775 | 13 plans |
| 251 | Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc | $14,224 – $24,180 · median $18,090 | 13 plans |
| 252 | Other Vascular Procedures With Mcc | $32,426 – $55,124 · median $39,713 | 13 plans |
| 253 | Other Vascular Procedures With Cc | $24,276 – $41,269 · median $29,556 | 13 plans |
| 254 | Other Vascular Procedures Without Cc/Mcc | $16,846 – $28,638 · median $20,252 | 13 plans |
| 255 | Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc | $25,205 – $42,849 · median $30,290 | 13 plans |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $16,081 – $27,337 · median $19,608 | 13 plans |
| 257 | Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc | $9,727 – $17,937 · median $10,896 | 13 plans |
| 258 | Cardiac Pacemaker Device Replacement With Mcc | $29,265 – $49,751 · median $32,479 | 13 plans |
| 259 | Cardiac Pacemaker Device Replacement Without Mcc | $19,040 – $32,369 · median $20,570 | 13 plans |
| 260 | Cardiac Pacemaker Revision Except Device Replacement With Mcc | $30,276 – $51,469 · median $39,442 | 13 plans |
| 261 | Cardiac Pacemaker Revision Except Device Replacement With Cc | $17,839 – $30,326 · median $21,967 | 13 plans |
| 262 | Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc | $15,460 – $26,282 · median $17,571 | 13 plans |
| 263 | Vein Ligation And Stripping | $28,492 – $48,436 · median $31,099 | 13 plans |
| 264 | Other Circulatory System O.R. Procedures | $31,077 – $52,832 · median $40,462 | 13 plans |
| 265 | Aicd Lead Procedures | $33,612 – $57,140 · median $41,296 | 13 plans |
| 266 | Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc | $56,528 – $96,098 · median $69,353 | 13 plans |
| 267 | Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc | $44,043 – $74,873 · median $54,465 | 13 plans |
| 268 | Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc | $63,370 – $107,730 · median $77,189 | 13 plans |
| 269 | Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc | $39,135 – $66,529 · median $48,167 | 13 plans |
| 270 | Other Major Cardiovascular Procedures With Mcc | $48,749 – $82,873 · median $59,425 | 13 plans |
| 271 | Other Major Cardiovascular Procedures With Cc | $33,047 – $56,179 · median $39,877 | 13 plans |
| 272 | Other Major Cardiovascular Procedures Without Cc/Mcc | $23,887 – $40,608 · median $28,967 | 13 plans |
| 273 | Percutaneous And Other Intracardiac Procedures With Mcc | $38,243 – $65,013 · median $45,268 | 13 plans |
| 274 | Percutaneous And Other Intracardiac Procedures Without Mcc | $30,631 – $52,073 · median $36,131 | 13 plans |
| 275 | Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc | $65,676 – $111,649 · median $81,812 | 13 plans |
| 276 | Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator | $55,416 – $94,207 · median $71,711 | 13 plans |
| 277 | Cardiac Defibrillator Implant Without Mcc | $42,744 – $72,664 · median $53,861 | 13 plans |
| 278 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc | $51,396 – $87,372 · median $57,921 | 13 plans |
| 279 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc | $33,504 – $56,957 · median $37,096 | 13 plans |
| 280 | Acute Myocardial Infarction, Discharged Alive With Mcc | $15,224 – $25,881 · median $19,004 | 13 plans |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $8,971 – $15,250 · median $10,672 | 13 plans |
| 282 | Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc | $7,181 – $12,208 · median $8,395 | 13 plans |
| 283 | Acute Myocardial Infarction, Expired With Mcc | $18,663 – $31,728 · median $22,639 | 13 plans |
| 284 | Acute Myocardial Infarction, Expired With Cc | $6,899 – $11,729 · median $8,578 | 13 plans |
| 285 | Acute Myocardial Infarction, Expired Without Cc/Mcc | $6,048 – $10,281 · median $6,552 | 13 plans |
| 286 | Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | $20,781 – $35,328 · median $25,624 | 13 plans |
| 287 | Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | $10,349 – $17,594 · median $12,615 | 13 plans |
| 288 | Acute And Subacute Endocarditis With Mcc | $25,286 – $42,986 · median $31,621 | 13 plans |
| 289 | Acute And Subacute Endocarditis With Cc | $16,163 – $27,477 · median $18,253 | 13 plans |
| 290 | Acute And Subacute Endocarditis Without Cc/Mcc | $9,068 – $15,415 · median $11,334 | 13 plans |
| 291 | Heart Failure And Shock With Mcc | $12,300 – $20,910 · median $15,107 | 13 plans |
| 292 | Heart Failure And Shock With Cc | $8,331 – $14,162 · median $9,972 | 13 plans |
| 293 | Heart Failure And Shock Without Cc/Mcc | $5,747 – $9,770 · median $6,356 | 13 plans |
| 296 | Cardiac Arrest, Unexplained With Mcc | $14,839 – $25,226 · median $18,967 | 13 plans |
| 297 | Cardiac Arrest, Unexplained With Cc | $6,368 – $10,826 · median $8,155 | 13 plans |
| 298 | Cardiac Arrest, Unexplained Without Cc/Mcc | $4,735 – $8,049 · median $5,143 | 13 plans |
| 299 | Peripheral Vascular Disorders With Mcc | $15,485 – $26,325 · median $18,729 | 13 plans |
| 300 | Peripheral Vascular Disorders With Cc | $10,326 – $17,553 · median $12,394 | 13 plans |
| 301 | Peripheral Vascular Disorders Without Cc/Mcc | $7,150 – $12,156 · median $8,258 | 13 plans |
| 302 | Atherosclerosis With Mcc | $11,504 – $19,557 · median $13,467 | 13 plans |
| 303 | Atherosclerosis Without Mcc | $6,726 – $11,434 · median $7,785 | 13 plans |
| 304 | Hypertension With Mcc | $11,444 – $19,455 · median $13,601 | 13 plans |
| 305 | Hypertension Without Mcc | $7,474 – $12,705 · median $8,691 | 13 plans |
| 306 | Cardiac Congenital And Valvular Disorders With Mcc | $14,966 – $25,442 · median $17,336 | 13 plans |
| 307 | Cardiac Congenital And Valvular Disorders Without Mcc | $8,917 – $15,159 · median $10,724 | 13 plans |
| 308 | Cardiac Arrhythmia And Conduction Disorders With Mcc | $11,572 – $19,672 · median $13,962 | 13 plans |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $7,296 – $12,404 · median $8,559 | 13 plans |
| 310 | Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc | $5,748 – $9,772 · median $6,478 | 13 plans |
| 311 | Angina Pectoris | $6,988 – $11,879 · median $8,087 | 13 plans |
| 312 | Syncope And Collapse | $8,537 – $14,513 · median $10,087 | 13 plans |
| 313 | Chest Pain | $7,153 – $12,160 · median $8,258 | 13 plans |
| 314 | Other Circulatory System Diagnoses With Mcc | $19,616 – $33,348 · median $24,931 | 13 plans |
| 315 | Other Circulatory System Diagnoses With Cc | $9,374 – $15,936 · median $11,141 | 13 plans |
| 316 | Other Circulatory System Diagnoses Without Cc/Mcc | $6,807 – $11,572 · median $7,903 | 13 plans |
| 317 | Concomitant Left Atrial Appendage Closure And Cardiac Ablation | $61,623 – $104,759 · median $71,618 | 13 plans |
| 319 | Other Endovascular Cardiac Valve Procedures With Mcc | $41,323 – $70,249 · median $50,854 | 13 plans |
| 320 | Other Endovascular Cardiac Valve Procedures Without Mcc | $22,539 – $38,316 · median $26,797 | 13 plans |
| 321 | Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal | $25,419 – $43,212 · median $32,957 | 13 plans |
| 322 | Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | $16,675 – $28,348 · median $20,945 | 13 plans |
| 323 | Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc | $40,086 – $68,147 · median $49,311 | 13 plans |
| 324 | Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc | $29,346 – $49,889 · median $36,990 | 13 plans |
| 325 | Coronary Intravascular Lithotripsy Without Intraluminal Device | $29,889 – $50,811 · median $33,135 | 13 plans |
| 326 | Stomach, Esophageal And Duodenal Procedures With Mcc | $46,112 – $78,390 · median $58,798 | 13 plans |
| 327 | Stomach, Esophageal And Duodenal Procedures With Cc | $22,894 – $38,920 · median $28,111 | 13 plans |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc | $15,208 – $25,853 · median $18,447 | 13 plans |
| 329 | Major Small And Large Bowel Procedures With Mcc | $42,543 – $72,323 · median $53,160 | 13 plans |
| 330 | Major Small And Large Bowel Procedures With Cc | $22,465 – $38,190 · median $27,366 | 13 plans |
| 331 | Major Small And Large Bowel Procedures Without Cc/Mcc | $15,944 – $27,104 · median $19,114 | 13 plans |
| 332 | Rectal Resection With Mcc | $33,635 – $57,179 · median $40,156 | 13 plans |
| 333 | Rectal Resection With Cc | $21,963 – $37,337 · median $24,603 | 13 plans |
| 334 | Rectal Resection Without Cc/Mcc | $15,533 – $26,406 · median $19,200 | 13 plans |
| 335 | Peritoneal Adhesiolysis With Mcc | $33,180 – $56,406 · median $41,955 | 13 plans |
| 336 | Peritoneal Adhesiolysis With Cc | $19,831 – $33,713 · median $24,456 | 13 plans |
| 337 | Peritoneal Adhesiolysis Without Cc/Mcc | $14,594 – $24,809 · median $17,771 | 13 plans |
| 344 | Minor Small And Large Bowel Procedures With Mcc | $24,159 – $41,071 · median $31,194 | 13 plans |
| 345 | Minor Small And Large Bowel Procedures With Cc | $14,317 – $24,339 · median $17,241 | 13 plans |
| 346 | Minor Small And Large Bowel Procedures Without Cc/Mcc | $11,409 – $19,396 · median $14,416 | 13 plans |
| 347 | Anal And Stomal Procedures With Mcc | $21,537 – $36,613 · median $27,399 | 13 plans |
| 348 | Anal And Stomal Procedures With Cc | $12,528 – $21,298 · median $14,574 | 13 plans |
| 349 | Anal And Stomal Procedures Without Cc/Mcc | $8,528 – $14,498 · median $10,199 | 13 plans |
| 350 | Inguinal And Femoral Hernia Procedures With Mcc | $23,329 – $39,660 · median $28,015 | 13 plans |
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $14,498 – $24,646 · median $17,421 | 13 plans |
| 352 | Inguinal And Femoral Hernia Procedures Without Cc/Mcc | $11,241 – $19,110 · median $12,764 | 13 plans |
| 353 | Hernia Procedures Except Inguinal And Femoral With Mcc | $27,073 – $46,025 · median $33,954 | 13 plans |
| 354 | Hernia Procedures Except Inguinal And Femoral With Cc | $15,939 – $27,097 · median $19,694 | 13 plans |
| 355 | Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc | $12,859 – $21,860 · median $15,434 | 13 plans |
| 356 | Other Digestive System O.R. Procedures With Mcc | $40,683 – $69,162 · median $49,382 | 13 plans |
| 357 | Other Digestive System O.R. Procedures With Cc | $21,810 – $37,077 · median $26,071 | 13 plans |
| 358 | Other Digestive System O.R. Procedures Without Cc/Mcc | $13,342 – $22,681 · median $15,687 | 13 plans |
| 368 | Major Esophageal Disorders With Mcc | $15,113 – $25,692 · median $19,333 | 13 plans |
| 369 | Major Esophageal Disorders With Cc | $9,711 – $16,509 · median $11,781 | 13 plans |
| 370 | Major Esophageal Disorders Without Cc/Mcc | $6,978 – $11,862 · median $8,080 | 13 plans |
| 371 | Major Gastrointestinal Disorders And Peritoneal Infections With Mcc | $16,767 – $28,504 · median $20,241 | 13 plans |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $9,901 – $16,832 · median $11,917 | 13 plans |
| 373 | Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc | $7,221 – $12,275 · median $8,397 | 13 plans |
| 374 | Digestive Malignancy With Mcc | $20,105 – $34,178 · median $24,446 | 13 plans |
| 375 | Digestive Malignancy With Cc | $11,623 – $19,759 · median $14,225 | 13 plans |
| 376 | Digestive Malignancy Without Cc/Mcc | $9,018 – $15,331 · median $10,222 | 13 plans |
| 377 | Gastrointestinal Hemorrhage With Mcc | $17,268 – $29,356 · median $21,049 | 13 plans |
| 378 | Gastrointestinal Hemorrhage With Cc | $9,533 – $16,206 · median $11,414 | 13 plans |
| 379 | Gastrointestinal Hemorrhage Without Cc/Mcc | $6,335 – $10,770 · median $7,370 | 13 plans |
| 380 | Complicated Peptic Ulcer With Mcc | $18,494 – $31,439 · median $22,278 | 13 plans |
| 381 | Complicated Peptic Ulcer With Cc | $10,472 – $17,802 · median $12,609 | 13 plans |
| 382 | Complicated Peptic Ulcer Without Cc/Mcc | $7,889 – $13,411 · median $8,675 | 13 plans |
| 383 | Uncomplicated Peptic Ulcer With Mcc | $13,185 – $22,414 · median $14,636 | 13 plans |
| 384 | Uncomplicated Peptic Ulcer Without Mcc | $8,384 – $14,252 · median $10,068 | 13 plans |
| 385 | Inflammatory Bowel Disease With Mcc | $15,025 – $25,543 · median $18,810 | 13 plans |
| 386 | Inflammatory Bowel Disease With Cc | $9,493 – $16,138 · median $11,489 | 13 plans |
| 387 | Inflammatory Bowel Disease Without Cc/Mcc | $6,800 – $11,560 · median $7,760 | 13 plans |
| 388 | Gastrointestinal Obstruction With Mcc | $14,062 – $23,906 · median $17,019 | 13 plans |
| 389 | Gastrointestinal Obstruction With Cc | $7,790 – $13,244 · median $9,282 | 13 plans |
| 390 | Gastrointestinal Obstruction Without Cc/Mcc | $5,546 – $9,429 · median $6,334 | 13 plans |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc | $12,159 – $20,670 · median $14,876 | 13 plans |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc | $7,697 – $13,085 · median $9,034 | 13 plans |
| 393 | Other Digestive System Diagnoses With Mcc | $15,181 – $25,807 · median $19,171 | 13 plans |
| 394 | Other Digestive System Diagnoses With Cc | $9,122 – $15,508 · median $10,898 | 13 plans |
| 395 | Other Digestive System Diagnoses Without Cc/Mcc | $6,505 – $11,058 · median $7,368 | 13 plans |
| 397 | Appendix Procedures With Mcc | $22,444 – $38,154 · median $28,684 | 13 plans |
| 398 | Appendix Procedures With Cc | $14,398 – $24,477 · median $17,520 | 13 plans |
| 399 | Appendix Procedures Without Cc/Mcc | $11,030 – $18,752 · median $13,014 | 13 plans |
| 402 | Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical | $37,284 – $63,383 · median $45,490 | 13 plans |
| 405 | Pancreas, Liver And Shunt Procedures With Mcc | $50,522 – $85,887 · median $62,847 | 13 plans |
| 406 | Pancreas, Liver And Shunt Procedures With Cc | $27,057 – $45,997 · median $32,512 | 13 plans |
| 407 | Pancreas, Liver And Shunt Procedures Without Cc/Mcc | $20,843 – $35,434 · median $24,725 | 13 plans |
| 408 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc | $33,131 – $56,324 · median $40,534 | 13 plans |
| 409 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc | $20,457 – $34,777 · median $24,270 | 13 plans |
| 410 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc | $15,075 – $25,627 · median $17,957 | 13 plans |
| 411 | Cholecystectomy With C.D.E. With Mcc | $29,843 – $52,253 · median $32,589 | 13 plans |
| 412 | Cholecystectomy With C.D.E. With Cc | $19,774 – $33,616 · median $24,677 | 13 plans |
| 413 | Cholecystectomy With C.D.E. Without Cc/Mcc | $15,739 – $26,757 · median $19,246 | 13 plans |
| 414 | Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc | $33,104 – $56,277 · median $40,563 | 13 plans |
| 415 | Cholecystectomy Except By Laparoscope Without C.D.E. With Cc | $19,448 – $33,061 · median $22,900 | 13 plans |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc | $13,026 – $22,144 · median $15,863 | 13 plans |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With Mcc | $22,366 – $38,023 · median $27,514 | 13 plans |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $16,023 – $27,239 · median $19,201 | 13 plans |
| 419 | Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc | $13,049 – $22,183 · median $15,254 | 13 plans |
| 420 | Hepatobiliary Diagnostic Procedures With Mcc | $31,684 – $53,864 · median $40,859 | 13 plans |
| 421 | Hepatobiliary Diagnostic Procedures With Cc | $16,442 – $27,952 · median $18,958 | 13 plans |
| 422 | Hepatobiliary Diagnostic Procedures Without Cc/Mcc | $13,357 – $22,706 · median $17,011 | 13 plans |
| 423 | Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc | $38,494 – $65,440 · median $47,087 | 13 plans |
| 424 | Other Hepatobiliary Or Pancreas O.R. Procedures With Cc | $20,554 – $34,942 · median $26,432 | 13 plans |
| 425 | Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc | $14,277 – $24,270 · median $17,895 | 13 plans |
| 426 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made | $101,196 – $172,033 · median $121,350 | 13 plans |
| 427 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc | $66,481 – $113,017 · median $82,185 | 13 plans |
| 428 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc | $51,905 – $88,238 · median $63,736 | 13 plans |
| 429 | Combined Anterior And Posterior Cervical Spinal Fusion With Mcc | $82,831 – $140,813 · median $96,556 | 13 plans |
| 430 | Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc | $53,230 – $90,490 · median $63,330 | 13 plans |
| 432 | Cirrhosis And Alcoholic Hepatitis With Mcc | $18,548 – $31,532 · median $22,681 | 13 plans |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $10,222 – $17,378 · median $12,384 | 13 plans |
| 434 | Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc | $7,085 – $12,044 · median $8,063 | 13 plans |
| 435 | Malignancy Of Hepatobiliary System Or Pancreas With Mcc | $17,348 – $29,491 · median $21,123 | 13 plans |
| 436 | Malignancy Of Hepatobiliary System Or Pancreas With Cc | $10,906 – $18,541 · median $13,055 | 13 plans |
| 437 | Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc | $8,370 – $14,229 · median $9,119 | 13 plans |
| 438 | Disorders Of Pancreas Except Malignancy With Mcc | $15,463 – $26,286 · median $19,263 | 13 plans |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $8,260 – $14,041 · median $9,959 | 13 plans |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/Mcc | $6,253 – $10,630 · median $7,121 | 13 plans |
| 441 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc | $16,964 – $28,839 · median $21,885 | 13 plans |
| 442 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc | $9,393 – $15,967 · median $11,186 | 13 plans |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc | $6,968 – $11,845 · median $8,134 | 13 plans |
| 444 | Disorders Of The Biliary Tract With Mcc | $15,834 – $26,918 · median $19,502 | 13 plans |
| 445 | Disorders Of The Biliary Tract With Cc | $10,571 – $17,971 · median $12,555 | 13 plans |
| 446 | Disorders Of The Biliary Tract Without Cc/Mcc | $8,133 – $13,826 · median $9,230 | 13 plans |
| 447 | Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody | $61,578 – $104,683 · median $77,617 | 13 plans |
| 448 | Multiple Level Spinal Fusion Except Cervical Without Mcc | $39,296 – $66,802 · median $47,273 | 13 plans |
| 450 | Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F | $49,236 – $83,700 · median $59,620 | 13 plans |
| 451 | Single Level Spinal Fusion Except Cervical Without Mcc | $30,071 – $51,121 · median $35,726 | 13 plans |
| 456 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $77,297 – $131,405 · median $98,045 | 13 plans |
| 457 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $55,019 – $93,532 · median $66,443 | 13 plans |
| 458 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $38,673 – $65,744 · median $49,988 | 13 plans |
| 461 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc | $51,001 – $86,702 · median $71,047 | 13 plans |
| 462 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc | $24,864 – $42,269 · median $33,153 | 13 plans |
| 463 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $52,613 – $89,441 · median $62,526 | 13 plans |
| 464 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $29,015 – $49,326 · median $34,137 | 13 plans |
| 465 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $17,229 – $29,290 · median $20,097 | 13 plans |
| 466 | Revision Of Hip Or Knee Replacement With Mcc | $48,102 – $81,773 · median $58,979 | 13 plans |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $32,775 – $55,718 · median $39,652 | 13 plans |
| 468 | Revision Of Hip Or Knee Replacement Without Cc/Mcc | $25,667 – $43,635 · median $30,370 | 13 plans |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl | $28,271 – $48,061 · median $37,841 | 13 plans |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc | $18,190 – $30,922 · median $21,829 | 13 plans |
| 471 | Cervical Spinal Fusion With Mcc | $44,663 – $75,927 · median $56,232 | 13 plans |
| 472 | Cervical Spinal Fusion With Cc | $27,476 – $46,709 · median $33,540 | 13 plans |
| 473 | Cervical Spinal Fusion Without Cc/Mcc | $22,867 – $38,875 · median $27,406 | 13 plans |
| 474 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc | $39,771 – $67,611 · median $51,918 | 13 plans |
| 475 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc | $21,356 – $36,305 · median $24,974 | 13 plans |
| 476 | Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc | $11,354 – $19,303 · median $13,465 | 13 plans |
| 477 | Biopsies Of Musculoskeletal System And Connective Tissue With Mcc | $32,118 – $54,601 · median $39,812 | 13 plans |
| 478 | Biopsies Of Musculoskeletal System And Connective Tissue With Cc | $23,031 – $39,152 · median $27,073 | 13 plans |
| 479 | Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc | $17,551 – $29,836 · median $20,558 | 13 plans |
| 480 | Hip And Femur Procedures Except Major Joint With Mcc | $27,167 – $46,184 · median $34,049 | 13 plans |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $19,701 – $33,492 · median $24,022 | 13 plans |
| 482 | Hip And Femur Procedures Except Major Joint Without Cc/Mcc | $15,470 – $26,299 · median $18,366 | 13 plans |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $25,886 – $44,005 · median $29,500 | 13 plans |
| 485 | Knee Procedures With Principal Diagnosis Of Infection With Mcc | $30,041 – $51,070 · median $37,321 | 13 plans |
| 486 | Knee Procedures With Principal Diagnosis Of Infection With Cc | $19,670 – $33,440 · median $24,552 | 13 plans |
| 487 | Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc | $14,878 – $25,293 · median $18,294 | 13 plans |
| 488 | Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc | $16,729 – $28,439 · median $22,753 | 13 plans |
| 489 | Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc | $10,776 – $18,319 · median $14,340 | 13 plans |
| 492 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc | $34,099 – $57,969 · median $41,111 | 13 plans |
| 493 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc | $23,733 – $40,346 · median $27,797 | 13 plans |
| 494 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc | $18,898 – $32,127 · median $21,829 | 13 plans |
| 495 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc | $33,680 – $57,256 · median $40,756 | 13 plans |
| 496 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc | $17,048 – $28,982 · median $22,841 | 13 plans |
| 497 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc | $11,611 – $19,739 · median $15,548 | 13 plans |
| 498 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc | $27,534 – $47,806 · median $29,945 | 13 plans |
| 499 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc | $12,660 – $32,255 · median $16,608 | 13 plans |
| 500 | Soft Tissue Procedures With Mcc | $29,472 – $50,103 · median $36,683 | 13 plans |
| 501 | Soft Tissue Procedures With Cc | $16,539 – $28,116 · median $20,665 | 13 plans |
| 502 | Soft Tissue Procedures Without Cc/Mcc | $12,867 – $21,874 · median $16,175 | 13 plans |
| 503 | Foot Procedures With Mcc | $26,061 – $44,303 · median $30,640 | 13 plans |
| 504 | Foot Procedures With Cc | $17,645 – $29,996 · median $20,325 | 13 plans |
| 505 | Foot Procedures Without Cc/Mcc | $16,947 – $28,810 · median $20,325 | 13 plans |
| 506 | Major Thumb Or Joint Procedures | $12,897 – $21,925 · median $17,355 | 13 plans |
| 507 | Major Shoulder Or Elbow Joint Procedures With Cc/Mcc | $17,071 – $29,021 · median $22,438 | 13 plans |
| 508 | Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc | $14,075 – $24,489 · median $15,323 | 13 plans |
| 510 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc | $28,155 – $47,864 · median $33,088 | 13 plans |
| 511 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc | $19,564 – $33,258 · median $22,708 | 13 plans |
| 512 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc | $15,693 – $26,678 · median $18,613 | 13 plans |
| 513 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc | $14,952 – $25,419 · median $17,430 | 13 plans |
| 514 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc | $9,913 – $16,852 · median $11,804 | 13 plans |
| 515 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc | $29,674 – $50,446 · median $35,800 | 13 plans |
| 516 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc | $19,552 – $33,238 · median $23,289 | 13 plans |
| 517 | Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc | $14,609 – $24,835 · median $17,280 | 13 plans |
| 518 | Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator | $34,699 – $58,988 · median $41,491 | 13 plans |
| 519 | Back And Neck Procedures Except Spinal Fusion With Cc | $18,840 – $32,029 · median $22,827 | 13 plans |
| 520 | Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc | $14,218 – $24,171 · median $16,592 | 13 plans |
| 521 | Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc | $26,783 – $45,531 · median $33,744 | 13 plans |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc | $19,913 – $33,852 · median $24,408 | 13 plans |
| 533 | Fractures Of Femur With Mcc | $14,892 – $25,316 · median $17,653 | 13 plans |
| 534 | Fractures Of Femur Without Mcc | $7,939 – $13,497 · median $9,423 | 13 plans |
| 535 | Fractures Of Hip And Pelvis With Mcc | $12,284 – $20,882 · median $15,397 | 13 plans |
| 536 | Fractures Of Hip And Pelvis Without Mcc | $7,953 – $13,520 · median $9,388 | 13 plans |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc | $9,292 – $15,797 · median $10,639 | 13 plans |
| 538 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc | $7,156 – $12,165 · median $7,798 | 13 plans |
| 539 | Osteomyelitis With Mcc | $18,562 – $31,555 · median $23,418 | 13 plans |
| 540 | Osteomyelitis With Cc | $12,414 – $21,104 · median $14,986 | 13 plans |
| 541 | Osteomyelitis Without Cc/Mcc | $7,768 – $13,206 · median $10,128 | 13 plans |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc | $16,707 – $28,402 · median $21,591 | 13 plans |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $9,965 – $16,940 · median $12,281 | 13 plans |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc | $7,469 – $12,697 · median $8,749 | 13 plans |
| 545 | Connective Tissue Disorders With Mcc | $23,236 – $39,502 · median $29,253 | 13 plans |
| 546 | Connective Tissue Disorders With Cc | $11,110 – $18,887 · median $13,403 | 13 plans |
| 547 | Connective Tissue Disorders Without Cc/Mcc | $8,138 – $13,964 · median $8,800 | 13 plans |
| 548 | Septic Arthritis With Mcc | $18,208 – $30,953 · median $23,323 | 13 plans |
| 549 | Septic Arthritis With Cc | $11,601 – $19,722 · median $13,951 | 13 plans |
| 550 | Septic Arthritis Without Cc/Mcc | $8,560 – $14,552 · median $9,981 | 13 plans |
| 551 | Medical Back Problems With Mcc | $15,882 – $26,999 · median $19,755 | 13 plans |
| 552 | Medical Back Problems Without Mcc | $9,356 – $15,905 · median $11,158 | 13 plans |
| 553 | Bone Diseases And Arthropathies With Mcc | $12,414 – $21,104 · median $15,124 | 13 plans |
| 554 | Bone Diseases And Arthropathies Without Mcc | $8,158 – $13,869 · median $9,663 | 13 plans |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc | $12,647 – $21,500 · median $15,589 | 13 plans |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc | $8,163 – $13,877 · median $9,453 | 13 plans |
| 557 | Tendonitis, Myositis And Bursitis With Mcc | $14,154 – $24,062 · median $17,942 | 13 plans |
| 558 | Tendonitis, Myositis And Bursitis Without Mcc | $8,734 – $14,848 · median $10,001 | 13 plans |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With Mcc | $17,605 – $29,929 · median $21,489 | 13 plans |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $10,861 – $18,463 · median $13,184 | 13 plans |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc | $7,919 – $13,462 · median $9,466 | 13 plans |
| 562 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc | $13,587 – $23,099 · median $16,946 | 13 plans |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc | $8,755 – $14,884 · median $10,347 | 13 plans |
| 564 | Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc | $14,672 – $24,942 · median $18,167 | 13 plans |
| 565 | Other Musculoskeletal System And Connective Tissue Diagnoses With Cc | $9,476 – $16,109 · median $11,804 | 13 plans |
| 566 | Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc | $7,421 – $12,615 · median $8,660 | 13 plans |
| 570 | Skin Debridement With Mcc | $27,430 – $46,631 · median $34,853 | 13 plans |
| 571 | Skin Debridement With Cc | $16,004 – $27,207 · median $19,390 | 13 plans |
| 572 | Skin Debridement Without Cc/Mcc | $11,045 – $18,776 · median $13,226 | 13 plans |
| 573 | Skin Graft For Skin Ulcer Or Cellulitis With Mcc | $60,390 – $102,663 · median $71,292 | 13 plans |
| 574 | Skin Graft For Skin Ulcer Or Cellulitis With Cc | $32,272 – $54,862 · median $40,112 | 13 plans |
| 575 | Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc | $16,985 – $28,875 · median $23,114 | 13 plans |
| 576 | Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc | $45,325 – $77,052 · median $62,459 | 13 plans |
| 577 | Skin Graft Except For Skin Ulcer Or Cellulitis With Cc | $24,779 – $42,124 · median $30,826 | 13 plans |
| 578 | Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc | $15,245 – $25,917 · median $19,569 | 13 plans |
| 579 | Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc | $30,145 – $51,247 · median $37,732 | 13 plans |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $16,355 – $27,804 · median $20,526 | 13 plans |
| 581 | Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc | $13,755 – $23,383 · median $16,661 | 13 plans |
| 582 | Mastectomy For Malignancy With Cc/Mcc | $18,169 – $30,887 · median $20,273 | 13 plans |
| 583 | Mastectomy For Malignancy Without Cc/Mcc | $16,323 – $27,748 · median $19,016 | 13 plans |
| 584 | Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc | $20,123 – $34,209 · median $23,702 | 13 plans |
| 585 | Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc | $18,191 – $30,925 · median $22,981 | 13 plans |
| 592 | Skin Ulcers With Mcc | $18,248 – $31,022 · median $23,806 | 13 plans |
| 593 | Skin Ulcers With Cc | $11,410 – $19,397 · median $14,155 | 13 plans |
| 594 | Skin Ulcers Without Cc/Mcc | $8,493 – $14,439 · median $9,825 | 13 plans |
| 595 | Major Skin Disorders With Mcc | $19,941 – $33,899 · median $24,486 | 13 plans |
| 596 | Major Skin Disorders Without Mcc | $10,463 – $17,786 · median $12,515 | 13 plans |
| 597 | Malignant Breast Disorders With Mcc | $15,800 – $26,859 · median $20,336 | 13 plans |
| 598 | Malignant Breast Disorders With Cc | $10,908 – $18,544 · median $12,491 | 13 plans |
| 599 | Malignant Breast Disorders Without Cc/Mcc | $7,604 – $12,927 · median $9,898 | 13 plans |
| 600 | Non-Malignant Breast Disorders With Cc/Mcc | $10,089 – $17,152 · median $11,082 | 13 plans |
| 601 | Non-Malignant Breast Disorders Without Cc/Mcc | $6,103 – $10,376 · median $6,941 | 13 plans |
| 602 | Cellulitis With Mcc | $13,556 – $23,044 · median $17,012 | 13 plans |
| 603 | Cellulitis Without Mcc | $8,531 – $14,502 · median $10,199 | 13 plans |
| 604 | Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc | $14,019 – $23,833 · median $17,201 | 13 plans |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc | $8,942 – $15,202 · median $10,694 | 13 plans |
| 606 | Minor Skin Disorders With Mcc | $14,395 – $24,471 · median $18,641 | 13 plans |
| 607 | Minor Skin Disorders Without Mcc | $8,855 – $15,053 · median $10,006 | 13 plans |
| 614 | Adrenal And Pituitary Procedures With Cc/Mcc | $20,590 – $35,002 · median $26,383 | 13 plans |
| 615 | Adrenal And Pituitary Procedures Without Cc/Mcc | $13,355 – $22,703 · median $16,589 | 13 plans |
| 616 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc | $32,418 – $55,110 · median $44,746 | 13 plans |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $17,655 – $30,013 · median $22,370 | 13 plans |
| 618 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $13,528 – $22,998 · median $14,592 | 13 plans |
| 619 | O.R. Procedures For Obesity With Mcc | $26,940 – $45,798 · median $31,565 | 13 plans |
| 620 | O.R. Procedures For Obesity With Cc | $15,190 – $25,822 · median $18,488 | 13 plans |
| 621 | O.R. Procedures For Obesity Without Cc/Mcc | $14,351 – $24,396 · median $16,923 | 13 plans |
| 622 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc | $33,073 – $56,224 · median $43,346 | 13 plans |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $16,957 – $28,827 · median $22,159 | 13 plans |
| 624 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $10,940 – $20,415 · median $12,297 | 13 plans |
| 625 | Thyroid, Parathyroid And Thyroglossal Procedures With Mcc | $28,151 – $47,857 · median $33,191 | 13 plans |
| 626 | Thyroid, Parathyroid And Thyroglossal Procedures With Cc | $14,269 – $24,256 · median $17,473 | 13 plans |
| 627 | Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc | $12,706 – $21,601 · median $14,666 | 13 plans |
| 628 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc | $34,603 – $58,825 · median $45,688 | 13 plans |
| 629 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc | $20,471 – $34,801 · median $26,050 | 13 plans |
| 630 | Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc | $13,904 – $23,637 · median $16,222 | 13 plans |
| 637 | Diabetes With Mcc | $13,696 – $23,283 · median $16,860 | 13 plans |
| 638 | Diabetes With Cc | $8,762 – $14,895 · median $10,619 | 13 plans |
| 639 | Diabetes Without Cc/Mcc | $6,251 – $10,627 · median $7,254 | 13 plans |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc | $12,773 – $21,714 · median $15,376 | 13 plans |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc | $7,684 – $13,064 · median $9,048 | 13 plans |
| 642 | Inborn And Other Disorders Of Metabolism | $13,535 – $23,057 · median $14,586 | 13 plans |
| 643 | Endocrine Disorders With Mcc | $15,608 – $26,533 · median $19,187 | 13 plans |
| 644 | Endocrine Disorders With Cc | $9,938 – $16,894 · median $11,965 | 13 plans |
| 645 | Endocrine Disorders Without Cc/Mcc | $7,594 – $12,910 · median $9,019 | 13 plans |
| 650 | Kidney Transplant With Hemodialysis With Mcc | $43,501 – $73,951 · median $53,337 | 13 plans |
| 651 | Kidney Transplant With Hemodialysis Without Mcc | $34,411 – $58,499 · median $40,199 | 13 plans |
| 652 | Kidney Transplant | $30,063 – $51,107 · median $35,557 | 13 plans |
| 653 | Major Bladder Procedures With Mcc | $48,020 – $81,633 · median $64,535 | 13 plans |
| 654 | Major Bladder Procedures With Cc | $26,136 – $44,431 · median $32,670 | 13 plans |
| 655 | Major Bladder Procedures Without Cc/Mcc | $19,903 – $33,835 · median $24,049 | 13 plans |
| 656 | Kidney And Ureter Procedures For Neoplasm With Mcc | $29,646 – $50,398 · median $37,716 | 13 plans |
| 657 | Kidney And Ureter Procedures For Neoplasm With Cc | $17,287 – $29,387 · median $21,164 | 13 plans |
| 658 | Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc | $14,747 – $25,070 · median $17,411 | 13 plans |
| 659 | Kidney And Ureter Procedures For Non-Neoplasm With Mcc | $23,777 – $40,420 · median $29,918 | 13 plans |
| 660 | Kidney And Ureter Procedures For Non-Neoplasm With Cc | $12,646 – $21,499 · median $15,513 | 13 plans |
| 661 | Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc | $10,033 – $17,055 · median $11,885 | 13 plans |
| 662 | Minor Bladder Procedures With Mcc | $28,529 – $48,500 · median $36,115 | 13 plans |
| 663 | Minor Bladder Procedures With Cc | $14,458 – $24,579 · median $17,682 | 13 plans |
| 664 | Minor Bladder Procedures Without Cc/Mcc | $10,138 – $17,234 · median $12,501 | 13 plans |
| 665 | Prostatectomy With Mcc | $29,074 – $49,427 · median $39,750 | 13 plans |
| 666 | Prostatectomy With Cc | $16,550 – $28,135 · median $19,070 | 13 plans |
| 667 | Prostatectomy Without Cc/Mcc | $10,679 – $18,154 · median $11,898 | 13 plans |
| 668 | Transurethral Procedures With Mcc | $27,238 – $46,304 · median $33,761 | 13 plans |
| 669 | Transurethral Procedures With Cc | $14,749 – $25,073 · median $17,916 | 13 plans |
| 670 | Transurethral Procedures Without Cc/Mcc | $9,502 – $16,154 · median $11,063 | 13 plans |
| 671 | Urethral Procedures With Cc/Mcc | $16,967 – $28,844 · median $19,955 | 13 plans |
| 672 | Urethral Procedures Without Cc/Mcc | $10,435 – $17,740 · median $12,669 | 13 plans |
| 673 | Other Kidney And Urinary Tract Procedures With Mcc | $38,938 – $66,194 · median $48,509 | 13 plans |
| 674 | Other Kidney And Urinary Tract Procedures With Cc | $21,930 – $37,281 · median $26,724 | 13 plans |
| 675 | Other Kidney And Urinary Tract Procedures Without Cc/Mcc | $15,565 – $26,460 · median $18,121 | 13 plans |
| 682 | Renal Failure With Mcc | $14,101 – $23,971 · median $17,389 | 13 plans |
| 683 | Renal Failure With Cc | $8,575 – $14,578 · median $10,291 | 13 plans |
| 684 | Renal Failure Without Cc/Mcc | $6,060 – $10,303 · median $7,033 | 13 plans |
| 686 | Kidney And Urinary Tract Neoplasms With Mcc | $17,047 – $28,979 · median $21,830 | 13 plans |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $10,146 – $17,248 · median $12,186 | 13 plans |
| 688 | Kidney And Urinary Tract Neoplasms Without Cc/Mcc | $7,795 – $13,251 · median $8,450 | 13 plans |
| 689 | Kidney And Urinary Tract Infections With Mcc | $11,173 – $18,994 · median $13,550 | 13 plans |
| 690 | Kidney And Urinary Tract Infections Without Mcc | $7,970 – $13,549 · median $9,292 | 13 plans |
| 693 | Urinary Stones With Mcc | $12,854 – $21,852 · median $17,022 | 13 plans |
| 694 | Urinary Stones Without Mcc | $7,716 – $13,118 · median $9,047 | 13 plans |
| 695 | Kidney And Urinary Tract Signs And Symptoms With Mcc | $11,022 – $18,738 · median $13,056 | 13 plans |
| 696 | Kidney And Urinary Tract Signs And Symptoms Without Mcc | $6,870 – $11,679 · median $8,008 | 13 plans |
| 697 | Urethral Stricture | $10,420 – $17,713 · median $11,598 | 13 plans |
| 698 | Other Kidney And Urinary Tract Diagnoses With Mcc | $15,684 – $26,662 · median $19,461 | 13 plans |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $9,846 – $16,739 · median $11,807 | 13 plans |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc | $6,878 – $11,693 · median $8,036 | 13 plans |
| 707 | Major Male Pelvic Procedures With Cc/Mcc | $18,841 – $32,030 · median $22,466 | 13 plans |
| 708 | Major Male Pelvic Procedures Without Cc/Mcc | $14,586 – $24,797 · median $17,162 | 13 plans |
| 709 | Penis Procedures With Cc/Mcc | $21,825 – $37,102 · median $26,015 | 13 plans |
| 710 | Penis Procedures Without Cc/Mcc | $13,372 – $22,732 · median $17,381 | 13 plans |
| 711 | Testes Procedures With Cc/Mcc | $19,604 – $33,326 · median $22,120 | 13 plans |
| 712 | Testes Procedures Without Cc/Mcc | $10,620 – $18,053 · median $12,383 | 13 plans |
| 713 | Transurethral Prostatectomy With Cc/Mcc | $14,305 – $24,319 · median $16,740 | 13 plans |
| 714 | Transurethral Prostatectomy Without Cc/Mcc | $10,233 – $17,397 · median $11,025 | 13 plans |
| 715 | Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc | $21,005 – $35,709 · median $26,144 | 13 plans |
| 716 | Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc | $14,009 – $23,816 · median $16,431 | 13 plans |
| 717 | Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc | $17,839 – $30,326 · median $21,481 | 13 plans |
| 718 | Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc | $12,842 – $21,831 · median $14,261 | 13 plans |
| 722 | Malignancy, Male Reproductive System With Mcc | $17,101 – $29,072 · median $20,015 | 13 plans |
| 723 | Malignancy, Male Reproductive System With Cc | $11,012 – $18,721 · median $13,000 | 13 plans |
| 724 | Malignancy, Male Reproductive System Without Cc/Mcc | $6,566 – $11,162 · median $8,435 | 13 plans |
| 725 | Benign Prostatic Hypertrophy With Mcc | $11,263 – $19,147 · median $14,623 | 13 plans |
| 726 | Benign Prostatic Hypertrophy Without Mcc | $7,171 – $12,191 · median $8,617 | 13 plans |
| 727 | Inflammation Of The Male Reproductive System With Mcc | $14,118 – $24,000 · median $17,011 | 13 plans |
| 728 | Inflammation Of The Male Reproductive System Without Mcc | $7,986 – $13,576 · median $9,460 | 13 plans |
| 729 | Other Male Reproductive System Diagnoses With Cc/Mcc | $10,245 – $17,417 · median $12,744 | 13 plans |
| 730 | Other Male Reproductive System Diagnoses Without Cc/Mcc | $6,619 – $11,415 · median $7,175 | 13 plans |
| 734 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc | $20,025 – $34,043 · median $24,344 | 13 plans |
| 735 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc | $12,864 – $21,868 · median $14,059 | 13 plans |
| 736 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc | $33,213 – $56,462 · median $45,584 | 13 plans |
| 737 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc | $19,392 – $32,966 · median $23,135 | 13 plans |
| 738 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc | $13,986 – $23,777 · median $17,561 | 13 plans |
| 739 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc | $33,289 – $56,590 · median $46,086 | 13 plans |
| 740 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc | $17,100 – $29,071 · median $21,050 | 13 plans |
| 741 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc | $13,599 – $23,119 · median $15,902 | 13 plans |
| 742 | Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc | $17,330 – $29,462 · median $21,147 | 13 plans |
| 743 | Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc | $11,907 – $20,241 · median $13,877 | 13 plans |
| 744 | D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc | $19,287 – $32,788 · median $22,621 | 13 plans |
| 745 | D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc | $10,965 – $18,640 · median $11,923 | 13 plans |
| 746 | Vagina, Cervix And Vulva Procedures With Cc/Mcc | $16,439 – $27,946 · median $19,386 | 13 plans |
| 747 | Vagina, Cervix And Vulva Procedures Without Cc/Mcc | $8,429 – $14,328 · median $11,058 | 13 plans |
| 748 | Female Reproductive System Reconstructive Procedures | $13,245 – $22,517 · median $15,771 | 13 plans |
| 749 | Other Female Reproductive System O.R. Procedures With Cc/Mcc | $24,020 – $40,835 · median $29,967 | 13 plans |
| 750 | Other Female Reproductive System O.R. Procedures Without Cc/Mcc | $14,053 – $23,890 · median $15,135 | 13 plans |
| 754 | Malignancy, Female Reproductive System With Mcc | $17,393 – $29,569 · median $20,946 | 13 plans |
| 755 | Malignancy, Female Reproductive System With Cc | $10,511 – $17,869 · median $12,852 | 13 plans |
| 756 | Malignancy, Female Reproductive System Without Cc/Mcc | $9,349 – $15,893 · median $11,055 | 13 plans |
| 757 | Infections, Female Reproductive System With Mcc | $13,652 – $23,209 · median $16,384 | 13 plans |
| 758 | Infections, Female Reproductive System With Cc | $9,518 – $16,180 · median $11,801 | 13 plans |
| 759 | Infections, Female Reproductive System Without Cc/Mcc | $6,638 – $11,285 · median $7,408 | 13 plans |
| 760 | Menstrual And Other Female Reproductive System Disorders With Cc/Mcc | $9,778 – $16,622 · median $11,410 | 13 plans |
| 761 | Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc | $5,788 – $9,840 · median $7,339 | 13 plans |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $10,363 – $17,617 · median $12,692 | 13 plans |
| 769 | Postpartum And Post Abortion Diagnoses With O.R. Procedures | $15,154 – $27,211 · median $16,753 | 13 plans |
| 770 | Abortion With D&C, Aspiration Curettage Or Hysterotomy | $9,734 – $16,548 · median $12,456 | 13 plans |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $6,557 – $11,147 · median $8,259 | 13 plans |
| 779 | Abortion Without D&C | $8,261 – $14,043 · median $10,821 | 13 plans |
| 783 | Cesarean Section With Sterilization With Mcc | $20,089 – $39,089 · median $22,796 | 13 plans |
| 784 | Cesarean Section With Sterilization With Cc | $10,258 – $17,439 · median $12,538 | 13 plans |
| 785 | Cesarean Section With Sterilization Without Cc/Mcc | $9,324 – $15,851 · median $10,160 | 13 plans |
| 786 | Cesarean Section Without Sterilization With Mcc | $15,639 – $26,586 · median $18,707 | 13 plans |
| 787 | Cesarean Section Without Sterilization With Cc | $10,776 – $18,319 · median $12,293 | 13 plans |
| 788 | Cesarean Section Without Sterilization Without Cc/Mcc | $9,333 – $15,866 · median $10,478 | 13 plans |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $17,033 – $28,956 · median $20,871 | 13 plans |
| 790 | Extreme Immaturity Or Respiratory Distress Syndrome, Neonate | $54,840 – $93,228 · median $68,828 | 13 plans |
| 791 | Prematurity With Major Problems | $37,636 – $63,981 · median $47,006 | 13 plans |
| 792 | Prematurity Without Major Problems | $22,940 – $38,997 · median $28,362 | 13 plans |
| 793 | Full Term Neonate With Major Problems | $38,646 – $65,697 · median $48,285 | 13 plans |
| 794 | Neonate With Other Significant Problems | $14,054 – $23,892 · median $17,091 | 13 plans |
| 795 | Normal Newborn | $2,179 – $4,087 · median $2,449 | 13 plans |
| 796 | Vaginal Delivery With Sterilization And/Or D&C With Mcc | $11,234 – $19,098 · median $14,780 | 13 plans |
| 797 | Vaginal Delivery With Sterilization And/Or D&C With Cc | $9,713 – $16,512 · median $11,209 | 13 plans |
| 798 | Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc | $9,318 – $15,840 · median $11,209 | 13 plans |
| 799 | Splenic Procedures With Mcc | $41,926 – $71,274 · median $55,045 | 13 plans |
| 800 | Splenic Procedures With Cc | $26,228 – $44,587 · median $33,732 | 13 plans |
| 801 | Splenic Procedures Without Cc/Mcc | $17,904 – $30,612 · median $19,328 | 13 plans |
| 802 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc | $36,952 – $62,819 · median $41,500 | 13 plans |
| 803 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc | $17,551 – $29,836 · median $20,607 | 13 plans |
| 804 | Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc | $12,056 – $22,031 · median $13,445 | 13 plans |
| 805 | Vaginal Delivery Without Sterilization Or D&C With Mcc | $10,432 – $17,735 · median $11,553 | 13 plans |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $7,464 – $12,688 · median $8,376 | 13 plans |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc | $6,735 – $11,450 · median $7,377 | 13 plans |
| 808 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $20,737 – $35,252 · median $26,517 | 13 plans |
| 809 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $12,137 – $20,633 · median $14,339 | 13 plans |
| 810 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $10,135 – $17,229 · median $11,048 | 13 plans |
| 811 | Red Blood Cell Disorders With Mcc | $13,400 – $22,781 · median $16,287 | 13 plans |
| 812 | Red Blood Cell Disorders Without Mcc | $8,963 – $15,236 · median $10,685 | 13 plans |
| 813 | Coagulation Disorders | $14,505 – $24,658 · median $17,921 | 13 plans |
| 814 | Reticuloendothelial And Immunity Disorders With Mcc | $19,995 – $33,992 · median $24,200 | 13 plans |
| 815 | Reticuloendothelial And Immunity Disorders With Cc | $9,837 – $16,723 · median $11,764 | 13 plans |
| 816 | Reticuloendothelial And Immunity Disorders Without Cc/Mcc | $6,350 – $10,795 · median $7,634 | 13 plans |
| 817 | Other Antepartum Diagnoses With O.R. Procedures With Mcc | $21,409 – $36,396 · median $29,350 | 13 plans |
| 818 | Other Antepartum Diagnoses With O.R. Procedures With Cc | $11,163 – $18,977 · median $14,912 | 13 plans |
| 819 | Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc | $8,430 – $14,332 · median $9,453 | 13 plans |
| 820 | Lymphoma And Leukemia With Major O.R. Procedures With Mcc | $54,122 – $92,007 · median $67,403 | 13 plans |
| 821 | Lymphoma And Leukemia With Major O.R. Procedures With Cc | $21,017 – $35,729 · median $25,843 | 13 plans |
| 822 | Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc | $11,572 – $19,672 · median $13,240 | 13 plans |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc | $42,436 – $72,141 · median $54,173 | 13 plans |
| 824 | Lymphoma And Non-Acute Leukemia With Other Procedures With Cc | $21,263 – $36,148 · median $25,462 | 13 plans |
| 825 | Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc | $12,899 – $21,929 · median $14,248 | 13 plans |
| 826 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc | $43,285 – $73,585 · median $55,285 | 13 plans |
| 827 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc | $21,680 – $36,855 · median $27,319 | 13 plans |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C | $16,135 – $27,429 · median $18,556 | 13 plans |
| 829 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc | $29,429 – $50,029 · median $35,700 | 13 plans |
| 830 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc | $14,320 – $24,343 · median $16,931 | 13 plans |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With Mcc | $11,558 – $19,649 · median $13,324 | 13 plans |
| 832 | Other Antepartum Diagnoses Without O.R. Procedures With Cc | $7,168 – $12,185 · median $8,652 | 13 plans |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc | $5,354 – $9,101 · median $6,018 | 13 plans |
| 834 | Acute Leukemia With Mcc | $50,699 – $86,188 · median $63,987 | 13 plans |
| 835 | Acute Leukemia With Cc | $19,622 – $33,357 · median $24,727 | 13 plans |
| 836 | Acute Leukemia Without Cc/Mcc | $11,713 – $19,912 · median $14,711 | 13 plans |
| 837 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc | $44,440 – $75,548 · median $57,966 | 13 plans |
| 838 | Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent | $19,637 – $33,382 · median $23,480 | 13 plans |
| 839 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $13,762 – $23,395 · median $15,865 | 13 plans |
| 840 | Lymphoma And Non-Acute Leukemia With Mcc | $30,112 – $51,191 · median $36,925 | 13 plans |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $15,474 – $26,305 · median $18,152 | 13 plans |
| 842 | Lymphoma And Non-Acute Leukemia Without Cc/Mcc | $9,804 – $16,667 · median $12,177 | 13 plans |
| 843 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc | $18,791 – $31,945 · median $21,917 | 13 plans |
| 844 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc | $11,694 – $19,880 · median $13,836 | 13 plans |
| 845 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc | $8,355 – $14,203 · median $9,687 | 13 plans |
| 846 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc | $24,248 – $41,221 · median $29,564 | 13 plans |
| 847 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc | $12,523 – $21,289 · median $14,710 | 13 plans |
| 848 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $8,334 – $14,169 · median $9,481 | 13 plans |
| 849 | Radiotherapy | $25,316 – $43,037 · median $30,922 | 13 plans |
| 850 | Acute Leukemia With Other Procedures | $79,635 – $135,380 · median $106,643 | 13 plans |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With Mcc | $45,666 – $77,632 · median $57,905 | 13 plans |
| 854 | Infectious And Parasitic Diseases With O.R. Procedures With Cc | $18,821 – $31,996 · median $23,134 | 13 plans |
| 855 | Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc | $14,248 – $24,222 · median $18,819 | 13 plans |
| 856 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc | $42,107 – $71,581 · median $52,229 | 13 plans |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $20,130 – $34,222 · median $25,226 | 13 plans |
| 858 | Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc | $13,296 – $22,604 · median $14,916 | 13 plans |
| 862 | Postoperative And Post-Traumatic Infections With Mcc | $17,229 – $29,290 · median $21,286 | 13 plans |
| 863 | Postoperative And Post-Traumatic Infections Without Mcc | $9,690 – $16,473 · median $11,576 | 13 plans |
| 864 | Fever And Inflammatory Conditions | $8,684 – $14,763 · median $10,395 | 13 plans |
| 865 | Viral Illness With Mcc | $14,258 – $24,239 · median $17,087 | 13 plans |
| 866 | Viral Illness Without Mcc | $8,519 – $14,482 · median $10,243 | 13 plans |
| 867 | Other Infectious And Parasitic Diseases Diagnoses With Mcc | $19,689 – $33,472 · median $24,824 | 13 plans |
| 868 | Other Infectious And Parasitic Diseases Diagnoses With Cc | $9,993 – $16,989 · median $12,156 | 13 plans |
| 869 | Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc | $7,242 – $12,311 · median $8,330 | 13 plans |
| 870 | Septicemia Or Severe Sepsis With Mv >96 Hours | $63,680 – $108,256 · median $80,538 | 13 plans |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | $18,314 – $31,133 · median $22,718 | 13 plans |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | $9,922 – $16,867 · median $11,936 | 13 plans |
| 876 | O.R. Procedures With Principal Diagnosis Of Mental Illness | $35,864 – $60,969 · median $45,492 | 13 plans |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $9,346 – $15,888 · median $11,098 | 13 plans |
| 881 | Depressive Neuroses | $9,170 – $15,589 · median $10,583 | 13 plans |
| 882 | Neuroses Except Depressive | $10,383 – $17,651 · median $11,238 | 13 plans |
| 883 | Disorders Of Personality And Impulse Control | $18,531 – $31,503 · median $21,492 | 13 plans |
| 884 | Organic Disturbances And Intellectual Disability | $15,268 – $25,956 · median $19,335 | 13 plans |
| 885 | Psychoses | $13,332 – $22,664 · median $16,318 | 13 plans |
| 886 | Behavioral And Developmental Disorders | $19,526 – $33,194 · median $21,058 | 13 plans |
| 887 | Other Mental Disorder Diagnoses | $10,357 – $17,606 · median $13,769 | 13 plans |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $6,212 – $10,560 · median $7,225 | 13 plans |
| 895 | Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy | $13,503 – $22,956 · median $16,763 | 13 plans |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc | $16,512 – $28,070 · median $20,617 | 13 plans |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | $8,639 – $14,687 · median $10,214 | 13 plans |
| 901 | Wound Debridements For Injuries With Mcc | $38,892 – $66,117 · median $51,290 | 13 plans |
| 902 | Wound Debridements For Injuries With Cc | $18,058 – $30,699 · median $21,967 | 13 plans |
| 903 | Wound Debridements For Injuries Without Cc/Mcc | $11,258 – $19,138 · median $14,113 | 13 plans |
| 904 | Skin Grafts For Injuries With Cc/Mcc | $34,113 – $57,992 · median $44,699 | 13 plans |
| 905 | Skin Grafts For Injuries Without Cc/Mcc | $14,122 – $24,008 · median $19,081 | 13 plans |
| 906 | Hand Procedures For Injuries | $18,513 – $31,472 · median $25,267 | 13 plans |
| 907 | Other O.R. Procedures For Injuries With Mcc | $35,630 – $60,571 · median $46,119 | 13 plans |
| 908 | Other O.R. Procedures For Injuries With Cc | $18,795 – $31,951 · median $23,352 | 13 plans |
| 909 | Other O.R. Procedures For Injuries Without Cc/Mcc | $12,564 – $21,359 · median $14,683 | 13 plans |
| 913 | Traumatic Injury With Mcc | $15,503 – $26,355 · median $18,735 | 13 plans |
| 914 | Traumatic Injury Without Mcc | $8,664 – $14,729 · median $10,608 | 13 plans |
| 915 | Allergic Reactions With Mcc | $15,932 – $27,084 · median $20,119 | 13 plans |
| 916 | Allergic Reactions Without Mcc | $6,663 – $11,327 · median $7,687 | 13 plans |
| 917 | Poisoning And Toxic Effects Of Drugs With Mcc | $14,898 – $25,327 · median $18,982 | 13 plans |
| 918 | Poisoning And Toxic Effects Of Drugs Without Mcc | $8,405 – $14,288 · median $10,239 | 13 plans |
| 919 | Complications Of Treatment With Mcc | $17,294 – $29,400 · median $21,110 | 13 plans |
| 920 | Complications Of Treatment With Cc | $9,730 – $16,542 · median $11,760 | 13 plans |
| 921 | Complications Of Treatment Without Cc/Mcc | $6,865 – $11,670 · median $7,961 | 13 plans |
| 922 | Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc | $16,551 – $28,136 · median $19,557 | 13 plans |
| 923 | Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc | $9,871 – $16,781 · median $11,807 | 13 plans |
| 927 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft | $195,495 – $332,342 · median $274,649 | 13 plans |
| 928 | Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc | $66,062 – $112,305 · median $77,320 | 13 plans |
| 929 | Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc | $29,984 – $50,972 · median $36,819 | 13 plans |
| 933 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft | $36,131 – $61,423 · median $50,092 | 13 plans |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $20,761 – $35,294 · median $24,842 | 13 plans |
| 935 | Non-Extensive Burns | $19,386 – $32,957 · median $25,428 | 13 plans |
| 939 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc | $33,706 – $57,300 · median $36,796 | 13 plans |
| 940 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc | $21,914 – $37,254 · median $24,443 | 13 plans |
| 941 | O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc | $19,092 – $32,456 · median $22,625 | 13 plans |
| 945 | Rehabilitation With Cc/Mcc | $14,718 – $25,020 · median $17,672 | 13 plans |
| 946 | Rehabilitation Without Cc/Mcc | $11,050 – $18,784 · median $12,925 | 13 plans |
| 947 | Signs And Symptoms With Mcc | $12,169 – $20,687 · median $14,890 | 13 plans |
| 948 | Signs And Symptoms Without Mcc | $7,888 – $13,410 · median $9,198 | 13 plans |
| 949 | Aftercare With Cc/Mcc | $11,441 – $19,450 · median $12,500 | 13 plans |
| 950 | Aftercare Without Cc/Mcc | $6,311 – $10,728 · median $6,839 | 13 plans |
| 951 | Other Factors Influencing Health Status | $5,656 – $9,615 · median $6,563 | 13 plans |
| 955 | Craniotomy For Multiple Significant Trauma | $62,030 – $105,451 · median $79,050 | 13 plans |
| 956 | Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma | $34,934 – $59,387 · median $44,251 | 13 plans |
| 957 | Other O.R. Procedures For Multiple Significant Trauma With Mcc | $70,144 – $119,246 · median $86,411 | 13 plans |
| 958 | Other O.R. Procedures For Multiple Significant Trauma With Cc | $39,050 – $66,385 · median $47,577 | 13 plans |
| 959 | Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc | $27,458 – $46,678 · median $30,607 | 13 plans |
| 963 | Other Multiple Significant Trauma With Mcc | $25,538 – $43,414 · median $31,451 | 13 plans |
| 964 | Other Multiple Significant Trauma With Cc | $14,572 – $24,772 · median $17,368 | 13 plans |
| 965 | Other Multiple Significant Trauma Without Cc/Mcc | $9,166 – $15,582 · median $10,564 | 13 plans |
| 969 | Hiv With Extensive O.R. Procedures With Mcc | $56,463 – $95,988 · median $73,215 | 13 plans |
| 970 | Hiv With Extensive O.R. Procedures Without Mcc | $24,658 – $41,918 · median $30,717 | 13 plans |
| 974 | Hiv With Major Related Condition With Mcc | $26,927 – $45,776 · median $34,570 | 13 plans |
| 975 | Hiv With Major Related Condition With Cc | $12,402 – $21,084 · median $16,455 | 13 plans |
| 976 | Hiv With Major Related Condition Without Cc/Mcc | $8,821 – $14,996 · median $11,611 | 13 plans |
| 977 | Hiv With Or Without Other Related Condition | $12,427 – $21,126 · median $16,692 | 13 plans |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $43,413 – $73,802 · median $55,043 | 13 plans |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $23,024 – $39,142 · median $28,347 | 13 plans |
| 983 | Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $16,228 – $27,587 · median $19,312 | 13 plans |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $31,879 – $54,194 · median $40,556 | 13 plans |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $15,585 – $26,494 · median $19,867 | 13 plans |
| 989 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $11,528 – $19,597 · median $13,377 | 13 plans |
| 209 | Complex Aortic Arch Procedures | $103,913 – $176,652 · median $107,030 | 11 plans |
| 213 | Endovascular Abdominal Aorta With Iliac Branch Procedures | $52,680 – $89,556 · median $54,260 | 11 plans |
| 318 | Percutaneous Coronary Atherectomy Without Intraluminal Device | $22,693 – $38,578 · median $23,374 | 11 plans |
| 359 | Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc | $31,972 – $54,353 · median $32,931 | 11 plans |
| 360 | Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc | $22,621 – $38,456 · median $23,300 | 11 plans |
| 077 | Hypertensive Encephalopathy With Mcc | $16,863 – $18,970 · median $18,939 | 3 plans |
| 078 | Hypertensive Encephalopathy With Cc | $10,882 – $12,242 · median $12,222 | 3 plans |
| 079 | Hypertensive Encephalopathy Without Cc/Mcc | $7,271 – $8,180 · median $8,166 | 3 plans |
| 294 | Deep Vein Thrombophlebitis With Cc/Mcc | $13,391 – $15,065 · median $15,041 | 3 plans |
| 295 | Deep Vein Thrombophlebitis Without Cc/Mcc | $8,613 – $9,690 · median $9,674 | 3 plans |
| 509 | Arthroscopy | $19,156 – $21,551 · median $21,515 | 3 plans |
No procedures match that keyword.