St John's Riverside Hospital — 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $211,100 – $369,310 · median $281,238 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $139,301 – $280,816 · median $202,744 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $53,416 – $280,816 · median $73,542 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $40,710 – $280,816 · median $56,408 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $26,415 – $280,816 · median $39,265 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $129,190 – $198,526 · median $155,784 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $79,624 – $146,412 · median $123,261 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $54,708 – $106,381 · median $89,560 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $35,072 – $60,662 · median $50,701 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $56,457 – $98,195 · median $79,770 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $37,740 – $65,630 · median $54,959 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $44,334 – $76,494 · median $63,195 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $30,433 – $51,154 · median $42,081 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $24,623 – $42,143 · median $34,731 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $60,138 – $104,384 · median $81,803 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $33,364 – $59,383 · median $47,566 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $22,240 – $40,170 · median $32,585 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $41,564 – $71,308 · median $57,356 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $21,357 – $37,308 · median $28,595 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,046 – $28,112 · median $23,640 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $38,595 – $67,580 · median $55,664 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $22,725 – $39,832 · median $31,786 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $18,382 – $31,322 · median $26,176 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $33,012 – $58,472 · median $46,945 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,201 – $27,713 · median $22,763 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,549 – $19,764 · median $16,043 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $37,449 – $66,698 · median $52,727 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $22,562 – $38,640 · median $32,530 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,640 – $30,137 · median $25,372 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $20,146 – $33,683 · median $24,778 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,417 – $17,041 · median $14,235 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,098 – $25,524 · median $19,304 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,085 – $18,590 · median $14,034 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $24,980 – $41,469 · median $31,048 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,478 – $23,613 · median $18,114 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,508 – $29,931 · median $24,013 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,389 – $20,565 · median $15,915 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,132 – $15,545 · median $12,614 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $26,940 – $48,550 · median $40,816 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,869 – $32,422 · median $26,684 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,170 – $25,754 · median $21,682 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $19,917 – $34,696 · median $27,446 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,356 – $17,606 · median $14,146 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,125 – $11,909 · median $9,722 | 17 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $14,663 – $24,544 · median $19,681 | 17 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,025 – $15,087 · median $12,578 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,224 – $13,835 · median $11,105 | 17 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,455 – $30,998 · median $23,997 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,720 – $18,393 · median $14,878 | 17 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,734 – $13,563 · median $10,745 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $15,555 – $26,208 · median $20,867 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,607 – $17,776 · median $14,246 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,294 – $33,151 · median $25,400 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,373 – $15,980 · median $13,453 | 17 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $15,562 – $26,172 · median $21,771 | 17 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,169 – $17,615 · median $13,818 | 17 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,912 – $12,832 · median $10,214 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $19,903 – $38,259 · median $28,390 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,254 – $15,754 · median $12,505 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,172 – $39,465 · median $31,528 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,029 – $23,496 · median $18,764 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,758 – $15,931 · median $12,756 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,639 – $39,369 · median $32,508 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,254 – $22,815 · median $18,089 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,049 – $15,351 · median $12,142 | 17 plans |
| 088 | CONCUSSION WITH MCC | $14,228 – $26,568 · median $21,939 | 17 plans |
| 089 | CONCUSSION WITH CC | $10,899 – $19,919 · median $16,252 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,787 – $16,193 · median $11,456 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,282 – $30,993 · median $24,042 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,767 – $17,774 · median $13,839 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,118 – $13,414 · median $10,644 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $36,235 – $62,752 · median $49,736 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,929 – $41,299 · median $34,769 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,929 – $37,757 · median $31,787 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $35,605 – $62,998 · median $53,037 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $21,688 – $37,320 · median $29,008 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,057 – $22,869 · median $19,252 | 17 plans |
| 100 | SEIZURES WITH MCC | $19,879 – $34,341 · median $26,736 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $9,420 – $15,756 · median $12,547 | 17 plans |
| 102 | HEADACHES WITH MCC | $11,758 – $20,901 · median $16,004 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $8,717 – $14,592 · median $11,587 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $22,546 – $43,431 · median $31,250 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,981 – $21,337 · median $17,963 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,411 – $27,099 · median $21,143 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,764 – $31,713 · median $26,256 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,963 – $20,759 · median $13,818 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,795 – $22,193 · median $17,054 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,027 – $12,896 · median $9,615 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,255 – $13,927 · median $11,048 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,178 – $22,898 · median $19,277 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,476 – $13,814 · median $11,630 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $24,066 – $45,940 · median $34,109 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,976 – $16,267 · median $13,695 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,110 – $26,064 · median $20,871 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,356 – $14,996 · median $12,308 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,858 – $20,573 · median $17,320 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $41,944 – $65,444 · median $55,096 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $21,483 – $35,886 · median $30,212 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $15,819 – $26,762 · median $22,531 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $32,825 – $57,606 · median $44,156 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,631 – $29,976 · median $25,182 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,007 – $21,152 · median $16,810 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $22,915 – $36,567 · median $28,034 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,597 – $21,407 · median $16,856 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,230 – $15,411 · median $11,379 | 17 plans |
| 149 | DYSEQUILIBRIUM | $7,707 – $12,900 · median $10,508 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $13,948 – $22,770 · median $19,169 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,810 – $13,350 · median $10,731 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,515 – $20,582 · median $16,670 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,355 – $12,728 · median $9,610 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,349 – $26,645 · median $20,917 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,537 – $16,397 · median $12,795 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,969 – $11,355 · median $9,488 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $16,459 – $29,569 · median $23,268 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,606 – $16,257 · median $12,931 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,843 – $11,696 · median $9,846 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $45,680 – $81,649 · median $67,415 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $25,107 – $44,178 · median $35,946 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $18,686 – $32,503 · median $26,819 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $38,218 – $70,289 · median $51,021 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $18,324 – $31,523 · median $26,460 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,670 – $23,483 · median $19,730 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,213 – $24,303 · median $19,441 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,366 – $14,128 · median $11,379 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,252 – $29,385 · median $24,739 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,112 – $17,092 · median $14,389 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,925 – $13,222 · median $10,931 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,543 – $30,109 · median $23,576 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,275 – $19,073 · median $15,779 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,592 – $13,147 · median $11,069 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,965 – $27,273 · median $20,908 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,860 – $18,221 · median $14,547 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,004 – $13,090 · median $10,508 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,893 – $26,885 · median $21,250 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,229 – $17,258 · median $14,529 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,576 – $12,931 · median $10,077 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,524 – $21,341 · median $16,799 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,399 – $19,089 · median $15,108 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,804 – $14,706 · median $12,028 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,721 – $11,117 · median $9,076 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,314 – $22,979 · median $18,075 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,420 – $14,242 · median $11,694 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,480 – $10,837 · median $8,933 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $18,884 – $32,832 · median $24,185 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,092 – $17,279 · median $13,690 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,244 – $13,480 · median $9,894 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,715 – $30,731 · median $24,476 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,247 – $18,656 · median $14,920 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,015 – $12,231 · median $10,131 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,862 – $16,586 · median $12,885 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,207 – $12,037 · median $9,285 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,331 – $14,254 · median $11,265 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $18,920 – $31,358 · median $24,788 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,264 – $15,824 · median $12,434 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $63,951 – $119,660 · median $91,384 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $26,747 – $46,835 · median $36,188 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $104,538 – $176,941 · median $143,400 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $95,259 – $168,115 · median $135,588 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $63,859 – $110,260 · median $88,363 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $58,858 – $98,678 · median $82,655 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $76,442 – $133,573 · median $112,452 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $52,441 – $90,847 · median $75,646 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,517 – $80,523 · median $65,854 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $49,359 – $87,280 · median $68,592 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $30,902 – $55,077 · median $45,942 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $83,683 – $140,571 · median $116,817 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $60,425 – $103,042 · median $81,529 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $77,218 – $135,105 · median $107,794 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $52,672 – $90,038 · median $72,183 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,218 – $101,864 · median $83,369 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $40,792 – $70,002 · median $56,763 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $49,886 – $83,263 · median $64,720 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $28,993 – $48,661 · median $37,776 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,204 – $24,074 · median $20,267 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $33,711 – $59,849 · median $48,344 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $22,509 – $39,453 · median $32,624 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,103 – $31,691 · median $26,460 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $48,410 – $78,493 · median $66,081 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $23,097 – $40,721 · median $33,677 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,722 – $27,488 · median $22,621 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $34,089 – $58,095 · median $46,532 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $25,461 – $44,190 · median $37,203 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,559 – $30,055 · median $25,303 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,085 – $47,590 · median $35,708 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,011 – $28,403 · median $22,717 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,127 – $17,166 · median $14,452 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $27,944 – $46,918 · median $39,500 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,641 – $32,333 · median $27,221 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $33,851 – $57,426 · median $48,346 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,016 – $32,597 · median $26,595 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,282 – $28,500 · median $23,338 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $26,731 – $48,938 · median $38,776 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $34,725 – $56,574 · median $46,064 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $35,434 – $61,218 · median $47,072 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $59,266 – $108,195 · median $91,087 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $46,619 – $84,535 · median $71,168 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $65,921 – $118,737 · median $96,324 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $41,270 – $72,035 · median $59,518 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $50,831 – $87,596 · median $71,157 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $34,226 – $59,868 · median $48,488 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $24,962 – $42,257 · median $35,575 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $38,808 – $67,504 · median $55,853 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $31,046 – $56,137 · median $46,758 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,497 – $27,481 · median $22,358 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,421 – $15,815 · median $12,785 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,487 – $12,439 · median $9,975 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $19,585 – $34,149 · median $26,703 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,643 – $12,813 · median $10,235 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,877 – $8,465 · median $7,127 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $22,121 – $37,339 · median $29,520 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,072 – $18,735 · median $15,313 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $27,216 – $44,916 · median $37,530 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,861 – $25,597 · median $21,549 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,983 – $17,759 · median $14,950 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,187 – $22,240 · median $17,812 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,825 – $14,836 · median $12,008 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,752 – $9,726 · median $7,798 | 17 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,432 – $18,945 · median $15,949 | 17 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,123 – $12,327 · median $9,209 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,468 – $27,771 · median $22,802 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,283 – $12,621 · median $8,856 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,700 – $7,603 · median $6,400 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,263 – $27,303 · median $21,406 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,884 – $18,483 · median $14,351 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,372 – $12,295 · median $9,968 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,796 – $19,420 · median $16,349 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,969 – $11,400 · median $9,410 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $11,909 – $19,903 · median $15,290 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,739 – $13,052 · median $10,377 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,081 – $26,620 · median $20,540 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,466 – $16,328 · median $12,685 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,215 – $20,825 · median $16,320 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,626 – $12,900 · median $10,266 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,858 – $9,579 · median $7,672 | 17 plans |
| 311 | ANGINA PECTORIS | $7,223 – $12,092 · median $9,299 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,924 – $14,958 · median $11,868 | 17 plans |
| 313 | CHEST PAIN | $7,372 – $12,534 · median $10,068 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,533 – $36,264 · median $28,986 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,819 – $16,756 · median $13,480 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,070 – $11,999 · median $9,492 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $43,552 – $75,557 · median $59,939 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $23,119 – $38,559 · median $32,462 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $50,300 – $87,978 · median $71,243 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $24,233 – $43,260 · median $35,648 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,026 – $27,668 · median $23,072 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $45,510 – $78,240 · median $64,347 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $23,600 – $41,090 · median $34,174 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,591 – $28,962 · median $23,783 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $34,465 – $62,837 · median $52,901 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $21,255 – $36,021 · median $30,325 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $16,666 – $27,804 · median $23,407 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $35,987 – $61,926 · median $51,271 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $21,128 – $36,468 · median $29,604 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $15,452 – $25,921 · median $21,822 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,852 – $47,469 · median $36,639 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,995 – $26,686 · median $21,594 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,602 – $22,307 · median $17,407 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,630 – $44,156 · median $35,327 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,736 – $22,543 · median $18,978 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,019 – $16,903 · median $13,879 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $24,140 – $41,573 · median $32,805 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,151 – $25,214 · median $20,462 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,199 – $19,210 · median $15,339 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $29,198 – $50,655 · median $39,914 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,084 – $29,756 · median $24,384 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,466 – $23,603 · median $19,100 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $42,303 – $74,116 · median $58,769 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $22,501 – $38,053 · median $31,263 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,682 – $22,191 · median $18,682 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,778 – $28,616 · median $24,091 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,363 – $17,119 · median $14,226 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,220 – $12,882 · median $10,420 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,545 – $30,274 · median $23,546 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,478 – $18,055 · median $14,169 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,490 – $12,411 · median $10,104 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $21,119 – $36,359 · median $27,743 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,439 – $20,757 · median $16,766 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,039 – $15,441 · median $12,217 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $18,236 – $31,012 · median $24,746 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,051 – $17,041 · median $13,709 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,618 – $10,968 · median $8,821 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $19,279 – $33,752 · median $26,501 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,066 – $18,587 · median $14,690 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,725 – $13,114 · median $10,714 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,788 – $24,220 · median $18,928 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,908 – $15,169 · median $12,548 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,334 – $27,142 · median $22,668 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,116 – $16,830 · median $13,776 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,948 – $11,850 · median $9,626 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $14,811 – $25,178 · median $20,423 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,239 – $13,795 · median $11,233 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,737 – $9,683 · median $7,871 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,988 – $22,098 · median $17,871 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,030 – $13,608 · median $10,962 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $16,641 – $28,055 · median $22,426 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,613 – $16,229 · median $13,125 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,615 – $11,216 · median $8,976 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $53,739 – $95,361 · median $77,132 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $27,972 – $50,016 · median $40,776 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $21,359 – $37,260 · median $30,977 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $34,786 – $64,476 · median $51,072 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,972 – $33,904 · median $28,543 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,609 – $27,112 · median $22,825 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $27,264 – $49,896 · median $42,006 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $21,317 – $35,432 · median $29,830 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $16,704 – $26,149 · median $22,015 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $34,811 – $61,064 · median $49,196 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,808 – $34,225 · median $27,836 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,830 – $23,198 · median $19,157 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $23,725 – $40,149 · median $33,093 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $16,664 – $28,316 · median $23,118 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,313 – $22,747 · median $18,163 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $35,063 – $55,444 · median $45,389 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,460 – $29,614 · median $24,931 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,806 – $24,441 · median $19,285 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $40,353 – $67,745 · median $54,724 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $22,809 – $36,156 · median $30,439 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,557 – $27,748 · median $19,911 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $19,621 – $33,189 · median $26,280 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,876 – $17,859 · median $14,472 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,206 – $11,597 · median $8,736 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $18,298 – $30,485 · median $24,331 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,446 – $19,066 · median $15,315 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,078 – $14,396 · median $11,773 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,716 – $28,907 · median $23,068 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,815 – $14,814 · median $12,106 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,405 – $10,663 · median $8,440 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $18,946 – $31,668 · median $26,372 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,858 – $16,482 · median $13,166 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,267 – $12,380 · median $9,073 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,920 – $28,290 · median $23,169 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,021 – $18,826 · median $15,304 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,197 – $13,884 · median $11,297 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $83,637 – $146,014 · median $117,596 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $56,794 – $105,236 · median $84,020 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $42,817 – $78,486 · median $66,076 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $60,701 – $118,110 · median $89,287 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $28,517 – $49,304 · median $41,508 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $53,466 – $98,107 · median $72,953 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $29,351 – $51,990 · median $41,576 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,428 – $32,406 · median $27,282 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $50,453 – $89,842 · median $73,001 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $34,038 – $60,390 · median $50,465 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $26,152 – $46,243 · median $38,821 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $32,499 – $57,679 · median $44,975 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $18,897 – $32,595 · median $26,610 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $48,120 – $85,207 · median $70,105 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $28,846 – $51,193 · median $42,742 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $23,636 – $42,623 · median $35,284 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,456 – $74,533 · median $57,021 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,570 – $37,150 · median $30,915 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,794 – $20,386 · median $17,084 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $34,173 – $58,358 · median $47,360 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $23,353 – $41,290 · median $32,692 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,819 – $32,288 · median $24,613 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $29,276 – $51,081 · median $41,281 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $20,760 – $35,941 · median $29,400 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,956 – $27,514 · median $22,910 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $25,414 – $43,031 · median $32,813 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $32,013 – $57,059 · median $45,247 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $21,212 – $34,788 · median $29,033 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,895 – $26,761 · median $22,324 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $19,683 – $36,491 · median $30,721 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,534 – $21,439 · median $18,049 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $35,277 – $59,971 · median $48,517 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,966 – $41,602 · median $33,066 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $18,896 – $32,378 · median $26,288 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $34,976 – $62,034 · median $51,697 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $19,758 – $34,427 · median $28,984 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,559 – $24,725 · median $20,816 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $25,185 – $45,228 · median $35,673 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,771 – $22,342 · median $18,354 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $31,515 – $56,172 · median $44,600 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,906 – $30,066 · median $24,465 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,096 – $23,951 · median $19,130 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $26,381 – $46,456 · median $35,258 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,614 – $29,917 · median $24,702 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,614 – $29,546 · median $24,590 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,098 – $25,335 · median $19,622 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,416 – $36,925 · median $25,815 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,048 – $24,840 · median $20,156 | 17 plans |
| 509 | ARTHROSCOPY | $17,631 – $22,972 · median $19,487 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $28,461 – $47,126 · median $39,675 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,642 – $34,537 · median $27,544 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $16,167 – $27,954 · median $22,359 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,162 – $28,079 · median $22,185 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,383 – $18,041 · median $14,373 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $30,765 – $54,764 · median $43,394 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,138 – $35,351 · median $28,306 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,035 – $25,886 · median $21,015 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $35,599 – $63,256 · median $51,882 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $19,747 – $34,100 · median $27,826 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $14,450 – $24,796 · median $20,596 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $29,018 – $51,866 · median $42,021 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $21,086 – $36,588 · median $30,242 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,351 – $28,259 · median $19,851 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,361 – $14,031 · median $11,077 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,434 – $22,461 · median $17,947 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,330 – $13,634 · median $10,816 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,393 – $16,750 · median $13,826 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,960 – $12,283 · median $9,690 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $20,243 – $34,374 · median $27,779 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,082 – $22,487 · median $18,742 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,960 – $14,861 · median $11,385 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $18,697 – $31,590 · median $25,442 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,789 – $18,893 · median $15,157 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,788 – $13,295 · median $10,830 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $25,204 – $43,187 · median $34,915 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,741 – $20,774 · median $16,780 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,694 – $14,090 · median $11,862 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $20,167 – $33,774 · median $27,000 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,207 – $20,894 · median $16,864 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,834 – $15,950 · median $13,428 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,136 – $29,480 · median $23,290 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,834 – $16,738 · median $13,368 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,199 – $23,411 · median $18,454 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,564 – $14,235 · median $11,416 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,598 – $24,233 · median $18,528 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,386 – $14,280 · median $11,246 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,595 – $26,967 · median $19,929 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,851 – $15,216 · median $12,095 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,610 – $32,054 · median $24,844 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,554 – $19,610 · median $15,249 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,396 – $13,515 · median $10,998 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $14,748 – $26,342 · median $20,359 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,146 – $15,514 · median $11,986 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $15,787 – $27,055 · median $21,619 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,384 – $17,312 · median $13,743 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,713 – $13,000 · median $10,337 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $29,957 – $50,618 · median $40,600 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $16,821 – $29,307 · median $22,945 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,590 – $19,740 · median $16,619 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $60,912 – $107,710 · median $81,706 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $34,428 – $58,995 · median $49,667 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,991 – $35,441 · median $28,526 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $53,410 – $98,443 · median $78,623 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,541 – $45,888 · median $36,447 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,979 – $27,897 · median $23,486 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $32,407 – $57,894 · median $43,865 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,791 – $30,255 · median $24,164 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,509 – $23,328 · median $19,639 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,577 – $28,878 · median $24,311 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,510 – $26,362 · median $21,027 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $20,489 – $33,927 · median $28,562 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $19,877 – $29,170 · median $24,558 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $20,577 – $36,205 · median $24,830 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $12,380 – $20,958 · median $16,032 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,702 – $13,639 · median $10,771 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,155 – $37,675 · median $29,804 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,987 – $17,478 · median $14,714 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,631 – $27,724 · median $23,340 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,966 – $20,766 · median $14,866 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,763 – $10,764 · median $9,686 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,763 – $17,764 · median $14,490 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,252 – $10,785 · median $9,079 | 17 plans |
| 602 | CELLULITIS WITH MCC | $14,804 – $25,766 · median $20,059 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,018 – $15,325 · median $12,273 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,966 – $26,090 · median $21,005 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,440 – $15,742 · median $12,671 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $16,191 – $27,469 · median $21,363 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,855 – $15,477 · median $11,805 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $22,767 – $39,016 · median $32,706 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,448 – $25,482 · median $20,540 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,362 – $68,555 · median $52,394 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,351 – $34,376 · median $27,057 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,600 – $20,120 · median $16,324 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $27,167 – $44,838 · median $30,027 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,060 – $28,261 · median $23,657 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,731 – $28,261 · median $22,127 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $37,153 – $66,267 · median $50,398 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,166 – $32,243 · median $26,230 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,220 – $19,305 · median $13,765 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $28,550 – $50,601 · median $40,045 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,198 – $25,843 · median $21,756 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,814 – $21,410 · median $17,758 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $39,156 – $69,539 · median $50,728 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $22,473 – $39,196 · median $31,229 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,136 – $24,187 · median $19,544 | 17 plans |
| 637 | DIABETES WITH MCC | $14,677 – $25,105 · median $19,425 | 17 plans |
| 638 | DIABETES WITH CC | $9,376 – $15,579 · median $12,192 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,518 – $10,783 · median $8,362 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,415 – $22,782 · median $17,610 | 17 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,040 – $13,535 · median $10,720 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,561 – $22,576 · median $19,006 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $16,653 – $28,496 · median $22,877 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,518 – $18,391 · median $14,184 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,014 – $13,180 · median $10,336 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $45,662 – $77,906 · median $64,634 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,503 – $59,906 · median $49,356 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $30,559 – $52,042 · median $42,938 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $55,173 – $93,774 · median $77,338 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $28,107 – $47,419 · median $39,562 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,783 – $36,511 · median $30,045 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $32,394 – $54,350 · median $45,756 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $18,333 – $31,945 · median $26,138 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,146 – $25,643 · median $21,589 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $25,769 – $44,845 · median $35,865 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,533 – $23,314 · median $19,627 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,452 – $18,160 · median $15,002 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $31,033 – $51,909 · median $42,293 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,376 – $25,273 · median $21,225 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,975 – $18,389 · median $15,481 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $34,120 – $53,509 · median $42,593 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $16,555 – $29,749 · median $23,965 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,463 – $18,181 · median $13,694 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $29,033 – $48,813 · median $39,289 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $15,574 – $26,582 · median $21,910 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,754 – $16,674 · median $13,744 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,306 – $29,654 · median $24,965 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,118 – $15,983 · median $13,456 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $41,554 – $64,057 · median $48,629 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $23,056 – $41,264 · median $32,993 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,749 – $27,481 · median $23,136 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $15,125 – $25,997 · median $20,691 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $9,097 – $15,604 · median $12,455 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,329 – $10,540 · median $8,418 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,899 – $31,862 · median $23,630 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,708 – $18,107 · median $14,472 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,478 – $13,527 · median $11,388 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,865 – $20,343 · median $15,965 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,249 – $13,977 · median $11,073 | 17 plans |
| 693 | URINARY STONES WITH MCC | $14,816 – $24,533 · median $19,914 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,040 – $13,558 · median $11,094 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,447 – $20,717 · median $15,982 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,159 – $11,989 · median $9,645 | 17 plans |
| 697 | URETHRAL STRICTURE | $10,208 – $19,281 · median $13,812 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $16,885 – $28,658 · median $22,304 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,386 – $17,682 · median $14,086 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,183 – $12,269 · median $10,310 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $19,439 – $33,984 · median $27,771 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,934 – $25,264 · median $20,664 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $22,453 – $36,723 · median $30,916 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,120 – $21,381 · median $18,000 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,144 – $36,773 · median $28,440 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,874 – $20,585 · median $17,281 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,576 – $25,129 · median $20,625 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,597 – $16,603 · median $13,336 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $22,563 – $38,238 · median $31,082 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,313 – $24,635 · median $18,292 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $18,602 – $31,417 · median $24,639 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,470 – $20,367 · median $17,147 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,357 – $32,475 · median $23,629 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,398 – $19,302 · median $16,039 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,521 – $14,022 · median $10,649 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,772 – $21,495 · median $17,388 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,677 – $12,661 · median $10,659 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,806 – $28,079 · median $19,997 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,391 – $13,859 · median $11,436 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,182 – $17,390 · median $14,640 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,324 – $10,767 · median $9,065 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,034 – $37,651 · median $30,414 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,293 – $21,829 · median $17,706 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $39,076 – $67,334 · median $56,687 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,008 – $34,190 · median $28,163 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,273 – $23,638 · median $19,538 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $39,502 – $62,642 · median $52,737 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $18,237 – $30,954 · median $25,086 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,864 – $22,506 · median $18,273 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $18,319 – $30,866 · median $25,082 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,144 – $20,128 · median $16,292 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $19,571 – $32,607 · median $26,421 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,434 – $17,944 · median $15,107 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,823 – $29,033 · median $21,759 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,749 – $15,368 · median $12,938 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,753 – $24,336 · median $19,725 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $25,811 – $43,603 · median $35,160 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,037 – $23,558 · median $19,833 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,148 – $32,089 · median $24,174 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,273 – $18,789 · median $15,047 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,747 – $17,144 · median $13,873 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,274 – $25,838 · median $19,098 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,380 – $17,194 · median $13,299 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,650 – $11,193 · median $8,635 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,048 – $17,242 · median $13,453 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,590 – $10,490 · median $7,873 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,842 – $17,764 · median $11,840 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,020 – $26,743 · median $22,515 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,937 – $13,835 · median $12,050 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,373 – $12,415 · median $9,702 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $9,549 – $17,135 · median $14,177 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,529 – $26,858 · median $19,443 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $11,006 – $17,508 · median $12,165 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,946 – $17,508 · median $11,529 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,529 – $25,513 · median $17,272 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,798 – $17,508 · median $11,934 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,253 – $17,508 · median $11,529 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,842 – $20,685 · median $13,725 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,842 – $16,053 · median $10,501 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,842 – $16,053 · median $10,501 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $47,112 – $85,824 · median $72,253 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $29,009 – $48,808 · median $37,001 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $16,500 – $31,001 · median $24,997 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $35,607 – $58,727 · median $49,441 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,860 – $32,188 · median $27,098 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,228 – $20,967 · median $17,562 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,842 – $16,053 · median $10,813 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,472 – $16,053 · median $8,095 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,623 – $16,053 · median $7,842 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $22,878 – $37,937 · median $29,798 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,535 – $20,863 · median $16,920 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,716 – $17,400 · median $13,066 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,191 – $24,313 · median $19,350 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,432 – $15,602 · median $12,498 | 17 plans |
| 813 | COAGULATION DISORDERS | $15,579 – $27,022 · median $21,783 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $20,913 – $36,863 · median $26,153 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,348 – $17,222 · median $14,351 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,841 – $12,302 · median $10,146 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $25,285 – $43,561 · median $32,885 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,022 – $22,131 · median $17,107 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,386 – $15,715 · median $12,366 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $57,609 – $104,741 · median $74,010 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $22,308 – $38,664 · median $30,096 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,603 – $21,458 · median $16,771 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $46,372 – $77,982 · median $60,215 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $21,984 – $38,678 · median $31,876 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,459 – $22,370 · median $18,324 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $47,316 – $76,023 · median $64,002 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $23,562 – $40,139 · median $33,792 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,118 – $28,415 · median $23,922 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $30,681 – $54,630 · median $44,046 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,738 – $27,390 · median $20,466 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,675 – $17,492 · median $14,726 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,706 – $12,778 · median $9,750 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,468 – $8,865 · median $7,015 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $54,708 – $96,986 · median $76,967 | 17 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $21,360 – $38,723 · median $29,187 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $12,852 – $21,835 · median $17,460 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $49,594 – $82,394 · median $69,366 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $20,301 – $33,819 · median $28,472 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,832 – $22,572 · median $19,003 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $31,715 – $54,135 · median $43,243 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,775 – $27,256 · median $22,196 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,700 – $18,472 · median $15,361 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,974 – $32,229 · median $26,965 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,109 – $20,045 · median $15,875 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,585 – $14,982 · median $11,768 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $25,469 – $42,335 · median $33,528 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,852 – $21,005 · median $16,954 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,409 – $13,156 · median $11,076 | 17 plans |
| 849 | RADIOTHERAPY | $26,622 – $46,620 · median $32,553 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $49,536 – $86,598 · median $68,212 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,005 – $35,306 · median $28,610 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,342 – $29,479 · median $21,263 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $44,721 – $76,709 · median $61,416 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $21,782 – $36,995 · median $29,353 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,026 – $22,231 · median $18,716 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,437 – $31,907 · median $25,457 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,189 – $17,417 · median $14,000 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,187 – $15,292 · median $11,805 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,870 – $28,406 · median $23,282 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,057 – $15,896 · median $12,522 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $21,442 – $36,243 · median $29,414 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,683 – $18,803 · median $14,693 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,433 – $11,964 · median $10,072 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $68,762 – $120,646 · median $94,516 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,651 – $34,343 · median $27,240 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,495 – $17,840 · median $14,308 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $38,998 – $64,637 · median $44,486 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,783 – $16,536 · median $12,612 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $9,345 – $15,702 · median $11,907 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,816 – $16,271 · median $12,157 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,587 – $32,486 · median $22,471 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $16,780 – $30,433 · median $21,851 | 17 plans |
| 885 | PSYCHOSES | $14,218 – $23,669 · median $18,031 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,022 – $29,130 · median $19,919 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,052 – $22,442 · median $18,045 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,494 – $9,951 · median $7,958 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,594 – $27,868 · median $21,694 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,868 – $30,800 · median $24,434 | 17 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,032 – $14,821 · median $11,848 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $43,923 – $74,966 · median $61,220 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,016 – $32,647 · median $27,485 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,344 – $21,505 · median $16,919 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $38,324 – $56,404 · median $47,485 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $16,564 – $27,433 · median $21,711 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $21,818 – $32,593 · median $24,883 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $39,530 – $64,429 · median $53,803 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $20,191 – $34,715 · median $28,622 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,828 – $23,494 · median $18,994 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $16,270 – $25,888 · median $21,073 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,368 – $15,723 · median $12,374 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,446 – $30,729 · median $25,332 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,887 – $11,412 · median $9,244 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,480 – $27,644 · median $21,190 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,055 – $14,913 · median $11,381 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $18,289 – $31,607 · median $24,963 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,346 – $17,907 · median $14,221 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,119 – $12,087 · median $10,131 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,969 – $30,225 · median $21,654 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,386 – $17,519 · median $13,127 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $233,630 – $456,585 · median $264,194 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $66,032 – $119,863 · median $86,171 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $31,630 – $55,699 · median $40,902 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $42,213 – $52,520 · median $45,614 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $21,457 – $36,246 · median $26,110 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $21,954 – $35,356 · median $28,171 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $31,568 – $55,695 · median $43,105 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,119 – $37,530 · median $30,666 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $19,574 – $32,150 · median $26,269 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $15,367 – $26,148 · median $20,949 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,336 – $17,542 · median $14,768 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,004 – $21,680 · median $16,919 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,169 – $13,875 · median $10,823 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,967 – $17,947 · median $15,109 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,120 – $10,882 · median $9,161 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,932 – $10,220 · median $7,922 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $67,501 – $105,494 · median $88,813 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $37,943 – $67,178 · median $52,947 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $73,754 – $125,281 · median $103,139 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $40,770 – $70,064 · median $58,045 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $26,355 – $43,866 · median $35,751 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $27,071 – $47,364 · median $38,597 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,108 – $26,000 · median $20,383 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,331 – $16,558 · median $12,664 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $62,545 – $119,047 · median $100,223 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $26,447 – $42,984 · median $35,063 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $29,721 – $50,520 · median $39,986 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,334 – $23,615 · median $19,147 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,219 – $14,642 · median $12,327 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,535 – $24,530 · median $18,092 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $47,103 – $82,113 · median $63,750 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,431 – $43,062 · median $34,909 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $16,761 – $28,325 · median $23,246 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,800 – $58,491 · median $46,185 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,231 – $29,395 · median $23,611 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,719 – $18,713 · median $15,343 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $277,344 – $469,402 · median $349,138 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $108,717 – $212,092 · median $149,358 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $105,075 – $179,283 · median $133,535 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $48,040 – $83,785 · median $60,016 | 16 plans |
| 007 | LUNG TRANSPLANT | $128,866 – $212,479 · median $156,166 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $53,861 – $91,143 · median $68,131 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $57,715 – $87,048 · median $80,978 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $59,709 – $106,998 · median $75,339 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $59,709 – $106,998 · median $64,738 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $371,198 – $638,189 · median $456,670 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $78,308 – $138,463 · median $92,925 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $30,531 – $53,265 · median $39,294 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $107,480 – $186,570 · median $137,931 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $69,849 – $121,874 · median $89,902 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $61,268 – $107,573 · median $79,140 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $46,100 – $82,841 · median $60,347 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $49,556 – $77,263 · median $59,909 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $31,866 – $55,441 · median $40,948 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $28,350 – $49,796 · median $36,628 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,147 – $31,585 · median $23,324 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $42,241 – $71,713 · median $53,530 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $31,775 – $51,422 · median $39,205 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $28,501 – $45,805 · median $35,031 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $24,722 – $38,916 · median $30,043 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,236 – $26,213 · median $19,454 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,407 – $19,281 · median $14,420 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,082 – $26,532 · median $19,605 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $58,814 – $87,499 · median $63,766 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $40,279 – $59,757 · median $43,671 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $24,445 – $36,056 · median $26,504 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $41,366 – $61,384 · median $44,850 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $14,873 – $21,727 · median $16,125 | 16 plans |
| 795 | NORMAL NEWBORN | $2,321 – $2,941 · median $2,517 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $61,189 – $67,630 · median $64,732 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $38,826 – $42,913 · median $41,074 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $103,364 – $114,245 · median $109,349 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $70,200 – $77,589 · median $74,264 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $54,480 – $60,215 · median $57,634 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $82,372 – $91,043 · median $87,141 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $54,150 – $59,850 · median $57,285 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $66,286 – $73,263 · median $70,124 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $40,511 – $44,775 · median $42,856 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,999 – $56,367 · median $53,952 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,702 – $33,934 · median $32,480 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $90,940 – $100,513 · median $96,205 | 14 plans |
No procedures match that keyword.