NYC Health + Hospitals/South Brooklyn Health — 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 – $53,992 · median $32,999 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $221,232 · median $124,914 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $17,861 – $148,034 · median $106,700 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $177,367 · median $101,069 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $17,861 – $125,517 · median $87,867 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,861 – $114,232 · median $82,668 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,861 – $71,206 · median $48,912 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $17,861 – $194,247 · median $110,245 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $17,861 – $179,175 · median $102,052 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $17,861 – $121,955 · median $70,948 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $134,884 · median $84,353 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,861 – $94,262 · median $55,894 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,861 – $77,755 · median $56,270 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,861 – $51,641 · median $37,372 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,861 – $41,369 · median $29,938 | 22 plans |
| 245 | AICD generator procedures | $17,861 – $112,020 · median $65,547 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,861 – $53,012 · median $38,364 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $35,819 · median $25,922 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,861 – $78,635 · median $47,400 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,861 – $58,522 · median $40,297 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,861 – $64,310 · median $39,613 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,696 – $78,080 · median $47,098 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,696 – $43,499 · median $28,300 | 22 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,380 – $36,655 · median $22,006 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $15,139 – $36,655 · median $20,516 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,281 – $36,655 · median $13,829 | 22 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,639 – $25,128 · median $16,457 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,639 – $23,447 · median $15,356 | 22 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $17,861 – $645,702 · median $397,722 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $17,861 – $252,605 · median $162,851 | 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 – $491,277 · median $303,162 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $17,861 – $323,902 · median $202,058 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $17,861 – $244,116 · median $151,818 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $17,861 – $111,158 · median $70,404 | 21 plans |
| 007 | Lung transplant | $17,861 – $299,576 · median $185,778 | 21 plans |
| 008 | Simultaneous pancreas/kidney transplant | $17,861 – $124,726 · median $78,712 | 21 plans |
| 010 | Pancreas transplant | $17,861 – $182,765 · median $114,251 | 21 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $17,861 – $123,690 · median $78,078 | 21 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $17,861 – $94,069 · median $59,940 | 21 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $17,861 – $60,746 · median $39,535 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $17,861 – $300,333 · median $186,241 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $17,861 – $138,361 · median $87,061 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $17,861 – $138,361 · median $87,061 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $17,861 – $864,491 · median $531,693 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $17,861 – $181,718 · median $113,610 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $17,861 – $184,785 · median $116,652 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $17,861 – $126,702 · median $82,814 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,861 – $80,927 · median $51,893 | 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 – $130,778 · median $82,418 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $17,861 – $87,146 · median $55,701 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $17,861 – $102,519 · median $65,114 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,861 – $70,112 · median $45,270 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,861 – $56,569 · median $36,978 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $17,861 – $139,360 · median $87,673 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,861 – $76,946 · median $49,455 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,861 – $51,013 · median $33,758 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,861 – $96,061 · median $61,160 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,861 – $48,954 · median $32,315 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $36,574 · median $24,734 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $17,861 – $89,141 · median $56,922 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,861 – $52,145 · median $34,269 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,861 – $42,020 · median $28,069 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,861 – $76,125 · median $48,952 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,861 – $36,936 · median $24,955 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,289 – $26,091 · median $18,837 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $17,861 – $86,468 · median $55,285 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,861 – $51,765 · median $34,036 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,861 – $40,289 · median $27,009 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,861 – $46,133 · median $30,587 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,567 – $22,138 · median $16,298 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $17,861 – $34,364 · median $23,381 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $13,696 – $25,037 · median $18,249 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,861 – $42,314 · median $28,248 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $15,361 – $28,049 · median $19,901 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,203 – $21,642 · median $15,785 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,861 – $61,970 · median $40,434 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,861 – $40,824 · median $27,566 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $17,636 – $32,202 · median $22,496 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,766 – $23,771 · median $17,635 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,641 – $18,153 · median $12,962 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,861 – $33,351 · median $22,784 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $11,066 – $21,456 · median $15,605 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $10,044 – $20,064 · median $14,448 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,861 – $39,859 · median $26,745 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $13,231 – $24,403 · median $17,867 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,418 – $19,211 · median $13,999 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,861 – $35,430 · median $24,033 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $13,086 – $24,206 · median $17,795 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,861 – $39,483 · median $27,368 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $11,511 – $22,061 · median $16,159 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,861 – $35,446 · median $24,043 | 21 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $12,528 – $23,446 · median $17,380 | 21 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,370 – $17,861 · median $12,730 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,861 – $53,186 · median $34,906 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,455 – $31,872 · median $21,980 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,003 – $22,731 · median $16,750 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,861 – $51,944 · median $34,145 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,466 – $30,066 · median $20,998 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,098 – $21,499 · median $15,642 | 21 plans |
| 088 | CONCUSSION WITH MCC | $17,710 – $32,337 · median $22,821 | 21 plans |
| 089 | CONCUSSION WITH CC | $13,459 – $24,714 · median $18,353 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,763 – $21,042 · median $15,337 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,861 – $41,786 · median $27,926 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $13,291 – $24,485 · median $17,897 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,909 – $19,880 · median $14,315 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,861 – $83,639 · median $53,553 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,861 – $54,951 · median $35,987 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,861 – $54,951 · median $35,987 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,861 – $82,170 · median $52,654 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,861 – $49,727 · median $32,788 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $17,491 – $31,939 · median $22,016 | 21 plans |
| 100 | SEIZURES WITH MCC | $17,861 – $45,509 · median $30,205 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $11,571 – $22,143 · median $16,232 | 21 plans |
| 102 | HEADACHES WITH MCC | $14,556 – $26,579 · median $19,247 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $10,673 – $20,921 · median $15,133 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,861 – $51,728 · median $35,153 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,840 – $27,097 · median $19,542 | 21 plans |
| 115 | Extraocular procedures except orbit | $17,861 – $35,095 · median $23,828 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,861 – $38,249 · median $26,442 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,541 – $24,825 · median $18,597 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,603 – $26,664 · median $19,726 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,515 – $17,982 · median $12,912 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $10,083 – $20,117 · median $14,486 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,369 – $29,889 · median $20,902 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $10,366 – $20,502 · median $14,764 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,861 – $55,270 · median $37,240 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,280 – $23,109 · median $17,083 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $17,558 – $32,060 · median $22,567 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,213 – $20,293 · median $14,791 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $17,237 – $31,473 · median $21,763 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,861 – $96,946 · median $61,701 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,861 – $49,250 · median $32,496 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,861 – $36,044 · median $24,409 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,861 – $75,689 · median $48,685 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,861 – $40,269 · median $26,996 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,874 – $27,159 · median $19,494 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,861 – $52,588 · median $34,539 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,627 – $28,535 · median $20,166 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $10,052 – $20,074 · median $14,632 | 21 plans |
| 149 | DYSEQUILIBRIUM | $9,384 – $19,165 · median $13,800 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $17,352 – $31,684 · median $21,878 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,516 – $19,344 · median $13,999 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,246 – $26,013 · median $18,980 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,935 – $18,553 · median $13,399 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,861 – $37,280 · median $25,166 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,720 – $22,346 · median $16,411 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,441 – $17,881 · median $12,693 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,861 – $37,536 · median $25,443 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,808 – $22,466 · median $16,517 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,281 – $17,861 · median $12,619 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,861 – $105,657 · median $67,035 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,861 – $57,697 · median $37,668 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,861 – $42,728 · median $28,502 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $88,260 · median $57,029 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $41,885 · median $27,986 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,997 – $31,035 · median $21,525 | 21 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $17,861 – $70,342 · median $45,411 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $17,690 – $32,301 · median $22,213 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $10,225 – $20,310 · median $14,625 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,861 – $37,055 · median $25,215 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $12,455 – $23,347 · median $17,293 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,663 – $19,544 · median $14,073 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,861 – $40,065 · median $26,871 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $13,939 – $25,451 · median $18,490 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $10,514 – $20,704 · median $14,941 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,861 – $36,386 · median $24,619 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $13,409 – $24,646 · median $17,964 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,763 – $19,681 · median $14,172 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,861 – $36,218 · median $24,516 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $12,604 – $23,550 · median $17,472 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,217 – $18,938 · median $13,703 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,534 – $28,365 · median $20,073 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,098 – $25,743 · median $18,648 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,785 – $21,073 · median $15,267 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,125 – $17,861 · median $12,383 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,542 – $30,206 · median $21,074 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $10,294 – $20,404 · median $14,698 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,817 – $17,861 · median $12,084 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,861 – $43,189 · median $28,785 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $12,428 – $23,311 · median $17,261 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,793 – $18,360 · median $13,223 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,861 – $40,466 · median $27,117 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,904 – $25,387 · median $18,455 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,500 – $17,961 · median $12,893 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,136 – $22,912 · median $16,910 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,745 – $18,295 · median $13,068 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $10,181 – $20,251 · median $14,647 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $43,274 · median $28,836 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,371 – $21,871 · median $15,992 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $17,861 – $148,248 · median $94,812 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,861 – $61,521 · median $40,010 | 21 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $17,861 – $249,721 · median $155,250 | 21 plans |
| 215 | Other heart assist system implant | $17,861 – $242,865 · median $151,052 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $136,376 · median $85,846 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $105,276 · median $66,802 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $17,861 – $140,030 · median $88,083 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $17,861 – $115,461 · median $73,039 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,861 – $66,756 · median $43,215 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $17,861 – $34,611 · median $23,532 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $40,102 · median $26,894 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,861 – $59,978 · median $39,420 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,861 – $38,825 · median $26,112 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $11,197 – $21,634 · median $15,838 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,861 – $40,292 · median $27,354 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $17,861 – $34,793 · median $24,173 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,861 – $61,482 · median $40,406 | 21 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,861 – $80,118 · median $51,397 | 21 plans |
| 265 | AICD LEAD PROCEDURES | $17,861 – $81,771 · median $52,409 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $17,861 – $137,327 · median $87,059 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $17,861 – $107,846 · median $68,703 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $17,861 – $152,841 · median $96,044 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $17,861 – $95,376 · median $60,740 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $17,861 – $117,664 · median $74,388 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,861 – $78,956 · median $50,686 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $57,358 · median $37,460 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $17,861 – $89,636 · median $57,225 | 21 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $17,861 – $71,543 · median $46,361 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $17,861 – $161,997 · median $101,534 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $17,861 – $141,994 · median $89,286 | 21 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $17,861 – $106,636 · median $67,694 | 21 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $17,861 – $114,691 · median $72,567 | 21 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $17,861 – $73,454 · median $47,317 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,861 – $37,626 · median $25,378 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,572 – $22,145 · median $16,233 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,103 – $18,782 · median $13,509 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,861 – $44,824 · median $29,785 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $9,303 – $19,054 · median $13,720 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,048 – $17,861 · median $11,074 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $50,735 · median $33,405 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,680 – $25,015 · median $18,233 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,861 – $62,614 · median $40,679 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,861 – $36,143 · median $24,470 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $12,290 – $23,123 · median $17,168 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,812 – $21,109 · median $15,299 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,888 – $17,861 · median $10,986 | 21 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $15,416 – $28,149 · median $19,956 | 21 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,915 – $19,888 · median $14,321 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,861 – $37,557 · median $25,336 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,843 – $18,428 · median $13,286 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,545 – $17,861 · median $9,373 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,861 – $37,080 · median $25,044 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,440 – $24,689 · median $17,995 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,956 – $18,582 · median $13,328 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,604 – $26,666 · median $19,150 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,441 – $17,881 · median $12,693 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $14,748 – $26,930 · median $19,293 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,424 – $19,220 · median $13,848 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $17,861 – $34,325 · median $23,382 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,630 – $22,223 · median $16,303 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,024 – $17,861 · median $11,156 | 21 plans |
| 311 | Angina pectoris | $8,766 – $18,324 · median $13,094 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,938 – $21,281 · median $15,451 | 21 plans |
| 313 | Chest pain | $8,956 – $18,582 · median $13,382 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $49,365 · median $32,566 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $12,081 – $22,837 · median $16,844 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,571 – $18,057 · median $12,960 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,861 – $100,696 · median $63,998 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,861 – $53,062 · median $34,830 | 21 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $17,861 – $65,257 · median $42,297 | 21 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $17,861 – $41,472 · median $27,733 | 21 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $17,861 – $97,638 · median $62,125 | 21 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $17,861 – $73,241 · median $47,186 | 21 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $17,861 – $65,608 · median $42,512 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $17,861 – $116,426 · median $73,630 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,861 – $55,659 · median $36,426 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,861 – $36,528 · median $24,706 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $105,260 · median $66,792 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $54,183 · median $35,516 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,861 – $37,846 · median $25,513 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,861 – $79,513 · median $51,430 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $17,861 – $48,718 · median $32,170 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,861 – $38,020 · median $25,619 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $17,861 – $83,059 · median $53,198 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,861 – $48,420 · median $31,988 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $17,861 – $35,189 · median $23,886 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $61,766 · median $40,160 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $34,125 · median $23,351 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,634 – $28,546 · median $20,281 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,861 – $54,254 · median $36,265 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,804 – $28,858 · median $20,449 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $11,059 – $21,446 · median $15,671 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,861 – $55,444 · median $36,288 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $17,861 – $34,488 · median $23,456 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,842 – $25,275 · median $18,394 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,861 – $67,233 · median $43,507 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,861 – $38,994 · median $26,216 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,737 – $30,561 · median $21,288 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $97,783 · median $62,214 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $51,623 · median $33,949 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,012 – $31,063 · median $21,540 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,861 – $38,281 · median $25,779 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,775 – $23,783 · median $17,640 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,763 – $18,319 · median $13,191 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,861 – $40,069 · median $26,874 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,922 – $23,983 · median $17,713 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,107 – $18,787 · median $13,514 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,861 – $48,400 · median $31,975 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $15,425 – $28,165 · median $19,965 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,085 – $21,481 · median $15,627 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,861 – $41,679 · median $27,860 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $12,377 – $23,241 · median $17,199 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,993 – $17,861 · median $12,230 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,861 – $44,111 · median $29,349 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,673 – $25,005 · median $18,225 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,407 – $19,196 · median $13,862 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $15,871 – $28,979 · median $21,074 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,917 – $21,252 · median $15,425 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,861 – $37,245 · median $25,145 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,460 – $23,353 · median $17,299 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,415 – $17,861 · median $12,787 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,861 – $33,695 · median $22,971 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,063 – $20,090 · median $14,466 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,870 – $17,861 · median $10,962 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $16,126 – $29,445 · median $20,660 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,796 – $19,726 · median $14,228 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,861 – $37,960 · median $25,583 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,817 – $22,478 · median $16,527 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,989 – $17,861 · median $12,256 | 21 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,861 – $56,799 · median $37,118 | 21 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $17,861 – $34,687 · median $23,578 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,108 – $25,761 · median $18,658 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $17,861 – $124,442 · median $78,538 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,861 – $64,377 · median $41,768 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $48,959 · median $32,318 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $17,861 – $80,260 · median $52,262 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,861 – $48,058 · median $31,766 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,861 – $35,556 · median $24,110 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,861 – $62,727 · median $41,166 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,861 – $48,863 · median $32,259 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,861 – $38,109 · median $25,674 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,861 – $80,318 · median $51,519 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,861 – $45,344 · median $30,104 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $17,201 – $31,409 · median $21,728 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,861 – $54,477 · median $35,696 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,861 – $38,016 · median $25,617 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,541 – $30,203 · median $21,073 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,861 – $80,907 · median $51,880 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,861 – $37,539 · median $25,460 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $17,861 – $33,683 · median $22,964 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $17,861 – $93,237 · median $59,430 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,861 – $52,340 · median $34,388 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $35,434 · median $24,087 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $44,908 · median $29,837 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $13,430 – $24,675 · median $17,985 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,744 – $18,293 · median $13,066 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,861 – $41,825 · median $27,949 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $14,157 – $25,850 · median $18,706 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,857 – $19,809 · median $14,439 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,861 – $38,137 · median $25,691 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,799 – $21,092 · median $15,284 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,722 – $17,861 · median $11,986 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $43,334 · median $28,873 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $12,130 – $22,904 · median $16,902 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,822 – $18,399 · median $13,227 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,861 – $38,612 · median $25,981 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,615 – $24,926 · median $18,168 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,009 – $20,016 · median $14,431 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $17,861 – $194,139 · median $121,216 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $17,861 – $131,564 · median $84,059 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $17,861 – $98,982 · median $63,560 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $17,861 – $140,672 · median $91,694 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,861 – $65,647 · median $42,536 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $123,807 · median $78,910 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $67,591 · median $43,726 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,861 – $39,797 · median $27,212 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $17,861 – $116,784 · median $73,849 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,861 – $78,516 · median $50,416 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,861 – $60,134 · median $39,160 | 21 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,861 – $74,928 · median $48,219 | 21 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,861 – $43,221 · median $28,804 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,861 – $111,344 · median $70,518 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,861 – $66,413 · median $43,005 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,861 – $54,268 · median $35,729 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $102,803 · median $65,288 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $49,452 · median $32,619 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,602 – $26,662 · median $19,147 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $78,832 · median $50,610 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,861 – $53,608 · median $35,164 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,861 – $40,707 · median $27,479 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,861 – $67,417 · median $43,620 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,861 – $47,563 · median $31,463 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,861 – $36,365 · median $24,606 | 21 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,861 – $58,412 · median $38,106 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,861 – $73,796 · median $47,526 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,861 – $48,617 · median $32,108 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,861 – $36,223 · median $24,519 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,861 – $45,053 · median $30,437 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,547 – $28,388 · median $20,086 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $17,861 – $81,404 · median $52,185 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,861 – $55,038 · median $36,040 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,861 – $43,219 · median $28,803 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,861 – $80,703 · median $51,755 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,861 – $45,227 · median $30,032 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $16,855 – $30,776 · median $21,744 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,861 – $57,878 · median $37,873 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,573 – $26,609 · median $19,764 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,861 – $72,636 · median $46,816 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,861 – $40,911 · median $27,389 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $17,540 – $32,028 · median $22,065 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,861 – $60,668 · median $39,487 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,861 – $40,230 · median $26,972 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,861 – $40,230 · median $26,972 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $17,861 – $34,364 · median $23,381 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,861 – $44,429 · median $30,379 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,202 – $29,584 · median $21,458 | 21 plans |
| 509 | ARTHROSCOPY | $17,861 – $40,269 · median $26,996 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,861 – $65,516 · median $42,456 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,861 – $44,957 · median $29,867 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,861 – $36,856 · median $24,906 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,861 – $34,513 · median $23,948 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,800 – $23,817 · median $17,652 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,861 – $70,887 · median $45,745 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,861 – $46,114 · median $30,576 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $34,217 · median $23,291 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,861 – $82,156 · median $52,645 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,861 – $45,202 · median $30,017 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $17,861 – $32,853 · median $22,513 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,861 – $66,814 · median $43,251 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,861 – $48,324 · median $31,929 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $17,861 – $34,955 · median $24,133 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $10,219 – $20,302 · median $14,619 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $16,696 – $30,485 · median $21,226 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $10,180 – $20,249 · median $14,581 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,537 – $22,097 · median $16,255 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,430 – $17,866 · median $12,806 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,861 – $46,359 · median $30,726 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $16,246 – $29,665 · median $20,780 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $10,983 – $21,343 · median $15,505 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,861 – $42,754 · median $28,518 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $13,319 – $24,523 · median $17,921 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,487 – $19,305 · median $13,965 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $57,924 · median $37,807 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $14,534 – $26,538 · median $19,191 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,368 – $19,143 · median $13,937 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,861 – $46,181 · median $30,616 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $15,129 – $27,625 · median $19,671 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,823 – $21,124 · median $15,397 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,861 – $39,116 · median $26,290 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $12,100 – $22,863 · median $16,866 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $16,396 – $29,937 · median $21,050 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,478 – $20,654 · median $14,898 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,905 – $30,868 · median $21,595 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,250 – $20,345 · median $14,690 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,861 – $35,524 · median $24,091 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,844 – $21,153 · median $15,338 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $42,552 · median $28,394 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,295 – $26,102 · median $18,843 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,264 – $20,363 · median $14,663 | 21 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $17,861 – $33,548 · median $23,071 | 21 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $11,221 – $21,666 · median $15,810 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,861 – $35,971 · median $24,364 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $12,801 – $23,818 · median $17,653 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,392 – $19,175 · median $13,814 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,861 – $69,003 · median $44,591 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,861 – $38,380 · median $25,840 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $14,342 – $26,187 · median $18,890 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $141,164 · median $88,778 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $79,426 · median $50,973 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $45,770 · median $30,365 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $123,676 · median $78,984 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $61,039 · median $39,715 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $38,749 · median $26,066 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,861 – $74,715 · median $48,089 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,861 – $40,642 · median $27,225 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $32,991 · median $22,588 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,861 – $40,143 · median $26,919 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,861 – $37,656 · median $25,396 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,861 – $46,933 · median $31,077 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $45,504 · median $30,202 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $17,861 – $47,137 · median $31,202 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $15,350 – $28,028 · median $19,890 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,655 – $20,895 · median $15,110 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,861 – $48,484 · median $32,027 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,572 – $24,868 · median $18,126 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,861 – $40,269 · median $26,996 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,545 – $24,830 · median $18,601 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,732 – $21,001 · median $15,204 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,009 – $22,740 · median $16,920 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,526 – $17,861 · median $11,793 | 21 plans |
| 602 | CELLULITIS WITH MCC | $17,861 – $33,678 · median $22,962 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $11,058 – $21,444 · median $15,594 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,861 – $34,057 · median $23,192 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,596 – $22,177 · median $16,262 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,861 – $36,913 · median $24,941 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,849 – $21,160 · median $15,408 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,861 – $52,242 · median $34,328 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $17,861 – $32,849 · median $22,577 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $88,597 · median $56,589 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $44,278 · median $29,451 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,631 – $28,541 · median $20,169 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $85,778 · median $54,863 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $43,847 · median $29,187 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,593 – $23,535 · median $17,743 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,861 – $65,723 · median $42,582 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $17,861 – $34,598 · median $23,524 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $15,905 – $29,041 · median $20,441 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $17,861 – $90,447 · median $57,722 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,861 – $51,556 · median $33,908 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,592 – $32,122 · median $22,116 | 21 plans |
| 637 | DIABETES WITH MCC | $17,861 – $33,383 · median $22,801 | 21 plans |
| 638 | DIABETES WITH CC | $11,515 – $22,066 · median $16,164 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,866 – $17,861 · median $12,097 | 21 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $16,672 – $30,442 · median $21,202 | 21 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $9,810 – $19,744 · median $14,217 | 21 plans |
| 642 | Inborn errors of metabolism | $15,581 – $28,450 · median $20,349 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,861 – $37,990 · median $25,601 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,973 – $24,053 · median $17,739 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,776 – $19,698 · median $14,184 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $17,861 – $105,613 · median $67,009 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,861 – $79,600 · median $51,080 | 21 plans |
| 652 | Kidney transplant | $17,861 – $70,406 · median $45,450 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $17,861 – $127,787 · median $80,586 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,861 – $64,691 · median $41,951 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,861 – $47,618 · median $31,496 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,861 – $74,683 · median $48,069 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,861 – $41,906 · median $27,999 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $17,861 – $34,476 · median $23,449 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,861 – $59,240 · median $38,613 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,822 – $30,717 · median $21,352 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,888 – $23,936 · median $17,696 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,861 – $71,511 · median $46,127 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $17,861 – $35,013 · median $23,778 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,556 – $24,846 · median $18,109 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,861 – $78,708 · median $50,534 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $17,861 – $37,761 · median $25,583 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,903 – $23,957 · median $17,703 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,861 – $66,850 · median $43,273 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $17,861 – $35,473 · median $24,060 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,998 – $22,724 · median $16,744 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,861 – $39,512 · median $26,533 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,739 – $25,095 · median $18,291 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $17,861 – $96,038 · median $61,146 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,861 – $52,915 · median $34,790 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,861 – $35,881 · median $24,310 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $17,861 – $34,428 · median $23,420 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $11,159 – $21,582 · median $15,723 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,625 – $17,861 · median $11,896 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,861 – $43,226 · median $28,807 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $13,216 – $24,383 · median $17,859 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,092 – $18,767 · median $13,594 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,692 – $26,827 · median $19,237 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,076 – $20,107 · median $14,497 | 21 plans |
| 693 | URINARY STONES WITH MCC | $17,861 – $33,706 · median $22,978 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,810 – $19,744 · median $14,217 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,158 – $25,853 · median $18,984 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,685 – $18,213 · median $13,011 | 21 plans |
| 697 | Urethral stricture | $12,577 – $23,512 · median $17,720 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,861 – $38,531 · median $25,932 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,804 – $23,822 · median $17,654 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,715 – $18,254 · median $13,125 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,861 – $44,484 · median $29,578 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $17,861 – $33,983 · median $23,148 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,861 – $51,510 · median $33,880 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $17,861 – $34,417 · median $23,413 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,861 – $43,797 · median $30,111 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,428 – $24,671 · median $18,461 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $17,861 – $33,147 · median $22,673 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,797 – $22,451 · median $16,503 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,861 – $51,767 · median $34,037 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,818 – $32,535 · median $22,340 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,861 – $42,534 · median $28,383 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,465 – $28,239 · median $20,005 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $39,632 · median $27,180 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $14,097 – $25,740 · median $18,647 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,147 – $18,842 · median $13,663 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $15,851 – $28,943 · median $20,387 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,345 – $19,112 · median $13,762 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $33,683 · median $23,722 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,258 – $20,355 · median $14,657 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $13,821 – $25,236 · median $18,372 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,619 – $17,861 · median $11,892 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,861 – $48,202 · median $31,916 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $15,239 – $27,826 · median $19,915 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $17,861 – $90,262 · median $57,608 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,861 – $45,809 · median $30,389 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,861 – $34,772 · median $23,630 | 21 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $17,861 – $91,254 · median $58,216 | 21 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $17,861 – $41,681 · median $27,861 | 21 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $17,244 – $31,487 · median $21,770 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,861 – $41,873 · median $27,979 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,048 – $27,478 · median $19,591 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,861 – $44,792 · median $29,766 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,865 – $23,906 · median $17,685 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,861 – $38,387 · median $25,844 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $11,992 – $22,716 · median $16,737 | 21 plans |
| 748 | Female reproductive system reconstructive procedures | $17,102 – $31,228 · median $21,729 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,861 – $59,338 · median $38,673 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,188 – $29,559 · median $20,999 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $41,475 · median $27,735 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,936 – $25,447 · median $18,487 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,989 – $22,712 · median $16,739 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,768 – $32,443 · median $22,591 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,796 – $23,812 · median $17,650 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,035 – $17,861 · median $12,312 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,373 – $23,235 · median $17,195 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,958 – $17,861 · median $12,125 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $17,444 – $31,852 · median $22,750 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $13,508 – $24,781 · median $18,062 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,957 – $18,584 · median $13,340 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $11,735 – $22,367 · median $16,535 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,997 – $37,878 · median $26,141 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $13,596 – $24,901 · median $17,536 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $10,966 – $21,319 · median $15,239 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,997 – $34,011 · median $23,472 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $13,330 – $24,538 · median $17,396 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,358 – $21,852 · median $15,620 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,136 – $28,210 · median $19,469 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,136 – $22,938 · median $15,830 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,136 – $22,938 · median $15,023 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $17,861 – $108,994 · median $69,548 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,861 – $66,793 · median $43,238 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,861 – $37,633 · median $25,982 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,861 – $82,174 · median $52,656 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,861 – $40,803 · median $27,476 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,880 – $25,344 · median $18,933 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $9,084 – $18,756 · median $13,209 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,001 – $17,281 · median $12,187 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,861 – $52,501 · median $34,486 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,548 – $28,390 · median $20,087 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,949 – $22,658 · median $16,801 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,662 – $32,250 · median $22,185 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,586 – $22,164 · median $16,250 | 21 plans |
| 813 | Coagulation disorders | $17,861 – $35,485 · median $24,067 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,861 – $47,921 · median $31,682 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,756 – $23,757 · median $17,630 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,278 – $17,861 · median $12,616 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,861 – $58,112 · median $37,922 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $16,170 – $29,525 · median $20,704 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,250 – $20,345 · median $14,829 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $133,465 · median $84,529 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $51,173 · median $33,673 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,358 – $26,217 · median $19,345 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $17,861 – $107,268 · median $68,022 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,861 – $50,417 · median $33,210 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,451 – $28,214 · median $20,212 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $109,469 · median $69,370 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $54,096 · median $35,463 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $36,743 · median $24,837 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,861 – $70,690 · median $45,624 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $17,861 – $33,525 · median $23,435 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,450 – $26,384 · median $18,997 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $9,383 – $19,163 · median $13,799 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,526 – $17,861 · median $10,524 | 21 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $126,702 · median $79,922 | 21 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,861 – $48,961 · median $32,552 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,952 – $29,128 · median $20,488 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $17,861 – $114,780 · median $72,622 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,861 – $46,492 · median $30,807 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,204 – $31,414 · median $21,731 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,861 – $73,101 · median $47,101 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,861 – $35,943 · median $24,348 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $13,206 – $24,369 · median $17,854 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,861 – $43,400 · median $28,914 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $15,005 – $27,398 · median $19,547 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,505 – $20,692 · median $15,064 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,861 – $58,541 · median $38,185 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,952 – $29,128 · median $20,488 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,280 – $20,386 · median $14,679 | 21 plans |
| 849 | RADIOTHERAPY | $17,861 – $61,230 · median $39,831 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $17,861 – $114,645 · median $72,539 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,861 – $45,802 · median $30,385 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $37,264 · median $25,319 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $17,861 – $103,419 · median $65,665 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,861 – $49,947 · median $32,922 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,175 – $29,534 · median $20,709 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,861 – $42,149 · median $28,147 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,553 – $23,480 · median $17,410 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,273 – $21,738 · median $15,874 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $17,861 – $33,832 · median $23,878 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,108 – $21,512 · median $15,730 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,861 – $49,154 · median $32,437 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $13,183 – $24,338 · median $17,843 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,034 – $18,688 · median $13,424 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $17,861 – $159,464 · median $99,983 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,861 – $44,977 · median $29,879 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,943 – $24,012 · median $17,723 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,861 – $57,401 · median $38,944 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $16,752 – $30,588 · median $21,385 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,861 – $45,566 · median $31,558 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $11,359 – $21,854 · median $16,006 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,861 – $62,500 · median $42,403 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,861 – $36,608 · median $24,837 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,861 – $33,509 · median $23,100 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $17,861 – $101,560 · median $68,903 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,861 – $43,499 · median $29,511 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $15,305 – $27,945 · median $19,941 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $17,861 – $88,508 · median $60,048 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,861 – $37,782 · median $25,633 | 20 plans |
| 906 | Hand procedures for injuries | $17,861 – $50,029 · median $33,942 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $17,861 – $91,318 · median $61,955 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,861 – $46,238 · median $31,370 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $15,922 – $29,073 · median $21,130 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,861 – $37,096 · median $25,168 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $11,504 – $22,052 · median $16,152 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,861 – $39,838 · median $27,028 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,337 – $17,861 · median $12,597 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,861 – $37,587 · median $25,501 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,105 – $21,509 · median $15,702 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,861 – $41,802 · median $28,361 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,754 – $23,753 · median $17,861 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,633 – $18,143 · median $13,074 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,861 – $38,726 · median $26,274 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,804 – $23,822 · median $17,861 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $17,861 – $543,798 · median $368,937 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $17,861 – $153,100 · median $103,870 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,861 – $72,904 · median $49,462 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $17,861 – $99,186 · median $67,292 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,861 – $49,188 · median $33,371 | 20 plans |
| 935 | Non-extensive burns | $17,861 – $50,348 · median $34,158 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $17,861 – $72,758 · median $49,362 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,861 – $48,400 · median $32,836 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,861 – $44,798 · median $30,393 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $16,147 – $29,484 · median $20,781 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,974 – $19,968 · median $14,484 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $13,546 – $24,832 · median $18,187 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,358 – $17,861 · median $11,553 | 20 plans |
| 951 | Other factors influencing health status | $7,118 – $17,861 · median $11,227 | 20 plans |
| 955 | Craniotomy for multiple significant trauma | $17,861 – $156,525 · median $106,194 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $17,861 – $87,621 · median $59,446 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $171,102 · median $116,083 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $94,209 · median $63,916 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,861 – $60,606 · median $41,118 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $62,275 · median $42,250 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $34,387 · median $23,460 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,457 – $21,987 · median $16,199 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $17,861 – $144,972 · median $98,356 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,861 – $60,822 · median $41,264 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,861 – $68,453 · median $46,441 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $17,844 – $32,583 · median $22,474 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $12,592 – $23,533 · median $17,679 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $17,861 – $33,053 · median $22,731 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $108,974 · median $73,933 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $56,122 · median $38,076 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,861 – $38,240 · median $25,944 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $80,292 · median $54,474 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $39,336 · median $26,687 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,201 – $26,488 · median $17,861 | 20 plans |
| 789 | Neonates, died or transferred to another acute care facility | $17,861 – $37,203 · median $26,795 | 19 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $17,861 – $113,682 · median $77,939 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,861 – $77,637 · median $54,666 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,861 – $48,266 · median $34,785 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,861 – $79,752 · median $56,032 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,236 – $31,623 · median $22,604 | 19 plans |
| 795 | Normal newborn | $2,007 – $10,236 · median $6,902 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $73,449 – $141,811 · median $96,211 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $47,986 – $89,679 · median $60,843 | 18 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $121,471 – $240,128 · median $162,913 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $83,708 – $162,815 · median $110,461 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $65,809 – $126,170 · median $85,600 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $97,569 – $191,192 · median $129,713 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $65,433 – $125,400 · median $85,077 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $79,252 – $153,692 · median $104,271 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $49,904 – $93,606 · median $63,507 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $61,846 – $118,056 · median $80,094 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,735 – $70,740 · median $47,993 | 18 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $107,324 – $211,164 · median $143,263 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $9,706 – $17,861 · median $11,935 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,861 – $33,190 · median $24,219 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,861 – $40,821 · median $27,695 | 18 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $13,720 – $21,468 · median $15,659 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $17,861 – $32,483 · median $23,283 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,017 – $25,473 · median $18,208 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,861 – $90,078 · median $69,507 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $14,908 – $22,774 · median $17,438 | 12 plans |
| 881 | Depressive neuroses | $14,216 – $22,013 · median $16,681 | 12 plans |
| 882 | Neuroses except depressive | $14,953 – $22,832 · median $17,468 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,861 – $42,497 · median $32,792 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,861 – $38,286 · median $29,543 | 12 plans |
| 885 | Psychoses | $17,861 – $32,312 · median $24,933 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,861 – $41,181 · median $31,777 | 12 plans |
| 887 | Other mental disorder diagnoses | $17,499 – $27,265 · median $21,038 | 12 plans |
No procedures match that keyword.