Metropolitan Hospital Center (Acute Care — New York) — 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 |
|---|---|---|---|
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,861 – $86,330 · median $49,890 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $242,310 · median $169,814 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $17,861 – $173,524 · median $122,847 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $198,492 · median $140,831 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $17,861 – $150,867 · median $105,182 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,861 – $144,752 · median $100,172 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,861 – $108,127 · median $68,003 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $17,861 – $212,860 · median $151,281 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $200,031 · median $141,924 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $17,861 – $151,325 · median $102,694 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $162,330 · median $112,397 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,861 – $127,753 · median $85,052 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,861 – $113,702 · median $74,015 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,861 – $91,474 · median $49,318 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,861 – $82,730 · median $39,508 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $17,861 – $142,869 · median $93,954 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,861 – $92,641 · median $50,627 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $78,006 · median $34,208 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,861 – $114,451 · median $74,676 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,861 – $97,331 · median $55,890 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,861 – $102,258 · median $61,418 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,696 – $113,979 · median $74,259 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,696 – $84,543 · median $41,542 | 22 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,380 – $72,976 · median $32,875 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $15,139 – $71,047 · median $31,634 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,281 – $61,942 · median $25,776 | 22 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,639 – $68,908 · median $19,459 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,639 – $66,990 · median $17,715 | 22 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $17,861 – $707,222 · median $458,608 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $17,861 – $276,672 · median $193,939 | 21 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $17,861 – $538,083 · median $349,615 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $17,861 – $354,762 · median $236,436 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $17,861 – $267,374 · median $186,088 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $17,861 – $142,135 · median $97,852 | 21 plans |
| 007 | Lung transplant | $17,861 – $328,118 · median $222,101 | 21 plans |
| 008 | Simultaneous pancreas/kidney transplant | $17,861 – $153,684 · median $105,552 | 21 plans |
| 010 | Pancreas transplant | $17,861 – $203,087 · median $146,237 | 21 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $17,861 – $152,802 · median $104,811 | 21 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $17,861 – $127,589 · median $86,989 | 21 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $17,861 – $99,224 · median $61,771 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $17,861 – $328,947 · median $222,618 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $17,861 – $165,290 · median $116,417 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $17,861 – $165,290 · median $116,417 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $17,861 – $946,855 · median $608,107 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $17,861 – $202,195 · median $145,595 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $17,861 – $204,806 · median $148,475 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $17,861 – $155,366 · median $108,319 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,861 – $116,402 · median $77,288 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $17,861 – $158,835 · median $109,878 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $17,861 – $121,696 · median $82,668 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $17,861 – $134,781 · median $92,358 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,861 – $107,197 · median $68,896 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,861 – $95,669 · median $58,245 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $17,861 – $166,141 · median $116,629 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,861 – $113,013 · median $74,094 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,861 – $90,939 · median $52,524 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,861 – $129,284 · median $88,359 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,861 – $89,187 · median $50,404 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $78,648 · median $37,657 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $17,861 – $123,394 · median $84,402 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,861 – $91,903 · median $53,690 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,861 – $83,284 · median $43,265 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,861 – $112,315 · median $73,470 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,861 – $78,957 · median $38,030 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,289 – $69,726 · median $26,864 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $17,861 – $121,118 · median $82,579 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,861 – $91,579 · median $53,298 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,861 – $81,811 · median $41,483 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,861 – $86,785 · median $47,499 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,567 – $65,495 · median $21,747 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $17,861 – $76,767 · median $35,382 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $13,696 – $68,805 · median $25,750 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,861 – $83,534 · median $43,567 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $15,361 – $71,392 · median $28,879 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,203 – $64,929 · median $21,062 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,861 – $100,266 · median $62,702 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,861 – $82,266 · median $42,033 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $17,636 – $74,927 · median $33,156 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,766 – $67,359 · median $24,001 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,641 – $60,947 · median $17,571 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,861 – $75,905 · median $34,339 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $11,066 – $64,717 · median $20,805 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $10,044 – $63,128 · median $18,975 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,861 – $81,445 · median $41,039 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $13,231 – $68,081 · median $24,874 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,418 – $62,155 · median $18,348 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,861 – $77,675 · median $36,479 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $13,086 – $67,856 · median $24,603 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,861 – $81,125 · median $40,652 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $11,511 – $65,408 · median $21,641 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,861 – $77,688 · median $36,496 | 21 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $12,528 – $66,988 · median $23,552 | 21 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,370 – $60,526 · median $17,300 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,861 – $92,789 · median $54,761 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,455 – $74,646 · median $32,816 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,003 – $66,172 · median $22,566 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,861 – $91,731 · median $53,482 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,466 – $73,109 · median $30,956 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,098 – $64,766 · median $20,864 | 21 plans |
| 088 | CONCUSSION WITH MCC | $17,710 – $75,043 · median $33,295 | 21 plans |
| 089 | CONCUSSION WITH CC | $13,459 – $68,436 · median $25,304 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,763 – $64,245 · median $20,234 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,861 – $83,085 · median $43,024 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $13,291 – $68,174 · median $24,987 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,909 – $62,918 · median $18,839 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,861 – $118,711 · median $79,843 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,861 – $94,291 · median $56,579 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,861 – $94,291 · median $56,579 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,861 – $117,460 · median $78,474 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,861 – $89,844 · median $51,200 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $17,491 – $74,703 · median $32,885 | 21 plans |
| 100 | SEIZURES WITH MCC | $17,861 – $86,254 · median $46,857 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $11,571 – $65,501 · median $21,754 | 21 plans |
| 102 | HEADACHES WITH MCC | $14,556 – $70,141 · median $27,367 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $10,673 – $64,106 · median $20,066 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,861 – $91,548 · median $53,260 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,840 – $70,582 · median $27,900 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $17,861 – $77,390 · median $36,135 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,861 – $80,075 · median $39,382 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,541 – $68,563 · median $25,457 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,603 – $70,213 · median $27,454 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,515 – $60,752 · median $17,446 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $10,083 – $63,189 · median $19,013 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,369 – $72,959 · median $30,775 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $10,366 – $63,628 · median $19,488 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,861 – $94,563 · median $56,907 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,280 – $66,604 · median $23,087 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $17,558 – $74,806 · median $33,010 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,213 – $63,390 · median $19,200 | 21 plans |
| 139 | Salivary gland procedures | $17,237 – $74,307 · median $32,406 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,861 – $130,037 · median $87,455 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,861 – $89,439 · median $50,709 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,861 – $78,198 · median $37,112 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,861 – $111,944 · median $73,139 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,861 – $81,794 · median $41,462 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,874 – $70,635 · median $27,964 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,861 – $92,280 · median $54,145 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,627 – $71,806 · median $29,380 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $10,052 – $63,140 · median $18,982 | 21 plans |
| 149 | Dysequilibrium | $9,384 – $62,102 · median $18,314 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $17,352 – $74,486 · median $32,623 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,516 – $62,307 · median $18,446 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,246 – $69,659 · median $26,784 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,935 – $61,404 · median $17,865 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,861 – $79,249 · median $38,384 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,720 – $65,733 · median $22,035 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,441 – $60,637 · median $17,371 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,861 – $79,468 · median $38,648 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,808 – $65,870 · median $22,200 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,281 – $60,387 · median $17,211 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,861 – $137,452 · median $95,370 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,861 – $96,629 · median $59,406 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,861 – $83,887 · median $43,994 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $122,644 · median $84,072 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $83,169 · median $43,126 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,997 – $73,934 · median $31,955 | 21 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $17,861 – $107,392 · median $69,070 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $17,690 – $75,011 · median $33,258 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $10,225 – $63,409 · median $19,224 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,861 – $79,058 · median $38,153 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $12,455 – $66,875 · median $23,416 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,663 – $62,535 · median $18,593 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,861 – $81,620 · median $41,252 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $13,939 – $69,181 · median $26,205 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $10,514 – $63,858 · median $19,767 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,861 – $78,488 · median $37,463 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $13,409 – $68,358 · median $25,209 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,763 – $62,691 · median $18,693 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,861 – $78,346 · median $37,291 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $12,604 – $67,107 · median $23,696 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,217 – $61,843 · median $18,147 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,534 – $71,661 · median $29,205 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,098 – $69,429 · median $26,505 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,785 – $64,280 · median $20,276 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,125 – $60,145 · median $17,055 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,542 – $73,228 · median $31,100 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $10,294 – $63,517 · median $19,354 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,817 – $59,667 · median $16,748 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,861 – $84,280 · median $44,469 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $12,428 – $66,834 · median $23,366 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,793 – $61,183 · median $17,723 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,861 – $81,962 · median $41,665 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,904 – $69,127 · median $26,139 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,500 – $60,729 · median $17,430 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,136 – $66,379 · median $22,816 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,745 – $61,109 · median $17,675 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $10,181 – $63,341 · median $19,141 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $84,352 · median $44,556 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,371 – $65,191 · median $21,379 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $17,861 – $173,706 · median $123,918 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,861 – $99,883 · median $62,360 | 21 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $17,861 – $273,513 · median $189,565 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $17,861 – $266,004 · median $185,311 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $163,600 · median $114,310 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $137,128 · median $94,802 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $17,861 – $166,710 · median $117,109 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $17,861 – $145,797 · median $98,929 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,861 – $104,340 · median $66,343 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $17,861 – $76,978 · median $35,637 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $81,651 · median $41,289 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,861 – $98,570 · median $61,187 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,861 – $80,565 · median $39,975 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $11,197 – $64,920 · median $21,051 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,861 – $81,813 · median $41,485 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $17,861 – $77,132 · median $35,823 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,861 – $99,850 · median $62,331 | 21 plans |
| 264 | Other circulatory system O.R. procedures | $17,861 – $115,714 · median $75,791 | 21 plans |
| 265 | AICD lead procedures | $17,861 – $117,120 · median $78,093 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $17,861 – $164,410 · median $115,717 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $17,861 – $139,315 · median $97,128 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $17,861 – $177,616 · median $126,455 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $17,861 – $128,701 · median $88,452 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $17,861 – $147,673 · median $101,308 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,861 – $114,724 · median $75,624 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $96,340 · median $59,057 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $17,861 – $123,815 · median $84,606 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,861 – $108,414 · median $69,984 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $17,861 – $185,409 · median $132,503 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $17,861 – $168,383 · median $118,517 | 21 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $17,861 – $138,285 · median $96,141 | 21 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $17,861 – $145,142 · median $98,378 | 21 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $17,861 – $110,041 · median $71,439 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,861 – $79,544 · median $38,740 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,572 – $65,503 · median $21,756 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,103 – $61,665 · median $18,033 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,861 – $85,671 · median $46,151 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $9,303 – $61,975 · median $18,233 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,048 – $58,471 · median $15,978 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $90,703 · median $52,238 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,680 – $68,779 · median $25,719 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,861 – $100,814 · median $63,192 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,861 – $78,282 · median $37,213 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $12,290 – $66,619 · median $23,106 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,812 – $64,321 · median $20,326 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,888 – $58,223 · median $15,819 | 21 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $15,416 – $71,478 · median $28,983 | 21 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,915 – $62,928 · median $18,845 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,861 – $79,485 · median $38,670 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,843 – $61,261 · median $17,773 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,545 – $56,135 · median $14,475 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,861 – $79,080 · median $38,179 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,440 – $68,407 · median $25,268 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,956 – $61,437 · median $17,886 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,604 – $70,215 · median $27,456 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,441 – $60,637 · median $17,371 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $14,748 – $70,440 · median $27,728 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,424 – $62,165 · median $18,354 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $17,861 – $76,734 · median $35,342 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,630 – $65,593 · median $21,865 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,024 – $58,434 · median $15,954 | 21 plans |
| 311 | ANGINA PECTORIS | $8,766 – $61,142 · median $17,697 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,938 – $64,518 · median $20,564 | 21 plans |
| 313 | CHEST PAIN | $8,956 – $61,437 · median $17,886 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $89,536 · median $50,827 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $12,081 – $66,293 · median $22,712 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,571 – $60,838 · median $17,501 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,861 – $133,230 · median $91,443 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,861 – $92,683 · median $54,634 | 21 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,861 – $103,064 · median $65,203 | 21 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $82,818 · median $42,701 | 21 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $17,861 – $130,627 · median $88,986 | 21 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $109,860 · median $70,985 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,861 – $103,362 · median $65,029 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $17,861 – $146,619 · median $101,099 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,861 – $94,894 · median $57,308 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,861 – $78,609 · median $37,610 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $137,114 · median $93,871 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $93,638 · median $55,788 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,861 – $79,731 · median $38,967 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,861 – $115,198 · median $76,047 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $17,861 – $88,986 · median $50,161 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,861 – $79,880 · median $39,146 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $17,861 – $118,217 · median $79,233 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,861 – $88,732 · median $49,855 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $17,861 – $77,470 · median $36,231 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $100,092 · median $62,547 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $76,565 · median $35,136 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,634 – $71,815 · median $29,392 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,861 – $93,698 · median $55,861 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,804 – $72,081 · median $29,713 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $11,059 – $64,705 · median $20,791 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,861 – $94,711 · median $57,086 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $17,861 – $76,873 · median $35,509 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,842 – $69,031 · median $26,024 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,861 – $104,746 · median $66,706 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,861 – $80,709 · median $40,149 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,737 – $73,530 · median $31,466 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $130,750 · median $90,003 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $91,458 · median $53,152 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,012 – $73,958 · median $31,983 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,861 – $80,102 · median $39,415 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,775 – $67,372 · median $24,017 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,763 – $61,136 · median $17,693 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,861 – $81,624 · median $41,256 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,922 – $67,601 · median $24,294 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,107 – $61,671 · median $18,037 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,861 – $88,715 · median $49,833 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $15,425 – $71,491 · median $29,000 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,085 – $64,746 · median $20,841 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,861 – $82,994 · median $42,913 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $12,377 – $66,754 · median $23,269 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,993 – $59,940 · median $16,923 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,861 – $85,064 · median $45,417 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,673 – $68,767 · median $25,705 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,407 – $62,137 · median $18,337 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $15,871 – $72,184 · median $29,838 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,917 – $64,485 · median $20,524 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,861 – $79,220 · median $38,349 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,460 – $66,883 · median $23,425 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,415 – $60,596 · median $17,345 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,861 – $76,198 · median $34,693 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,063 – $63,158 · median $18,993 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,870 – $58,194 · median $15,800 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $16,126 – $72,580 · median $30,317 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,796 – $62,742 · median $18,726 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,861 – $79,829 · median $39,085 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,817 – $65,884 · median $22,217 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,989 – $59,934 · median $16,920 | 21 plans |
| 397 | Appendix Procedures with MCC | $17,861 – $95,864 · median $57,990 | 21 plans |
| 398 | Appendix Procedures without MCC/CC | $17,861 – $77,043 · median $35,715 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,108 – $69,445 · median $26,524 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $17,861 – $153,442 · median $106,447 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,861 – $102,315 · median $64,533 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $89,191 · median $50,409 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $17,861 – $115,835 · median $76,650 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,861 – $88,424 · median $49,482 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,861 – $77,782 · median $36,609 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,861 – $100,910 · median $63,278 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,861 – $89,109 · median $50,310 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,861 – $79,956 · median $39,238 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,861 – $115,883 · median $76,705 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,861 – $86,114 · median $46,687 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $17,201 – $74,252 · median $32,339 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,861 – $93,887 · median $56,090 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,861 – $79,876 · median $39,142 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,541 – $73,226 · median $31,098 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,861 – $116,385 · median $76,384 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,861 – $79,470 · median $38,651 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $17,861 – $76,188 · median $34,681 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $17,861 – $126,880 · median $86,085 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,861 – $92,069 · median $53,890 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $77,679 · median $36,484 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $85,743 · median $46,239 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $13,430 – $68,391 · median $25,249 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,744 – $61,107 · median $17,674 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,861 – $83,119 · median $43,064 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $14,157 – $69,521 · median $26,616 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,857 – $62,838 · median $18,788 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,861 – $79,979 · median $39,267 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,799 – $64,301 · median $20,302 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,722 – $59,519 · median $16,652 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $84,403 · median $44,617 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $12,130 – $66,369 · median $22,804 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,822 – $61,228 · median $17,752 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,861 – $80,383 · median $39,755 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,615 – $68,678 · median $25,596 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,009 – $63,074 · median $18,939 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $17,861 – $212,769 · median $153,209 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $17,861 – $159,505 · median $111,563 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $17,861 – $131,770 · median $91,868 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $17,861 – $167,257 · median $118,128 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,861 – $103,396 · median $65,499 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $152,902 · median $106,601 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $105,050 · median $66,978 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,861 – $81,392 · median $40,975 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $17,861 – $146,923 · median $101,960 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,861 – $114,350 · median $75,289 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,861 – $98,703 · median $61,305 | 21 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,861 – $111,296 · median $72,560 | 21 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,861 – $84,307 · median $44,502 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,861 – $142,293 · median $98,483 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,861 – $104,047 · median $66,082 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,861 – $93,710 · median $55,875 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $135,023 · median $91,647 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $89,610 · median $50,917 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,602 – $70,211 · median $27,451 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $114,619 · median $75,529 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,861 – $93,148 · median $55,196 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,861 – $82,166 · median $41,912 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,861 – $104,902 · median $66,845 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,861 – $88,003 · median $48,972 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,861 – $78,471 · median $37,442 | 21 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $17,861 – $97,238 · median $59,996 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,861 – $110,332 · median $71,698 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,861 – $88,900 · median $50,057 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,861 – $78,350 · median $37,296 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,861 – $85,866 · median $46,387 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,547 – $71,681 · median $29,229 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $17,861 – $116,808 · median $77,658 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,861 – $94,365 · median $56,668 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,861 – $84,305 · median $44,499 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,861 – $116,211 · median $77,073 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,861 – $86,014 · median $46,567 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $16,855 – $73,714 · median $31,688 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,861 – $96,783 · median $59,589 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,573 – $70,167 · median $27,397 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,861 – $109,345 · median $70,816 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,861 – $82,340 · median $42,122 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $17,540 – $74,779 · median $32,977 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,861 – $99,158 · median $61,712 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,861 – $81,761 · median $41,422 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,861 – $81,761 · median $41,422 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $17,861 – $76,767 · median $35,382 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,861 – $85,335 · median $45,745 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,202 – $72,699 · median $30,461 | 21 plans |
| 509 | ARTHROSCOPY | $17,861 – $81,794 · median $41,462 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,861 – $103,284 · median $65,400 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,861 – $85,784 · median $46,288 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,861 – $78,888 · median $37,947 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,861 – $76,894 · median $35,535 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,800 – $67,411 · median $24,065 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,861 – $107,856 · median $69,485 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,861 – $86,769 · median $47,480 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $76,643 · median $35,231 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,861 – $117,448 · median $78,461 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,861 – $85,993 · median $46,541 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $17,861 – $75,482 · median $33,826 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,861 – $104,389 · median $66,387 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,861 – $88,650 · median $49,755 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $17,861 – $77,271 · median $35,991 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $10,219 – $63,400 · median $19,212 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $16,696 – $73,466 · median $31,388 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $10,180 – $63,339 · median $19,139 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,537 – $65,448 · median $21,690 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,430 – $60,619 · median $17,360 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,861 – $86,978 · median $47,733 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $16,246 – $72,767 · median $30,543 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $10,983 – $64,588 · median $20,649 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,861 – $83,909 · median $44,020 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $13,319 – $68,217 · median $25,039 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,487 – $62,262 · median $18,417 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $96,822 · median $59,624 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $14,534 – $70,106 · median $27,324 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,368 – $62,077 · median $18,298 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,861 – $86,826 · median $47,549 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $15,129 – $71,031 · median $28,443 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,823 – $64,338 · median $20,347 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,861 – $80,812 · median $40,274 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $12,100 – $66,323 · median $22,748 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $16,396 – $73,000 · median $30,824 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,478 – $63,802 · median $19,698 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,905 – $73,792 · median $31,782 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,250 – $63,449 · median $19,271 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,861 – $77,755 · median $36,576 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,844 – $64,371 · median $20,387 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $83,737 · median $43,812 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,295 – $69,735 · median $26,876 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,264 – $63,470 · median $19,297 | 21 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $17,861 – $76,073 · median $34,542 | 21 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $11,221 – $64,957 · median $21,095 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,861 – $78,135 · median $37,036 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $12,801 – $67,413 · median $24,067 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,392 – $62,114 · median $18,322 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,861 – $106,252 · median $68,052 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,861 – $80,186 · median $39,517 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $14,342 – $69,807 · median $26,963 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $167,676 · median $117,923 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $115,124 · median $75,981 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $86,477 · median $47,126 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $152,791 · median $106,523 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $99,474 · median $61,994 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $80,500 · median $39,897 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,861 – $111,115 · median $72,398 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,861 – $82,112 · median $41,846 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $75,599 · median $33,968 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,861 – $81,686 · median $41,332 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,861 – $79,569 · median $38,771 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,861 – $87,466 · median $48,323 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $86,250 · median $46,852 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $17,861 – $87,640 · median $48,533 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $15,350 – $71,374 · median $28,858 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,655 – $64,077 · median $20,031 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,861 – $88,787 · median $49,921 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,572 – $68,611 · median $25,516 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,861 – $81,794 · median $41,462 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,545 – $68,568 · median $25,464 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,732 – $64,198 · median $20,177 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,009 – $66,182 · median $22,578 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,526 – $59,214 · median $16,456 | 21 plans |
| 602 | CELLULITIS WITH MCC | $17,861 – $76,184 · median $34,676 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $11,058 – $64,703 · median $20,789 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,861 – $76,506 · median $35,065 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,596 – $65,540 · median $21,801 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,861 – $78,937 · median $38,006 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,849 – $64,379 · median $20,397 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,861 – $91,985 · median $53,789 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $17,861 – $75,478 · median $33,822 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $122,931 · median $84,330 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $85,206 · median $45,590 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,631 – $71,811 · median $29,387 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $120,531 · median $81,920 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $84,840 · median $45,146 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,593 – $67,089 · median $23,675 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,861 – $103,460 · median $65,557 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $17,861 – $76,966 · median $35,623 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $15,905 – $72,237 · median $29,901 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $17,861 – $124,506 · median $85,748 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,861 – $91,402 · median $53,083 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,592 – $74,859 · median $33,073 | 21 plans |
| 637 | DIABETES WITH MCC | $17,861 – $75,932 · median $34,372 | 21 plans |
| 638 | DIABETES WITH CC | $11,515 – $65,413 · median $21,648 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,866 – $59,743 · median $16,797 | 21 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $16,672 – $73,429 · median $31,343 | 21 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $9,810 – $62,764 · median $18,740 | 21 plans |
| 642 | Inborn errors of metabolism | $15,581 – $71,733 · median $29,292 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,861 – $79,854 · median $39,116 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,973 – $67,681 · median $24,390 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,776 – $62,711 · median $18,706 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $17,861 – $137,415 · median $93,839 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,861 – $115,273 · median $76,114 | 21 plans |
| 652 | Kidney transplant | $17,861 – $107,446 · median $69,119 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $17,861 – $156,289 · median $107,740 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,861 – $102,582 · median $64,772 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,861 – $88,049 · median $49,028 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,861 – $111,087 · median $72,373 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,861 – $83,187 · median $43,147 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $17,861 – $76,863 · median $35,497 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,861 – $97,942 · median $60,625 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,822 – $73,663 · median $31,627 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,888 – $67,548 · median $24,230 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,861 – $108,387 · median $69,960 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $17,861 – $77,320 · median $36,050 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,556 – $68,586 · median $25,485 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,861 – $114,514 · median $74,731 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $17,861 – $79,659 · median $38,880 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,903 – $67,571 · median $24,258 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,861 – $104,420 · median $66,415 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $17,861 – $77,712 · median $36,524 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,998 – $66,165 · median $22,556 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,861 – $81,150 · median $40,683 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,739 – $68,871 · median $25,830 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $17,861 – $129,265 · median $86,935 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,861 – $92,559 · median $54,483 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,861 – $78,059 · median $36,944 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $17,861 – $76,822 · median $35,448 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $11,159 – $64,861 · median $20,980 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,625 – $59,369 · median $16,555 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,861 – $84,311 · median $44,506 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $13,216 – $68,057 · median $24,846 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,092 – $61,648 · median $18,022 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,692 – $70,352 · median $27,621 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,076 – $63,177 · median $19,006 | 21 plans |
| 693 | URINARY STONES WITH MCC | $17,861 – $76,207 · median $34,704 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,810 – $62,764 · median $18,740 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,158 – $69,523 · median $26,618 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,685 – $61,015 · median $17,615 | 21 plans |
| 697 | Urethral stricture | $12,577 – $67,064 · median $23,644 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,861 – $80,315 · median $39,673 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,804 – $67,417 · median $24,072 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,715 – $61,062 · median $17,645 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,861 – $85,382 · median $45,802 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $17,861 – $76,444 · median $34,990 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,861 – $91,363 · median $53,036 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $17,861 – $76,812 · median $35,436 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,861 – $84,797 · median $45,094 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,428 – $68,387 · median $25,245 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $17,861 – $75,731 · median $34,128 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,797 – $65,852 · median $22,179 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,861 – $91,581 · median $53,300 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,818 – $75,210 · median $33,498 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,861 – $83,722 · median $43,794 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,465 – $71,554 · median $29,075 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $81,251 · median $40,805 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $14,097 – $69,427 · median $26,503 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,147 – $61,733 · median $18,077 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $15,851 – $72,153 · median $29,800 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,345 – $62,042 · median $18,275 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $76,188 · median $34,681 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,258 – $63,460 · median $19,285 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $13,821 – $68,998 · median $25,983 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,619 – $59,359 · median $16,549 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,861 – $88,547 · median $49,630 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $15,239 – $71,203 · median $28,650 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $17,861 – $124,348 · median $84,833 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,861 – $86,510 · median $47,166 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,861 – $77,115 · median $35,802 | 21 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $17,861 – $125,193 · median $84,163 | 21 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $17,861 – $82,996 · median $42,916 | 21 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $17,244 – $74,319 · median $32,420 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,861 – $83,160 · median $43,114 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,048 – $70,906 · median $28,292 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,861 – $85,644 · median $46,118 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,865 – $67,513 · median $24,187 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,861 – $80,192 · median $39,524 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $11,992 – $66,155 · median $22,545 | 21 plans |
| 748 | Female reproductive system reconstructive procedures | $17,102 – $74,098 · median $32,153 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,861 – $98,026 · median $60,700 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,188 – $72,678 · median $30,435 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $82,820 · median $42,703 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,936 – $69,177 · median $26,201 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,989 – $66,151 · median $22,540 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,768 – $75,132 · median $33,404 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,796 – $67,406 · median $24,058 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,035 – $60,005 · median $16,965 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,373 – $66,748 · median $23,262 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,958 – $59,886 · median $16,888 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $17,444 – $74,629 · median $32,795 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $13,508 – $68,512 · median $25,396 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,957 – $61,439 · median $17,887 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $11,735 – $65,757 · median $22,063 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,997 – $83,460 · median $35,226 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $13,596 – $68,648 · median $21,174 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $10,966 – $64,561 · median $21,174 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,997 – $79,046 · median $30,901 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $13,330 – $68,235 · median $21,174 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,358 – $65,169 · median $21,174 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,136 – $72,426 · median $24,412 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,136 – $66,408 · median $18,515 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,136 – $66,408 · median $18,515 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $17,861 – $140,293 · median $97,810 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,861 – $104,371 · median $66,371 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,861 – $79,550 · median $38,747 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,861 – $117,464 · median $77,518 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,861 – $82,248 · median $42,012 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,880 – $69,089 · median $26,094 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $9,084 – $61,636 · median $14,997 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,001 – $59,952 · median $14,997 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,861 – $92,205 · median $54,056 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,548 – $71,683 · median $29,231 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,949 – $66,088 · median $22,464 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,662 – $74,968 · median $33,206 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,586 – $65,525 · median $21,782 | 21 plans |
| 813 | COAGULATION DISORDERS | $17,861 – $77,722 · median $36,536 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,861 – $88,307 · median $49,340 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,756 – $67,343 · median $23,982 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,278 – $60,383 · median $17,208 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,861 – $96,982 · median $58,682 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $16,170 – $72,648 · median $30,399 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,250 – $63,449 · median $19,271 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $161,122 · median $112,933 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $91,076 · median $52,689 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,358 – $69,833 · median $26,994 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $17,861 – $138,824 · median $94,357 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,861 – $90,432 · median $51,910 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,451 – $71,532 · median $29,049 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $140,697 · median $94,646 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $93,563 · median $55,698 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $78,793 · median $37,832 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,861 – $107,688 · median $69,335 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $17,861 – $76,053 · median $34,518 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,450 – $69,975 · median $27,166 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $9,383 – $62,100 · median $18,313 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,526 – $57,659 · median $15,456 | 21 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $155,366 · median $107,770 | 21 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,861 – $89,193 · median $50,412 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,952 – $72,311 · median $29,991 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $17,861 – $145,218 · median $98,442 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,861 – $87,091 · median $47,870 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,204 – $74,256 · median $32,344 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,861 – $109,741 · median $71,170 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,861 – $78,112 · median $37,008 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $13,206 – $68,042 · median $24,827 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,861 – $84,459 · median $44,686 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $15,005 – $70,838 · median $28,209 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,505 – $63,845 · median $19,750 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,861 – $97,347 · median $60,093 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,952 – $72,311 · median $29,991 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,280 – $63,495 · median $19,328 | 21 plans |
| 849 | Radiotherapy | $17,861 – $99,636 · median $62,139 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $17,861 – $145,103 · median $100,016 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,861 – $86,504 · median $47,159 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $79,236 · median $38,367 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $17,861 – $135,548 · median $92,710 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,861 – $90,032 · median $51,426 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,175 – $72,656 · median $30,409 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,861 – $83,394 · median $43,397 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,553 – $67,027 · median $23,600 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,273 – $65,039 · median $21,195 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $17,861 – $76,315 · median $34,834 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,108 – $64,781 · median $20,883 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,861 – $89,357 · median $50,610 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $13,183 – $68,007 · median $24,784 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,034 – $61,558 · median $17,964 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $17,861 – $183,253 · median $130,697 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,861 – $85,802 · median $46,309 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,943 – $67,634 · median $24,334 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,861 – $96,377 · median $55,333 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $16,752 – $73,554 · median $29,486 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,861 – $86,303 · median $43,924 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $11,359 – $65,171 · median $19,993 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,861 – $100,717 · median $65,962 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,861 – $78,678 · median $40,096 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,861 – $76,040 · median $36,701 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $17,861 – $133,965 · median $90,460 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,861 – $84,543 · median $41,931 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $15,305 – $71,304 · median $26,938 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $17,861 – $122,855 · median $80,461 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,861 – $79,677 · median $36,420 | 20 plans |
| 906 | Hand procedures for injuries | $17,861 – $90,102 · median $48,227 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $17,861 – $125,247 · median $82,028 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,861 – $86,875 · median $44,572 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $15,922 – $72,264 · median $28,026 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,861 – $79,093 · median $35,760 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $11,504 – $65,398 · median $20,250 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,861 – $81,427 · median $38,402 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,337 – $60,475 · median $16,674 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,861 – $79,511 · median $36,232 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,105 – $64,777 · median $19,547 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,861 – $83,099 · median $40,296 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,754 – $67,339 · median $22,448 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,633 – $60,935 · median $17,266 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,861 – $80,481 · median $37,331 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,804 – $67,417 · median $22,537 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $17,861 – $595,608 · median $404,142 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $17,861 – $177,836 · median $126,865 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,861 – $109,573 · median $70,277 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $17,861 – $131,944 · median $86,414 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,861 – $89,386 · median $47,416 | 20 plans |
| 935 | Non-extensive burns | $17,861 – $90,373 · median $48,534 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $17,861 – $109,448 · median $70,136 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,861 – $88,715 · median $46,656 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,861 – $85,649 · median $43,184 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $16,147 – $72,613 · median $28,421 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,974 – $63,019 · median $17,861 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $13,546 – $68,570 · median $23,843 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,358 – $58,953 · median $14,715 | 20 plans |
| 951 | Other factors influencing health status | $7,118 – $58,580 · median $14,236 | 20 plans |
| 955 | Craniotomy for multiple significant trauma | $17,861 – $180,751 · median $128,003 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $17,861 – $122,100 · median $82,896 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $193,159 · median $139,924 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $127,708 · median $86,485 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,861 – $99,105 · median $58,422 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $100,525 · median $60,031 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $76,787 · median $33,148 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,457 – $65,324 · median $20,166 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $17,861 – $170,917 · median $120,940 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,861 – $99,288 · median $58,630 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,861 – $105,784 · median $65,986 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $17,844 – $75,251 · median $31,409 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $12,592 – $67,088 · median $22,163 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $17,861 – $75,651 · median $31,862 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $140,275 · median $96,255 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $95,288 · median $54,100 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,861 – $80,067 · median $36,862 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $115,862 · median $75,963 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $81,000 · median $37,918 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,201 – $29,011 · median $17,861 | 20 plans |
| 789 | Neonates, died or transferred to another acute care facility | $17,861 – $82,689 · median $55,227 | 19 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $17,861 – $163,512 · median $113,682 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,861 – $126,734 · median $87,228 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,861 – $95,316 · median $64,400 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,861 – $128,892 · median $88,795 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,236 – $76,321 · median $50,599 | 19 plans |
| 795 | Normal newborn | $2,007 – $51,415 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $105,392 – $168,227 · median $119,428 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $66,648 – $123,852 · median $86,448 | 18 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $164,986 – $263,006 · median $184,500 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $121,002 – $186,105 · median $134,992 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $93,768 – $154,913 · median $109,094 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $137,705 – $210,260 · median $152,512 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $93,195 – $154,258 · median $108,632 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $114,221 – $178,340 · median $128,214 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $69,567 – $127,195 · median $89,574 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $87,737 – $148,006 · median $104,230 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $52,573 – $107,731 · median $74,350 | 18 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $148,840 – $231,283 · median $164,844 | 18 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $10,632 – $59,694 · median $17,861 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,861 – $75,768 · median $36,352 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,861 – $82,264 · median $44,711 | 18 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $15,029 – $64,730 · median $22,149 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $17,861 – $77,302 · median $50,751 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,017 – $69,302 · median $44,642 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,861 – $124,192 · median $78,599 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $16,331 – $66,221 · median $19,647 | 12 plans |
| 881 | Depressive neuroses | $15,573 – $65,353 · median $18,843 | 12 plans |
| 882 | Neuroses except depressive | $16,389 – $66,288 · median $19,717 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,861 – $83,690 · median $37,998 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,861 – $80,106 · median $34,232 | 12 plans |
| 885 | Psychoses | $17,861 – $75,021 · median $28,891 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,861 – $82,570 · median $36,821 | 12 plans |
| 887 | Other mental disorder diagnoses | $17,861 – $70,725 · median $24,378 | 12 plans |
No procedures match that keyword.