Queens Hospital Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,861 – $61,550 · median $43,474 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $241,741 · median $143,554 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $17,861 – $161,757 · median $109,992 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $193,809 · median $119,447 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $17,861 – $132,672 · median $94,420 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,861 – $124,822 · median $90,145 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,861 – $79,968 · median $57,715 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $17,861 – $212,254 · median $128,724 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $195,785 · median $120,441 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $17,861 – $133,260 · median $85,995 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $17,861 – $147,387 · median $93,995 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,861 – $103,000 · median $70,374 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,861 – $84,963 · median $63,113 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,861 – $65,896 · median $46,569 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,861 – $58,508 · median $39,348 | 22 plans |
| 245 | AICD generator procedures | $17,861 – $122,405 · median $79,847 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,861 – $66,882 · median $47,367 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $54,516 · median $36,614 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,861 – $85,925 · median $62,182 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,861 – $70,845 · median $49,966 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,861 – $75,009 · median $53,219 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $15,137 – $85,319 · median $61,891 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,137 – $60,039 · median $40,400 | 22 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,380 – $50,265 · median $32,956 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $15,139 – $48,635 · median $32,422 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,281 – $40,942 · median $27,535 | 22 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,053 – $46,828 · median $22,582 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,053 – $45,207 · median $20,557 | 22 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $17,861 – $705,560 · median $401,147 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $17,861 – $276,021 · median $171,170 | 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 – $536,819 · median $310,802 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $17,861 – $353,928 · median $212,882 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $17,861 – $266,746 · median $166,204 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $17,861 – $121,463 · median $83,060 | 21 plans |
| 007 | Lung transplant | $17,861 – $327,347 · median $198,650 | 21 plans |
| 008 | Simultaneous pancreas/kidney transplant | $17,861 – $136,289 · median $91,464 | 21 plans |
| 010 | Pancreas transplant | $17,861 – $199,708 · median $128,701 | 21 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $17,861 – $135,157 · median $90,799 | 21 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $17,861 – $102,789 · median $73,198 | 21 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $17,861 – $72,445 · median $51,703 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $17,861 – $328,174 · median $199,093 | 21 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $17,861 – $151,187 · median $100,212 | 21 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $17,861 – $151,187 · median $100,212 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $17,861 – $944,630 · median $529,147 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $17,861 – $198,563 · median $128,029 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $17,861 – $201,914 · median $129,997 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $17,861 – $138,448 · median $93,808 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,861 – $88,429 · median $64,443 | 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 – $142,901 · median $95,347 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $17,861 – $95,225 · median $68,586 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $17,861 – $112,022 · median $78,311 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,861 – $79,182 · median $57,386 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,861 – $69,441 · median $49,269 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $17,861 – $152,279 · median $100,853 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,861 – $84,097 · median $61,790 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,861 – $65,444 · median $46,126 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,861 – $104,966 · median $74,525 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,861 – $63,963 · median $44,673 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $55,058 · median $38,156 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $17,861 – $97,404 · median $69,914 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,861 – $66,259 · median $46,971 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,861 – $58,976 · median $41,009 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,861 – $83,506 · median $61,243 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,861 – $55,319 · median $38,436 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,289 – $47,519 · median $29,815 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $17,861 – $94,484 · median $68,134 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,861 – $65,985 · median $46,491 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,861 – $57,731 · median $40,177 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,861 – $61,934 · median $42,830 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,567 – $43,944 · median $25,930 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $17,861 – $53,469 · median $36,450 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $13,696 – $46,740 · median $28,970 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,861 – $59,187 · median $40,610 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $15,361 – $48,927 · median $31,346 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,203 – $43,466 · median $25,410 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,861 – $73,325 · median $52,705 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,861 – $58,115 · median $40,517 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $17,636 – $51,914 · median $34,594 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,766 – $45,519 · median $27,641 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,641 – $40,101 · median $22,062 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,861 – $52,740 · median $35,668 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $11,066 – $43,286 · median $25,215 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $10,044 – $41,944 · median $23,756 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,861 – $57,421 · median $40,033 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $13,231 – $46,129 · median $28,305 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,418 – $41,121 · median $22,861 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,861 – $54,236 · median $37,273 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $13,086 – $45,939 · median $28,098 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,861 – $57,151 · median $39,845 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $11,511 – $43,870 · median $25,849 | 21 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,861 – $54,247 · median $37,286 | 21 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $12,528 – $45,205 · median $27,301 | 21 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,370 – $39,745 · median $21,945 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,861 – $67,007 · median $47,490 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,455 – $51,677 · median $34,336 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,003 – $44,516 · median $26,552 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,861 – $66,114 · median $46,724 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,466 – $50,378 · median $32,923 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,098 – $43,327 · median $25,259 | 21 plans |
| 088 | CONCUSSION WITH MCC | $17,710 – $52,011 · median $34,700 | 21 plans |
| 089 | CONCUSSION WITH CC | $13,459 – $46,429 · median $28,631 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,763 – $42,887 · median $24,781 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,861 – $58,808 · median $40,839 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $13,291 – $46,208 · median $28,391 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,909 – $41,766 · median $23,562 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,861 – $91,393 · median $66,249 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,861 – $68,277 · median $48,443 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,861 – $68,277 · median $48,443 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,861 – $89,787 · median $65,270 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,861 – $64,519 · median $45,191 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $17,491 – $51,725 · median $34,388 | 21 plans |
| 100 | SEIZURES WITH MCC | $17,861 – $61,485 · median $42,867 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $11,571 – $43,949 · median $25,935 | 21 plans |
| 102 | HEADACHES WITH MCC | $14,556 – $47,870 · median $30,197 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $10,673 – $42,770 · median $24,654 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,861 – $65,959 · median $46,646 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,840 – $48,242 · median $30,602 | 21 plans |
| 115 | Extraocular procedures except orbit | $17,861 – $53,995 · median $37,015 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,861 – $56,264 · median $39,226 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,541 – $46,536 · median $28,747 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,603 – $47,931 · median $30,264 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,515 – $39,936 · median $22,008 | 21 plans |
| 123 | Neurological eye disorders | $10,083 – $41,995 · median $23,811 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,369 – $50,251 · median $32,785 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $10,366 – $42,366 · median $24,214 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,861 – $68,506 · median $49,316 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,280 – $44,881 · median $26,948 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $17,558 – $51,812 · median $34,483 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,213 – $42,165 · median $23,996 | 21 plans |
| 139 | Salivary gland procedures | $17,237 – $51,390 · median $33,842 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,861 – $105,933 · median $75,114 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,861 – $64,176 · median $44,489 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,861 – $54,678 · median $37,747 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,861 – $83,193 · median $60,953 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,861 – $57,716 · median $40,117 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,874 – $48,287 · median $30,651 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,861 – $66,577 · median $47,069 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,627 – $49,276 · median $31,726 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $10,052 – $41,954 · median $23,766 | 21 plans |
| 149 | Dysequilibrium | $9,384 – $41,077 · median $22,813 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $17,352 – $51,542 · median $34,189 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,516 – $41,250 · median $23,001 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,246 – $47,463 · median $29,755 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,935 – $40,487 · median $22,188 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,861 – $55,566 · median $38,246 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,720 – $44,145 · median $26,148 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,441 – $39,839 · median $21,976 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,861 – $55,751 · median $38,869 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,808 – $44,261 · median $26,274 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,281 – $39,628 · median $21,907 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,861 – $115,451 · median $80,036 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,861 – $70,252 · median $50,124 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,861 – $59,485 · median $41,472 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $96,442 · median $69,421 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $58,879 · median $41,043 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,997 – $51,075 · median $33,682 | 21 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $17,861 – $79,347 · median $57,539 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $17,690 – $51,985 · median $34,671 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $10,225 – $42,181 · median $24,014 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,861 – $55,405 · median $38,528 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $12,455 – $45,110 · median $27,197 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,663 – $41,443 · median $23,211 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,861 – $57,570 · median $40,112 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $13,939 – $47,059 · median $29,315 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $10,514 – $42,561 · median $24,426 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,861 – $54,923 · median $38,011 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $13,409 – $46,363 · median $28,559 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,763 – $41,575 · median $23,354 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,861 – $54,803 · median $37,882 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $12,604 – $45,306 · median $27,410 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,217 – $40,858 · median $22,575 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,534 – $49,154 · median $31,593 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,098 – $47,268 · median $29,543 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,785 – $42,917 · median $24,813 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,125 – $39,423 · median $21,840 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,542 – $50,478 · median $33,033 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $10,294 – $42,272 · median $24,112 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,817 – $39,019 · median $21,708 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,861 – $59,817 · median $41,703 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $12,428 – $45,075 · median $27,159 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,793 – $40,300 · median $22,127 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,861 – $57,858 · median $40,338 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,904 – $47,012 · median $29,265 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,500 – $39,916 · median $22,002 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,136 – $44,691 · median $26,742 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,745 – $40,238 · median $22,107 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $10,181 – $42,124 · median $23,951 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $59,878 · median $41,332 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,371 – $43,687 · median $25,650 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $17,861 – $161,990 · median $106,555 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,861 – $73,002 · median $52,008 | 21 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $17,861 – $272,870 · median $169,483 | 21 plans |
| 215 | Other heart assist system implant | $17,861 – $265,379 · median $165,472 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $149,018 · median $98,938 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,861 – $115,035 · median $79,827 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $17,861 – $153,011 · median $101,282 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $17,861 – $126,164 · median $85,519 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,861 – $76,768 · median $55,278 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $17,861 – $53,647 · median $36,330 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $57,596 · median $40,103 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,861 – $71,892 · median $51,768 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,861 – $56,678 · median $39,226 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $11,197 – $43,458 · median $25,401 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,861 – $57,733 · median $40,250 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $17,861 – $53,777 · median $36,781 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,861 – $72,974 · median $52,546 | 21 plans |
| 264 | Other circulatory system O.R. procedures | $17,861 – $87,545 · median $63,904 | 21 plans |
| 265 | AICD lead procedures | $17,861 – $89,351 · median $65,005 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $17,861 – $150,058 · median $99,548 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $17,861 – $117,843 · median $81,239 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $17,861 – $167,010 · median $109,502 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $17,861 – $104,217 · median $74,068 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $17,861 – $128,571 · median $86,933 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,861 – $86,275 · median $63,129 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,861 – $70,008 · median $49,671 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $17,861 – $97,945 · median $70,244 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,861 – $80,211 · median $58,344 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $17,861 – $177,014 · median $115,376 | 21 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $17,861 – $155,157 · median $102,543 | 21 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $17,861 – $116,521 · median $80,574 | 21 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $17,861 – $125,323 · median $85,025 | 21 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $17,861 – $81,586 · median $59,466 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,861 – $55,815 · median $38,616 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,572 – $43,951 · median $25,937 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,103 – $40,707 · median $22,411 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,861 – $60,992 · median $42,523 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $9,303 – $40,970 · median $22,696 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,048 – $38,008 · median $21,377 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,861 – $65,245 · median $45,751 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,680 – $46,719 · median $28,946 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,861 – $73,789 · median $52,489 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,861 – $54,748 · median $37,609 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $12,290 – $44,894 · median $26,962 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,812 – $42,951 · median $24,851 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,888 – $37,799 · median $21,308 | 21 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $15,416 – $48,999 · median $31,425 | 21 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,915 – $41,774 · median $23,571 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,861 – $55,766 · median $38,697 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,843 – $40,366 · median $22,149 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,545 – $36,035 · median $20,731 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,861 – $55,423 · median $38,420 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,440 – $46,404 · median $28,604 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,956 – $40,515 · median $22,202 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,604 – $47,932 · median $30,265 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,441 – $39,839 · median $21,976 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $14,748 – $48,122 · median $30,471 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,424 – $41,130 · median $22,870 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $17,861 – $53,441 · median $36,420 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,630 – $44,026 · median $26,019 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,024 – $37,977 · median $21,367 | 21 plans |
| 311 | ANGINA PECTORIS | $8,766 – $40,266 · median $22,116 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,938 – $43,118 · median $25,032 | 21 plans |
| 313 | CHEST PAIN | $8,956 – $40,515 · median $22,202 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,861 – $64,259 · median $44,669 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $12,081 – $44,618 · median $26,663 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,571 – $40,008 · median $22,032 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,861 – $110,031 · median $77,310 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,861 – $66,918 · median $47,403 | 21 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,861 – $75,690 · median $54,271 | 21 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $58,582 · median $40,842 | 21 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $17,861 – $106,689 · median $75,575 | 21 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,861 – $81,432 · median $59,354 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,861 – $75,942 · median $54,507 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $17,861 – $127,219 · median $86,138 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,861 – $68,786 · median $49,289 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,861 – $55,025 · median $38,121 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $115,018 · median $79,818 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $67,724 · median $48,174 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,861 – $55,974 · median $39,024 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,861 – $86,884 · median $63,500 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $17,861 – $63,794 · median $44,295 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,861 – $56,099 · median $38,823 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $17,861 – $90,759 · median $65,863 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,861 – $63,579 · median $44,326 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $17,861 – $54,063 · median $37,087 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,861 – $73,179 · median $52,286 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,861 – $53,298 · median $36,266 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,634 – $49,284 · median $31,735 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,861 – $67,775 · median $48,598 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,804 – $49,509 · median $31,979 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $11,059 – $43,276 · median $25,204 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,861 – $68,631 · median $48,694 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $17,861 – $53,558 · median $36,546 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,842 – $46,932 · median $29,177 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,861 – $77,111 · median $55,525 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,861 – $56,800 · median $39,600 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,737 – $50,734 · median $33,310 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $17,861 – $106,847 · median $75,672 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,861 – $65,883 · median $46,391 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,012 – $51,095 · median $33,703 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,861 – $56,287 · median $39,163 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,775 – $45,530 · median $27,654 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,763 – $40,261 · median $22,114 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,861 – $57,573 · median $40,139 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,922 – $45,723 · median $27,864 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,107 – $40,712 · median $22,417 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,861 – $63,564 · median $44,300 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $15,425 – $49,011 · median $31,438 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,085 – $43,311 · median $25,241 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,861 – $58,730 · median $40,819 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $12,377 – $45,007 · median $27,086 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,993 – $39,250 · median $21,783 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,861 – $60,480 · median $42,165 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,673 – $46,709 · median $28,935 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,407 – $41,106 · median $22,845 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $15,871 – $49,596 · median $32,074 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,917 – $43,090 · median $25,001 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,861 – $55,542 · median $38,406 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,460 – $45,116 · median $27,204 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,415 – $39,804 · median $21,965 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,861 – $52,988 · median $35,934 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,063 – $41,969 · median $23,783 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,870 – $37,774 · median $21,300 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $16,126 – $49,931 · median $32,438 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,796 – $41,618 · median $23,401 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,861 – $56,056 · median $38,893 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,817 – $44,272 · median $26,286 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,989 – $39,245 · median $21,782 | 21 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,861 – $69,606 · median $49,386 | 21 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $17,861 – $53,701 · median $36,700 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,108 – $47,281 · median $29,557 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $17,861 – $135,978 · median $91,282 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,861 – $75,056 · median $53,848 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,861 – $63,967 · median $44,676 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $17,861 – $87,701 · median $64,228 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,861 – $63,319 · median $43,594 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,861 – $54,326 · median $37,370 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,861 – $73,869 · median $53,191 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,861 – $63,898 · median $44,160 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,861 – $56,163 · median $38,284 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,861 – $87,763 · median $64,036 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,861 – $61,367 · median $42,784 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $17,201 – $51,344 · median $33,974 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,861 – $67,935 · median $48,201 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,861 – $56,096 · median $38,996 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,541 – $50,476 · median $33,031 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,861 – $88,407 · median $64,429 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,861 – $55,753 · median $38,870 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $17,861 – $52,979 · median $35,925 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $17,861 – $101,880 · median $72,643 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,861 – $66,399 · median $46,896 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $54,239 · median $37,277 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $61,053 · median $42,358 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $13,430 – $46,391 · median $28,590 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,744 – $40,236 · median $22,106 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,861 – $58,836 · median $40,676 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $14,157 – $47,345 · median $29,627 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,857 – $41,698 · median $23,489 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,861 – $56,183 · median $39,170 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,799 – $42,935 · median $24,833 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,722 – $38,894 · median $21,667 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,861 – $59,921 · median $41,452 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $12,130 – $44,683 · median $26,733 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,822 – $40,338 · median $22,140 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,861 – $56,524 · median $39,135 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,615 – $46,633 · median $28,853 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,009 – $41,898 · median $23,705 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $17,861 – $212,137 · median $135,999 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $17,861 – $143,760 · median $95,851 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $17,861 – $108,157 · median $76,416 | 21 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $17,861 – $153,712 · median $101,782 | 21 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $17,861 – $75,970 · median $54,533 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $135,284 · median $90,874 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $77,368 · median $55,725 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,861 – $57,377 · median $40,002 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $17,861 – $127,610 · median $86,368 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,861 – $85,794 · median $62,836 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,861 – $72,005 · median $51,451 | 21 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $17,861 – $82,646 · median $60,446 | 21 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $17,861 – $59,840 · median $41,719 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,861 – $121,666 · median $83,162 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,861 – $76,521 · median $55,097 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,861 – $67,785 · median $48,608 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $112,333 · median $78,468 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,861 – $64,321 · median $45,009 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,602 – $47,929 · median $30,262 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $86,140 · median $63,047 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,861 – $67,311 · median $48,094 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,861 – $58,031 · median $40,458 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,861 – $77,243 · median $55,620 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,861 – $62,963 · median $43,897 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,861 – $54,908 · median $37,995 | 21 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,861 – $70,766 · median $50,209 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,861 – $81,831 · median $59,692 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,861 – $63,721 · median $43,986 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,861 – $54,806 · median $37,885 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,861 – $61,157 · median $42,638 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,547 – $49,171 · median $31,611 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $17,861 – $88,950 · median $64,760 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,861 – $68,339 · median $48,567 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,861 – $59,838 · median $41,664 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,861 – $88,184 · median $64,293 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,861 – $61,283 · median $42,725 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $16,855 – $50,889 · median $33,479 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,861 – $70,382 · median $50,527 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,573 – $47,891 · median $30,221 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,861 – $80,997 · median $59,037 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,861 – $58,178 · median $40,307 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $17,540 – $51,789 · median $34,458 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,861 – $72,389 · median $51,660 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,861 – $57,688 · median $40,088 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,861 – $57,688 · median $39,962 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $17,861 – $53,469 · median $36,450 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,861 – $60,709 · median $42,325 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,202 – $50,031 · median $32,547 | 21 plans |
| 509 | ARTHROSCOPY | $17,861 – $57,716 · median $38,816 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,861 – $75,876 · median $54,445 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,861 – $61,088 · median $42,590 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,861 – $55,261 · median $38,374 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,861 – $53,576 · median $36,565 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,800 – $45,563 · median $27,690 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,861 – $79,739 · median $57,904 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,861 – $61,921 · median $43,170 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $53,363 · median $36,337 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,861 – $89,772 · median $65,261 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,861 – $61,264 · median $42,713 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $17,861 – $52,382 · median $35,158 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,861 – $76,809 · median $55,480 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,861 – $63,510 · median $44,278 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $17,861 – $53,894 · median $36,907 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $10,219 – $42,173 · median $24,005 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $16,696 – $50,679 · median $33,251 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $10,180 – $42,122 · median $23,949 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,537 – $43,904 · median $25,887 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,430 – $39,824 · median $21,971 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,861 – $62,097 · median $43,120 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $16,246 – $50,089 · median $32,610 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $10,983 – $43,177 · median $25,096 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,861 – $59,504 · median $41,282 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $13,319 – $46,244 · median $28,430 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,487 – $41,212 · median $22,960 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,861 – $70,415 · median $49,960 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $14,534 – $47,840 · median $30,165 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,368 – $41,055 · median $22,790 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,861 – $61,968 · median $42,873 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $15,129 – $48,622 · median $31,015 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,823 – $42,966 · median $24,867 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,861 – $56,887 · median $39,661 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $12,100 – $44,643 · median $26,690 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $16,396 – $50,285 · median $32,823 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,478 – $42,513 · median $24,374 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,905 – $50,955 · median $33,551 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,250 – $42,214 · median $24,050 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,861 – $54,303 · median $37,346 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,844 – $42,994 · median $24,897 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,861 – $59,358 · median $41,384 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,295 – $47,527 · median $29,824 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,264 – $42,233 · median $24,069 | 21 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $17,861 – $52,882 · median $35,820 | 21 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $11,221 – $43,489 · median $25,435 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,861 – $54,625 · median $37,691 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $12,801 – $45,565 · median $27,692 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,392 – $41,087 · median $22,824 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,861 – $78,384 · median $56,642 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,861 – $56,358 · median $39,292 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $14,342 – $47,588 · median $29,891 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $154,251 · median $102,010 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $86,789 · median $63,442 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $61,673 · median $42,998 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,861 – $135,141 · median $90,790 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,861 – $72,656 · median $51,563 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,861 – $56,623 · median $39,036 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,861 – $82,492 · median $60,304 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,861 – $57,985 · median $40,305 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $52,481 · median $35,228 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,861 – $57,626 · median $39,714 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,861 – $55,837 · median $38,244 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,861 – $62,509 · median $43,111 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,861 – $61,482 · median $41,805 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $17,861 – $62,656 · median $43,683 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $15,350 – $48,912 · median $31,330 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,655 – $42,745 · median $24,627 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,861 – $63,625 · median $44,359 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,572 – $46,577 · median $28,792 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,861 – $57,716 · median $39,354 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,545 – $46,541 · median $28,753 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,732 – $42,848 · median $24,394 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,009 – $44,524 · median $26,561 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,526 – $38,637 · median $21,583 | 21 plans |
| 602 | CELLULITIS WITH MCC | $17,861 – $52,976 · median $35,921 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $11,058 – $43,275 · median $25,202 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,861 – $53,248 · median $36,213 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,596 – $43,982 · median $25,971 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,861 – $55,302 · median $38,418 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,849 – $43,001 · median $24,905 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,861 – $66,328 · median $46,826 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $17,861 – $52,379 · median $35,153 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $96,811 · median $69,552 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $60,600 · median $42,249 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,631 – $49,281 · median $31,731 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,861 – $93,730 · median $67,674 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,861 – $60,290 · median $41,774 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,593 – $45,291 · median $27,394 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,861 – $76,024 · median $54,608 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $17,861 – $53,637 · median $36,631 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $15,905 – $49,641 · median $32,122 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $17,861 – $98,832 · median $70,785 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,861 – $65,835 · median $46,509 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,592 – $51,857 · median $34,531 | 21 plans |
| 637 | DIABETES WITH MCC | $17,861 – $52,763 · median $35,693 | 21 plans |
| 638 | DIABETES WITH CC | $11,515 – $43,875 · median $25,854 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,866 – $39,083 · median $21,729 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $16,672 – $50,648 · median $33,217 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,810 – $41,636 · median $23,420 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $15,581 – $49,215 · median $31,660 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,861 – $56,077 · median $39,050 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,973 – $45,791 · median $27,937 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,776 – $41,591 · median $23,372 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $17,861 – $115,404 · median $80,012 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,861 – $86,979 · median $63,558 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $17,861 – $79,393 · median $57,582 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $17,861 – $139,633 · median $93,427 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,861 – $75,282 · median $53,889 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,861 – $63,002 · median $43,924 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,861 – $82,469 · median $60,283 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,861 – $58,893 · median $41,060 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $17,861 – $53,550 · median $36,537 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,861 – $71,362 · median $50,747 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,822 – $50,846 · median $33,432 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,888 – $45,679 · median $27,815 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,861 – $80,187 · median $58,322 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $17,861 – $53,936 · median $36,946 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,556 – $46,556 · median $28,769 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,861 – $86,005 · median $62,964 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $17,861 – $55,913 · median $38,981 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,903 – $45,698 · median $27,837 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,861 – $76,835 · median $55,327 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $17,861 – $54,267 · median $37,307 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,998 – $44,510 · median $26,545 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,861 – $57,172 · median $39,820 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,739 – $46,796 · median $29,030 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $17,861 – $104,941 · median $74,510 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,861 – $66,813 · median $47,653 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,861 – $54,561 · median $37,622 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $17,861 – $53,515 · median $36,500 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $11,159 – $43,408 · median $25,347 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,625 – $38,767 · median $21,625 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,861 – $59,843 · median $41,491 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $13,216 – $46,109 · median $28,283 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,092 – $40,693 · median $22,395 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,692 – $48,048 · median $30,391 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,076 – $41,985 · median $23,800 | 21 plans |
| 693 | URINARY STONES WITH MCC | $17,861 – $52,996 · median $35,942 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,810 – $41,636 · median $23,420 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,158 – $47,347 · median $29,629 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,685 – $40,158 · median $22,081 | 21 plans |
| 697 | Urethral stricture | $12,577 – $45,270 · median $27,371 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,861 – $56,466 · median $39,239 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,804 – $45,568 · median $27,695 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,715 – $40,198 · median $22,094 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,861 – $60,748 · median $42,353 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $17,861 – $53,195 · median $36,157 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,861 – $65,802 · median $46,313 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $17,861 – $53,507 · median $35,549 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,861 – $60,254 · median $42,008 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,428 – $46,388 · median $28,586 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $17,861 – $52,594 · median $35,472 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,797 – $44,246 · median $26,258 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,861 – $65,987 · median $46,493 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,818 – $52,153 · median $34,854 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,861 – $59,345 · median $41,168 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,465 – $49,063 · median $31,495 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $57,258 · median $39,919 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $14,097 – $47,266 · median $29,541 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,147 – $40,765 · median $22,474 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $15,851 – $49,570 · median $32,045 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,345 – $41,026 · median $22,757 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $52,979 · median $35,925 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,258 – $42,224 · median $24,060 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $13,821 – $46,904 · median $29,147 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,619 – $38,759 · median $21,623 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,861 – $63,423 · median $44,217 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $15,239 – $48,767 · median $31,172 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $17,861 – $98,629 · median $70,661 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,861 – $61,701 · median $42,922 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,861 – $53,762 · median $36,266 | 21 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $17,861 – $99,714 · median $71,322 | 21 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $17,861 – $58,732 · median $40,800 | 21 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $17,244 – $51,400 · median $34,035 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,861 – $58,870 · median $40,818 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,048 – $48,516 · median $30,900 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,861 – $60,969 · median $42,132 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,865 – $45,649 · median $27,783 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,861 – $56,363 · median $39,295 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $11,992 – $44,501 · median $26,536 | 21 plans |
| 748 | Female reproductive system reconstructive procedures | $17,102 – $51,213 · median $33,832 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,861 – $71,432 · median $50,682 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,188 – $50,013 · median $32,527 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,861 – $58,584 · median $40,843 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,936 – $47,055 · median $29,312 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,989 – $44,498 · median $26,532 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,768 – $52,087 · median $34,782 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,796 – $45,558 · median $27,684 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,035 – $39,304 · median $21,801 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,373 – $45,003 · median $27,080 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,958 – $39,204 · median $21,768 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $17,444 – $51,662 · median $34,320 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $13,508 – $46,493 · median $28,205 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,957 – $40,516 · median $22,204 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $11,735 – $44,165 · median $26,170 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,997 – $59,124 · median $38,722 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $13,596 – $46,608 · median $30,525 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $10,966 – $43,154 · median $28,263 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,997 – $55,395 · median $36,280 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $13,330 – $46,259 · median $30,296 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,358 – $43,669 · median $28,600 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,136 – $49,800 · median $32,616 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,136 – $44,716 · median $29,286 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,136 – $44,716 · median $29,286 | 21 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $17,861 – $119,098 · median $81,870 | 21 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,861 – $76,794 · median $55,297 | 21 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,861 – $55,820 · median $38,917 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,861 – $89,792 · median $65,273 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,861 – $58,100 · median $40,507 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,880 – $46,981 · median $29,231 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $9,084 – $40,683 · median $26,644 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,001 – $39,260 · median $25,712 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,861 – $66,514 · median $47,008 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,548 – $49,172 · median $31,613 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,949 – $44,445 · median $26,475 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,662 – $51,949 · median $34,631 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,586 – $43,969 · median $25,957 | 21 plans |
| 813 | Coagulation disorders | $17,861 – $54,275 · median $37,316 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,861 – $63,220 · median $44,076 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,756 – $45,505 · median $27,627 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,278 – $39,624 · median $21,906 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,861 – $70,550 · median $50,056 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $16,170 – $49,988 · median $32,500 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,250 – $42,214 · median $24,050 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $145,837 · median $97,070 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $65,560 · median $46,232 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,358 – $47,609 · median $29,914 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $17,861 – $117,212 · median $80,922 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,861 – $65,015 · median $45,705 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,451 – $49,045 · median $31,475 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $119,617 · median $82,131 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,861 – $67,662 · median $48,006 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $55,180 · median $38,287 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,861 – $79,597 · median $57,772 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $17,861 – $52,866 · median $35,803 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,450 – $47,730 · median $30,045 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $9,383 – $41,075 · median $22,811 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,526 – $37,323 · median $21,152 | 21 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $17,861 – $138,448 · median $92,732 | 21 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,861 – $63,968 · median $44,678 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,952 – $49,703 · median $32,190 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $17,861 – $125,420 · median $85,082 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,861 – $62,193 · median $42,965 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,204 – $51,347 · median $33,977 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,861 – $81,332 · median $59,281 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,861 – $54,605 · median $37,670 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $13,206 – $46,096 · median $28,269 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,861 – $59,968 · median $41,659 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $15,005 – $48,458 · median $30,837 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,505 – $42,549 · median $24,413 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,861 – $70,859 · median $50,275 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,952 – $49,703 · median $32,190 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,280 – $42,254 · median $24,093 | 21 plans |
| 849 | Radiotherapy | $17,861 – $72,793 · median $51,860 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $17,861 – $125,273 · median $84,996 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,861 – $61,696 · median $43,014 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,861 – $55,555 · median $38,689 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $17,861 – $113,007 · median $78,806 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,861 – $64,677 · median $45,181 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,175 – $49,995 · median $32,508 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,861 – $59,068 · median $41,181 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,553 – $45,238 · median $27,337 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,273 – $43,558 · median $25,510 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $17,861 – $53,087 · median $36,040 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,108 – $43,341 · median $25,274 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,861 – $64,107 · median $44,567 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $13,183 – $46,066 · median $28,236 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,034 – $40,617 · median $22,313 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $17,861 – $174,246 · median $113,751 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,861 – $61,103 · median $42,600 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,943 – $45,751 · median $27,894 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,861 – $70,039 · median $49,323 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $16,752 – $50,753 · median $33,240 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,861 – $61,527 · median $42,462 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $11,359 – $43,670 · median $22,663 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,861 – $73,706 · median $52,684 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,861 – $55,083 · median $38,350 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,861 – $52,854 · median $36,477 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $17,861 – $110,975 · median $81,011 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,861 – $60,039 · median $41,436 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $15,305 – $48,852 · median $30,536 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $17,861 – $96,713 · median $71,303 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,861 – $55,927 · median $38,598 | 20 plans |
| 906 | Hand procedures for injuries | $17,861 – $64,737 · median $44,955 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $17,861 – $99,784 · median $73,567 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,861 – $62,010 · median $42,795 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $15,922 – $49,664 · median $31,768 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,861 – $55,434 · median $37,631 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $11,504 – $43,862 · median $22,954 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,861 – $57,406 · median $39,618 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,337 – $39,702 · median $17,861 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,861 – $55,787 · median $38,501 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,105 – $43,337 · median $22,157 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,861 – $58,819 · median $40,594 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,754 – $45,502 · median $25,446 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,633 – $40,091 · median $17,861 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,861 – $56,607 · median $39,067 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,804 – $45,568 · median $25,546 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $17,861 – $594,209 · median $348,921 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $17,861 – $167,293 · median $110,511 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,861 – $81,190 · median $59,463 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $17,861 – $108,380 · median $79,652 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,861 – $64,132 · median $44,512 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $17,861 – $64,966 · median $45,241 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $17,861 – $81,084 · median $59,386 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,861 – $63,564 · median $43,868 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,861 – $60,974 · median $41,877 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $16,147 – $49,959 · median $32,217 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,974 – $41,852 · median $19,901 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $13,546 – $46,543 · median $27,027 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,358 – $38,416 · median $17,861 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,118 – $38,101 · median $17,861 | 20 plans |
| 955 | Craniotomy for multiple significant trauma | $17,861 – $171,035 · median $112,471 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $17,861 – $95,743 · median $70,588 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $186,963 · median $121,622 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $102,942 · median $75,896 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,861 – $72,344 · median $50,947 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,861 – $73,545 · median $52,193 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,861 – $53,485 · median $36,023 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,457 – $43,799 · median $22,859 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $17,861 – $158,411 · median $105,859 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,861 – $72,499 · median $51,056 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,861 – $77,988 · median $56,569 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $17,844 – $52,188 · median $34,179 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $12,592 – $45,289 · median $25,123 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $17,861 – $52,526 · median $34,626 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $119,076 · median $85,254 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $69,119 · median $49,277 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,861 – $56,257 · median $38,825 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,861 – $87,736 · median $64,684 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,861 – $57,045 · median $39,369 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,201 – $28,943 · median $14,506 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $17,861 – $58,473 · median $41,178 | 19 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $17,861 – $126,769 · median $91,952 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,861 – $95,691 · median $69,410 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,861 – $69,142 · median $49,118 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,861 – $97,514 · median $70,732 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,236 – $53,091 · median $37,388 | 19 plans |
| 795 | NORMAL NEWBORN | $2,007 – $32,046 · median $22,445 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $85,633 – $154,957 · median $104,049 | 18 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $61,076 – $97,993 · median $72,247 | 18 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $131,948 – $262,388 · median $167,417 | 18 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $95,528 – $177,908 · median $116,072 | 18 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $78,266 – $137,867 · median $95,097 | 18 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $108,895 – $208,915 · median $135,902 | 18 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $77,903 – $137,025 · median $94,656 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $91,230 – $167,939 · median $110,850 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $62,926 – $102,284 · median $75,410 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $74,443 – $129,000 · median $90,452 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $50,283 – $79,633 · median $58,323 | 18 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $118,304 – $230,740 · median $150,099 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $10,169 – $39,042 · median $25,570 | 18 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,861 – $52,625 · median $34,770 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,861 – $58,114 · median $40,107 | 18 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $14,375 – $43,298 · median $28,357 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $17,861 – $53,921 · median $37,510 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,017 – $47,161 · median $32,259 | 18 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,861 – $94,365 · median $74,052 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $15,619 – $44,557 · median $21,453 | 12 plans |
| 881 | Depressive neuroses | $14,894 – $43,824 · median $20,457 | 12 plans |
| 882 | Neuroses except depressive | $15,675 – $44,613 · median $21,529 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,861 – $59,319 · median $38,654 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,861 – $56,290 · median $35,756 | 12 plans |
| 885 | Psychoses | $17,861 – $51,993 · median $31,545 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,861 – $58,372 · median $37,748 | 12 plans |
| 887 | Other mental disorder diagnoses | $17,861 – $48,363 · median $26,618 | 12 plans |
No procedures match that keyword.