Cleveland Clinic - Lutheran Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 008 | Simultaneous pancreas/kidney transplant | $26,000 – $308,400 · median $44,554 | 33 plans |
| 010 | Pancreas transplant | $10,700 – $240,800 · median $56,527 | 33 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $12,900 – $428,000 · median $93,431 | 33 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $36,400 – $477,808 · median $215,073 | 32 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $27,200 – $603,170 · median $79,895 | 32 plans |
| 007 | Lung transplant | $26,000 – $479,141 · median $100,040 | 32 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,227 – $185,100 · median $37,670 | 32 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,152 – $185,100 · median $30,082 | 32 plans |
| 652 | Kidney transplant | $23,299 – $185,100 · median $26,452 | 32 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $79,851 – $446,380 · median $88,202 | 31 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $41,100 – $444,900 · median $162,776 | 31 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,948 – $486,600 · median $37,179 | 31 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,391 – $240,500 · median $47,031 | 31 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,981 – $240,500 · median $43,240 | 31 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $54,577 – $292,000 · median $56,214 | 31 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,700 – $48,200 · median $16,161 | 30 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,800 – $92,700 · median $26,145 | 30 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,544 – $43,400 · median $10,641 | 30 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,900 – $52,200 · median $14,569 | 30 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,701 – $33,100 · median $16,213 | 30 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,025 – $46,700 · median $8,144 | 30 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,952 – $47,862 · median $16,999 | 30 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,440 – $100,800 · median $26,242 | 30 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,947 – $47,090 · median $16,011 | 30 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $16,743 – $173,600 · median $47,132 | 30 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,728 – $39,400 · median $6,783 | 30 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,353 – $16,700 · median $7,483 | 30 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,099 – $51,500 · median $14,114 | 30 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,439 – $40,400 · median $14,448 | 30 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,861 – $30,400 · median $11,914 | 30 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $16,400 – $97,400 · median $34,289 | 30 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,469 – $48,700 · median $19,278 | 30 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $16,743 – $125,500 · median $37,515 | 30 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,941 – $51,600 · median $14,941 | 30 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,868 – $38,100 · median $11,921 | 30 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,448 – $97,000 · median $25,747 | 30 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,759 – $54,500 · median $17,420 | 30 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,066 – $49,400 · median $13,354 | 30 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $28,700 – $236,166 · median $104,277 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $16,743 – $289,300 · median $60,010 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $16,743 – $160,500 · median $40,956 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $16,743 – $139,200 · median $44,186 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $16,743 – $94,700 · median $30,731 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $16,743 – $135,700 · median $35,428 | 29 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $16,743 – $87,500 · median $24,792 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,743 – $77,400 · median $20,453 | 29 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $16,743 – $108,100 · median $46,243 | 29 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $16,743 – $70,100 · median $27,029 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,743 – $59,300 · median $18,029 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $16,743 – $79,700 · median $34,938 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,640 – $46,900 · median $17,554 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,798 – $50,400 · median $14,090 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $16,743 – $75,400 · median $30,426 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,743 – $59,600 · median $19,474 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,910 – $54,900 · median $13,792 | 29 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $16,743 – $71,900 · median $30,356 | 29 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,743 – $50,100 · median $18,055 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,112 – $32,000 · median $13,084 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,375 – $25,700 · median $9,330 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,335 – $41,200 · median $19,262 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,484 – $49,677 · median $11,372 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,066 – $34,500 · median $10,967 | 29 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,612 – $21,000 · median $8,592 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,369 – $56,900 · median $16,666 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,304 – $35,300 · median $9,261 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,813 – $24,000 · median $6,850 | 29 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,189 – $25,600 · median $8,182 | 29 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,687 – $15,300 · median $7,696 | 29 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,305 – $64,800 · median $14,104 | 29 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,424 – $24,100 · median $9,377 | 29 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,362 – $25,700 · median $7,381 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,443 – $52,600 · median $13,656 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,460 – $17,575 · median $9,413 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,889 – $14,070 · median $7,969 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,427 – $18,000 · median $8,412 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,600 – $38,969 · median $18,698 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,538 – $23,500 · median $11,425 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,573 – $15,596 · median $8,554 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,003 – $43,200 · median $14,780 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,401 – $20,800 · median $9,355 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,668 – $14,800 · median $7,678 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,406 – $82,500 · median $27,827 | 29 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,502 – $57,400 · median $20,870 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,502 – $63,500 · median $20,870 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,880 – $50,100 · median $18,766 | 29 plans |
| 100 | SEIZURES WITH MCC | $15,383 – $39,800 · median $16,117 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $7,481 – $33,500 · median $8,464 | 29 plans |
| 102 | HEADACHES WITH MCC | $9,149 – $22,600 · median $10,080 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $6,974 – $14,259 · median $7,974 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,300 – $22,559 · median $11,576 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,450 – $13,091 · median $7,467 | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,234 – $15,110 · median $8,343 | 29 plans |
| 139 | Salivary gland procedures | $5,700 – $21,069 · median $10,929 | 29 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,763 – $36,102 · median $17,768 | 29 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,300 – $22,600 · median $11,194 | 29 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,674 – $34,800 · median $7,684 | 29 plans |
| 149 | Dysequilibrium | $6,327 – $31,200 · median $7,347 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,400 – $29,271 · median $14,489 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,000 – $15,512 · median $8,518 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,240 – $119,500 · median $34,948 | 29 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,354 – $78,100 · median $20,462 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,708 – $57,400 · median $15,949 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,841 – $78,400 · median $29,442 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,364 – $50,100 · median $15,130 | 29 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,025 – $34,500 · median $11,896 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,080 – $37,600 · median $11,949 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,735 – $25,000 · median $7,742 | 29 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,525 – $46,700 · median $13,349 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,041 – $28,900 · median $9,007 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,353 – $18,500 · median $7,372 | 29 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,881 – $37,100 · median $14,853 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,767 – $25,400 · median $9,710 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,343 – $31,800 · median $7,405 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,493 – $36,600 · median $13,317 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,142 – $20,900 · median $9,104 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,785 – $41,000 · median $10,927 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,048 – $29,600 · median $9,982 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,489 – $17,300 · median $6,536 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,627 – $31,800 · median $11,511 | 29 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,742 – $21,000 · median $7,749 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,386 – $11,900 · median $6,436 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,851 – $50,400 · median $15,750 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,836 – $21,600 · median $8,808 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,056 – $17,400 · median $7,085 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,984 – $18,743 · median $9,920 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,048 – $12,192 · median $7,077 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,005 – $17,200 · median $8,972 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,703 – $11,424 · median $6,743 | 29 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,753 – $16,800 · median $7,760 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,575 – $31,219 · median $15,334 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,775 – $18,700 · median $8,749 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,460 – $148,400 · median $49,754 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,541 – $59,600 · median $22,124 | 29 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $16,743 – $283,600 · median $74,172 | 29 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $16,743 – $223,200 · median $50,438 | 29 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $16,743 – $193,600 · median $58,600 | 29 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $16,743 – $146,600 · median $41,245 | 29 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,743 – $127,500 · median $39,080 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $16,743 – $185,200 · median $38,393 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,743 – $143,800 · median $25,090 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $16,743 – $217,200 · median $58,355 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $16,743 – $158,100 · median $42,206 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $16,743 – $168,400 · median $45,209 | 29 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $16,743 – $130,900 · median $32,780 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,283 – $159,900 · median $38,203 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,166 – $77,600 · median $22,877 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,162 – $53,900 · median $12,189 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,743 – $119,200 · median $25,410 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,743 – $71,700 · median $17,553 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,286 – $51,439 · median $15,160 | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | $16,743 – $114,807 · median $35,544 | 29 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,743 – $114,400 · median $17,935 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,004 – $58,200 · median $12,844 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $16,743 – $96,400 · median $27,597 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,743 – $63,576 · median $20,991 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,893 – $49,600 · median $14,969 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,496 – $28,949 · median $14,349 | 29 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,792 – $35,400 · median $9,867 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,407 – $53,573 · median $25,035 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,245 – $41,900 · median $13,846 | 29 plans |
| 264 | Other circulatory system O.R. procedures | $26,111 – $56,957 · median $26,504 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $16,743 – $77,210 · median $28,558 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $16,743 – $159,600 · median $37,012 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,355 – $59,200 · median $13,655 | 29 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,607 – $40,000 · median $8,586 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,109 – $30,200 · median $7,136 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,358 – $60,200 · median $16,442 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,193 – $73,600 · median $18,159 | 29 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,760 – $33,100 · median $9,704 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,880 – $78,100 · median $21,810 | 29 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,688 – $15,851 · median $8,665 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,393 – $38,900 · median $11,285 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,071 – $26,700 · median $8,068 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,908 – $18,500 · median $5,974 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,955 – $36,100 · median $13,867 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,741 – $19,500 · median $9,684 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,083 – $18,100 · median $7,111 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $9,677 – $27,100 · median $10,591 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,100 – $47,500 · median $13,445 | 29 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,562 – $19,579 · median $8,543 | 29 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,784 – $27,600 · median $10,694 | 29 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,205 – $18,653 · median $7,229 | 29 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,909 – $14,800 · median $5,974 | 29 plans |
| 311 | ANGINA PECTORIS | $5,947 – $14,200 · median $6,979 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,244 – $17,000 · median $8,235 | 29 plans |
| 313 | Chest pain | $6,085 – $14,800 · median $7,113 | 29 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,517 – $43,600 · median $17,215 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,944 – $27,400 · median $8,913 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,796 – $18,000 · median $6,833 | 29 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,583 – $144,100 · median $38,695 | 29 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,722 – $74,300 · median $19,871 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,783 – $46,000 · median $13,642 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,369 – $117,800 · median $35,797 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,369 – $59,600 · median $19,523 | 29 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,193 – $46,400 · median $14,238 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $16,567 – $61,900 · median $19,116 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,226 – $89,400 · median $28,208 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,475 – $35,953 · median $17,389 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,313 – $35,300 · median $13,144 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,320 – $48,600 · median $20,897 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,038 – $28,400 · median $12,919 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,648 – $23,000 · median $10,563 | 29 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,403 – $25,400 · median $11,470 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,236 – $19,500 · median $8,227 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,150 – $40,300 · median $13,066 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,291 – $24,600 · median $10,427 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,087 – $37,100 · median $12,129 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,883 – $46,500 · median $14,905 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,385 – $20,900 · median $9,340 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,142 – $17,500 · median $7,168 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,468 – $42,100 · median $17,611 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,826 – $33,500 · median $10,736 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,646 – $15,759 · median $8,625 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,382 – $40,800 · median $15,312 | 29 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,077 – $21,200 · median $9,042 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,401 – $16,900 · median $6,450 | 29 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,701 – $14,800 · median $7,710 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,674 – $34,400 · median $13,494 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,044 – $19,400 · median $9,010 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,789 – $15,300 · median $6,827 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,868 – $33,100 · median $12,713 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,619 – $18,700 · median $7,630 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,740 – $10,800 · median $5,811 | 29 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,275 – $21,625 · median $11,170 | 29 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,541 – $14,369 · median $7,554 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,804 – $34,500 · median $13,619 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,733 – $17,300 · median $8,709 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,543 – $14,800 · median $6,588 | 29 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $19,648 – $172,700 · median $31,535 | 29 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $40,071 – $128,400 · median $42,386 | 29 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,427 – $73,800 · median $23,245 | 29 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,642 – $47,500 · median $18,209 | 29 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,362 – $70,100 · median $17,896 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,354 – $61,900 · median $19,443 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,245 – $44,600 · median $14,302 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,820 – $33,300 · median $11,892 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,385 – $111,300 · median $32,515 | 29 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $19,648 – $269,394 · median $55,198 | 29 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $19,648 – $203,786 · median $43,385 | 29 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $19,648 – $228,300 · median $44,458 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,385 – $40,800 · median $16,349 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,654 – $18,008 · median $9,601 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,028 – $12,148 · median $7,058 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,428 – $31,316 · median $15,376 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,227 – $23,400 · median $10,155 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,032 – $14,549 · median $8,099 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,041 – $28,900 · median $13,848 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,011 – $21,800 · median $8,010 | 29 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,332 – $13,700 · median $6,384 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,298 – $46,000 · median $15,065 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,960 – $24,500 · median $8,928 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,930 – $12,000 · median $6,963 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,352 – $40,700 · median $14,149 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,946 – $22,500 · median $9,883 | 29 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,905 – $15,600 · median $7,907 | 29 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,648 – $132,220 · median $33,165 | 29 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,648 – $108,180 · median $25,688 | 29 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $16,743 – $212,600 · median $63,965 | 29 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $16,743 – $158,200 · median $45,909 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $16,743 – $145,800 · median $32,660 | 29 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $16,743 – $116,800 · median $42,652 | 29 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $16,743 – $85,200 · median $21,468 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,874 – $188,200 · median $44,136 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,425 – $105,500 · median $24,832 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,798 – $67,300 · median $15,280 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $16,743 – $120,500 · median $40,302 | 29 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $16,743 – $90,700 · median $27,880 | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,743 – $75,200 · median $22,119 | 29 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $16,743 – $95,100 · median $24,229 | 29 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $14,861 – $60,600 · median $16,058 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,743 – $102,300 · median $23,585 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,743 – $83,000 · median $19,850 | 29 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,795 – $57,400 · median $18,624 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,085 – $60,800 · median $19,982 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,081 – $42,700 · median $15,540 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,371 – $85,900 · median $23,335 | 29 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,209 – $67,000 · median $17,284 | 29 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,733 – $47,500 · median $13,854 | 29 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $14,369 – $62,100 · median $22,296 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,743 – $140,400 · median $25,664 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,536 – $77,200 · median $17,258 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,100 – $45,100 · median $15,321 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,117 – $40,900 · median $10,257 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,743 – $50,500 · median $20,551 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,860 – $37,500 · median $16,632 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,495 – $98,000 · median $28,613 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,368 – $64,200 · median $15,484 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,817 – $44,600 · median $10,998 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,991 – $60,800 · median $25,203 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,276 – $47,588 · median $22,438 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,933 – $34,400 · median $15,051 | 29 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $12,885 – $34,500 · median $14,034 | 29 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,395 – $81,100 · median $9,350 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $15,600 – $63,721 · median $29,439 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,476 – $37,400 · median $16,586 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,643 – $28,600 · median $12,839 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,743 – $15,300 · median $7,750 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,635 – $63,600 · median $16,360 | 29 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,489 – $22,102 · median $11,377 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,082 – $43,500 · median $14,857 | 29 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,439 – $35,600 · median $9,392 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,350 – $23,800 · median $7,369 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,425 – $52,500 · median $20,149 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,397 – $31,800 · median $10,320 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,755 – $19,700 · median $7,973 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,391 – $29,900 · median $14,188 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,929 – $16,800 · median $8,899 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,489 – $22,102 · median $11,377 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,927 – $14,153 · median $7,928 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,930 – $59,593 · median $7,932 | 29 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,945 – $30,400 · median $12,788 | 29 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,409 – $15,229 · median $8,395 | 29 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,726 – $16,800 · median $7,734 | 29 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $7,426 – $15,268 · median $8,412 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,029 – $21,000 · median $8,996 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,309 – $12,776 · median $7,330 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,845 – $97,600 · median $23,150 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,808 – $68,400 · median $13,627 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,023 – $56,100 · median $12,947 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,236 – $144,700 · median $41,109 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,525 – $115,500 · median $22,499 | 29 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,226 – $92,000 · median $17,447 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,626 – $103,500 · median $25,344 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,453 – $68,300 · median $15,326 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,147 – $59,500 · median $13,268 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,833 – $72,100 · median $20,587 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,683 – $51,200 · median $11,565 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,495 – $50,400 · median $9,447 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,200 – $50,900 · median $13,034 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,583 – $38,900 · median $9,532 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,443 – $37,800 · median $13,269 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,051 – $29,500 · median $9,017 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,710 – $45,200 · median $15,067 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,832 – $46,000 · median $9,773 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,255 – $71,637 · median $32,875 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,870 – $49,800 · median $19,090 | 29 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,583 – $27,986 · median $13,931 | 29 plans |
| 682 | RENAL FAILURE WITH MCC | $11,900 – $33,500 · median $12,744 | 29 plans |
| 683 | RENAL FAILURE WITH CC | $7,276 – $20,400 · median $8,266 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,171 – $14,000 · median $6,227 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,366 – $39,300 · median $15,132 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,590 – $28,000 · median $9,539 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,598 – $19,400 · median $7,633 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,450 – $29,900 · median $10,371 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,769 – $15,900 · median $7,775 | 29 plans |
| 693 | URINARY STONES WITH MCC | $10,857 – $22,924 · median $11,908 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,557 – $16,900 · median $7,570 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,848 – $15,100 · median $6,884 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,225 – $28,208 · median $14,027 | 29 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,339 – $19,900 · median $9,296 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,855 – $14,500 · median $6,890 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,871 – $207,900 · median $45,399 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,329 – $62,300 · median $18,350 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,583 – $53,000 · median $10,694 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,740 – $112,000 · median $35,710 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,094 – $72,800 · median $18,550 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,203 – $45,700 · median $11,770 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,236 – $98,600 · median $18,887 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,387 – $104,500 · median $25,168 | 29 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $40,772 – $152,300 · median $42,535 | 29 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,522 – $106,100 · median $17,219 | 29 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,902 – $28,500 · median $10,809 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,072 – $171,600 · median $37,334 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,876 – $71,900 · median $17,231 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,196 – $24,619 · median $12,470 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,135 – $72,000 · median $25,722 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,602 – $30,200 · median $13,857 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,304 – $28,400 · median $9,262 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,886 – $28,600 · median $10,794 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,616 – $44,202 · median $20,968 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,487 – $22,305 · median $11,465 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,074 – $14,482 · median $8,071 | 29 plans |
| 849 | Radiotherapy | $20,451 – $46,197 · median $21,834 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $14,369 – $124,000 · median $38,328 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,546 – $103,500 · median $35,443 | 29 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,948 – $48,700 · median $17,631 | 29 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,613 – $38,300 · median $12,092 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,519 – $36,000 · median $15,280 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,209 – $18,200 · median $9,169 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,367 – $17,600 · median $8,354 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,228 – $14,827 · median $8,220 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,579 – $50,700 · median $17,274 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,462 – $37,600 · median $9,415 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $14,369 – $194,500 · median $52,928 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,369 – $49,800 · median $16,159 | 29 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,403 – $28,200 · median $9,357 | 29 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $39,837 – $92,992 · median $42,202 | 28 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $30,643 – $71,883 · median $32,981 | 28 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $20,300 – $49,135 · median $23,109 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $269,771 – $736,267 · median $325,938 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $16,743 – $54,175 · median $25,296 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,424 – $30,883 · median $15,416 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,001 – $16,695 · median $9,031 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,646 – $29,147 · median $14,507 | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,680 – $47,009 · median $22,186 | 28 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,011 – $35,220 · median $14,788 | 28 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,310 – $29,427 · median $12,173 | 28 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,797 – $25,041 · median $12,653 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,414 – $30,861 · median $15,384 | 28 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,249 – $23,927 · median $12,114 | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,887 – $17,290 · median $8,858 | 28 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,568 – $38,736 · median $18,596 | 28 plans |
| 088 | CONCUSSION WITH MCC | $10,913 – $23,048 · median $11,788 | 28 plans |
| 089 | CONCUSSION WITH CC | $8,978 – $18,731 · median $9,915 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,874 – $14,036 · median $7,877 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,950 – $61,581 · median $28,511 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,994 – $23,229 · median $11,866 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,501 – $40,086 · median $19,182 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,856 – $23,069 · median $11,797 | 28 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,312 – $26,170 · median $13,143 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,318 – $30,828 · median $15,164 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,874 – $18,498 · median $9,813 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,473 – $19,834 · median $10,393 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,272 – $13,398 · median $7,600 | 28 plans |
| 123 | Neurological eye disorders | $6,686 – $13,616 · median $7,695 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,165 – $36,999 · median $18,110 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,342 – $17,311 · median $9,298 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,397 – $25,459 · median $12,834 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,536 – $72,723 · median $33,346 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,732 – $37,188 · median $17,924 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,633 – $27,219 · median $13,598 | 28 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,939 – $63,880 · median $29,508 | 28 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,825 – $29,546 · median $14,608 | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,771 – $20,499 · median $10,682 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $10,758 – $22,702 · median $11,638 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,192 – $12,515 · median $7,217 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,520 – $20,157 · median $10,533 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,224 – $12,586 · median $7,248 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,531 – $26,658 · median $13,354 | 28 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,587 – $15,626 · median $8,567 | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,864 – $11,783 · median $6,899 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,997 – $12,080 · median $7,028 | 28 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $23,279 – $50,748 · median $23,809 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,274 – $26,085 · median $13,106 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,715 – $18,143 · median $9,659 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,593 – $13,410 · median $7,605 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,064 – $12,228 · median $7,092 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,006 – $30,078 · median $14,839 | 28 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $16,743 – $185,403 · median $82,247 | 28 plans |
| 215 | Other heart assist system implant | $75,461 – $169,767 · median $76,749 | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,743 – $112,109 · median $50,438 | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $16,743 – $143,730 · median $64,161 | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $16,743 – $103,367 · median $46,645 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,062 – $45,991 · median $21,745 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,529 – $52,129 · median $24,408 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $16,743 – $151,598 · median $52,678 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $16,743 – $96,839 · median $33,035 | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $17,221 – $114,427 · median $40,827 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $16,743 – $75,193 · median $28,100 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,743 – $55,591 · median $20,676 | 28 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $16,743 – $86,671 · median $32,312 | 28 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $16,743 – $60,842 · median $26,142 | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $16,743 – $121,573 · median $54,546 | 28 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $16,743 – $102,413 · median $46,230 | 28 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $16,743 – $109,842 · median $35,959 | 28 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $16,743 – $94,904 · median $42,972 | 28 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $16,743 – $61,489 · median $28,471 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,873 – $18,143 · median $6,907 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,160 – $12,479 · median $6,217 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,664 – $29,103 · median $14,416 | 28 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,519 – $26,630 · median $13,343 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,428 – $10,810 · median $6,477 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,061 – $7,759 · median $5,153 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,723 – $20,402 · median $10,640 | 28 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $19,648 – $114,005 · median $51,261 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $19,648 – $76,092 · median $34,808 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,915 – $41,010 · median $19,583 | 28 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $16,743 – $46,390 · median $21,918 | 28 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $14,055 – $50,987 · median $14,831 | 28 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $16,743 – $73,782 · median $33,806 | 28 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $16,743 – $53,725 · median $25,101 | 28 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $16,743 – $54,737 · median $25,540 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,125 – $61,733 · median $28,576 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,125 – $39,140 · median $18,772 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,655 – $42,487 · median $20,224 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,314 – $49,479 · median $23,259 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,748 – $27,209 · median $13,565 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,226 – $17,053 · median $9,186 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,938 – $11,949 · median $6,971 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,137 – $33,456 · median $16,305 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,863 – $18,474 · median $9,803 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,441 – $23,541 · median $12,002 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,115 – $14,574 · median $8,111 | 28 plans |
| 397 | Appendix Procedures with MCC | $18,884 – $40,833 · median $19,506 | 28 plans |
| 398 | Appendix Procedures without MCC/CC | $12,150 – $25,807 · median $12,985 | 28 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,331 – $19,517 · median $10,256 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,357 – $60,793 · median $28,169 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,482 – $27,070 · median $13,534 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,915 – $56,321 · median $26,228 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,612 – $35,848 · median $17,343 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,272 – $28,312 · median $14,072 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,375 – $60,742 · median $28,147 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,520 – $35,237 · median $17,078 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,001 – $23,244 · median $11,873 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,558 – $58,091 · median $26,996 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,097 – $29,624 · median $14,642 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,278 – $23,861 · median $12,141 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,302 – $37,304 · median $17,975 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,048 – $25,580 · median $12,887 | 28 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $19,648 – $187,911 · median $83,335 | 28 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $19,648 – $153,614 · median $68,451 | 28 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $16,471 – $113,921 · median $51,225 | 28 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $16,471 – $91,148 · median $41,221 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,354 – $73,194 · median $33,550 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,602 – $20,122 · median $10,518 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,914 – $58,901 · median $27,347 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,551 – $28,245 · median $13,374 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $16,743 – $62,601 · median $28,953 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,410 – $51,436 · median $24,108 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,705 – $34,352 · median $16,694 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,933 – $31,870 · median $15,616 | 28 plans |
| 506 | Major thumb or joint procedures | $10,893 – $24,185 · median $11,940 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,387 – $35,776 · median $15,194 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,628 – $30,876 · median $12,991 | 28 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,781 – $51,500 · median $24,135 | 28 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $15,400 – $35,454 · median $17,172 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,158 – $27,499 · median $13,434 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,648 – $48,937 · median $23,023 | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,445 – $36,107 · median $17,455 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,295 – $26,729 · median $13,386 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,380 – $21,858 · median $11,272 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,755 – $13,770 · median $7,761 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,876 – $16,271 · median $8,847 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,087 – $12,281 · median $7,115 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,600 – $13,425 · median $7,641 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,338 – $32,922 · median $16,073 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,808 – $20,583 · median $10,718 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,263 – $14,903 · median $8,253 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,684 – $22,537 · median $11,566 | 28 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,653 – $31,797 · median $15,585 | 28 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,188 – $19,200 · median $10,118 | 28 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $11,471 – $24,293 · median $12,328 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,379 – $26,318 · median $13,207 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,863 – $50,146 · median $23,548 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,358 – $28,806 · median $14,287 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,343 – $19,544 · median $10,267 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,261 – $111,701 · median $50,454 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,098 – $59,187 · median $27,472 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,315 – $30,639 · median $15,308 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,036 – $83,565 · median $38,622 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,391 – $45,194 · median $21,399 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,859 – $27,389 · median $13,672 | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,636 – $55,216 · median $25,748 | 28 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,788 – $29,462 · median $14,572 | 28 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,611 – $24,605 · median $12,464 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,905 – $32,849 · median $16,041 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,134 – $29,401 · median $14,545 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,013 – $36,499 · median $17,625 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,325 – $32,891 · median $16,060 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $15,372 – $32,997 · median $16,106 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $9,648 – $20,226 · median $10,563 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,207 – $14,779 · median $8,199 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,495 – $36,158 · median $17,477 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,855 – $18,457 · median $9,795 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,322 – $28,424 · median $14,121 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,122 – $19,289 · median $10,156 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,463 – $13,118 · median $7,504 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,252 – $17,759 · median $9,493 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,206 – $10,315 · median $6,262 | 28 plans |
| 602 | CELLULITIS WITH MCC | $11,444 – $24,233 · median $12,302 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,238 – $14,849 · median $8,230 | 28 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,832 – $25,099 · median $12,678 | 28 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,583 – $15,618 · median $8,563 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,146 – $25,800 · median $12,982 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,510 – $15,454 · median $8,492 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,332 – $37,370 · median $18,003 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,276 – $23,858 · median $12,140 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,232 – $59,460 · median $28,004 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,875 – $31,889 · median $15,625 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,305 – $24,182 · median $12,280 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,781 – $60,684 · median $28,121 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,291 – $30,586 · median $15,059 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,583 – $21,345 · median $11,049 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,845 – $51,493 · median $24,132 | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,041 – $25,565 · median $12,880 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,460 – $22,648 · median $11,614 | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,062 – $63,542 · median $29,440 | 28 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,233 – $37,149 · median $17,907 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,416 – $24,884 · median $12,585 | 28 plans |
| 637 | DIABETES WITH MCC | $11,562 – $24,496 · median $12,416 | 28 plans |
| 638 | DIABETES WITH CC | $7,432 – $15,280 · median $8,417 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,330 – $10,591 · median $6,382 | 28 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $10,789 – $22,772 · median $11,668 | 28 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $6,530 – $13,268 · median $7,544 | 28 plans |
| 642 | Inborn errors of metabolism | $10,276 – $24,247 · median $12,308 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,162 – $28,066 · median $13,966 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,416 – $17,476 · median $9,370 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,454 – $13,100 · median $7,471 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,642 – $52,199 · median $24,439 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,434 – $53,216 · median $25,254 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $13,166 – $29,826 · median $14,729 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,759 – $18,861 · median $9,971 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,195 – $49,786 · median $23,392 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,324 – $19,502 · median $10,249 | 28 plans |
| 697 | Urethral stricture | $8,574 – $18,376 · median $9,761 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,253 – $34,105 · median $16,587 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,994 – $26,158 · median $13,138 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,434 – $39,677 · median $19,005 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,291 – $23,890 · median $12,154 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,040 – $35,529 · median $17,204 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,987 – $18,750 · median $9,923 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,734 – $25,633 · median $12,910 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,132 – $18,029 · median $9,610 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,513 – $38,146 · median $18,340 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,544 – $25,081 · median $12,670 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,648 – $32,233 · median $15,774 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,211 – $22,900 · median $11,724 | 28 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,747 – $30,855 · median $15,176 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,315 – $19,483 · median $10,241 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,594 – $11,180 · median $6,637 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,525 – $19,952 · median $10,444 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,100 – $12,310 · median $7,128 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,900 – $25,283 · median $12,758 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,782 – $13,831 · median $7,788 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,673 – $18,051 · median $9,619 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,718 – $11,458 · median $6,758 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,407 – $36,317 · median $17,546 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,083 – $22,941 · median $11,741 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,898 – $60,945 · median $28,658 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,664 – $35,133 · median $17,033 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,805 – $25,038 · median $12,652 | 28 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $27,961 – $61,087 · median $28,720 | 28 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $14,383 – $30,854 · median $15,175 | 28 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $11,219 – $24,315 · median $12,338 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,443 – $31,283 · median $15,362 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,974 – $21,154 · median $10,966 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,348 – $34,937 · median $16,948 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,737 – $19,394 · median $10,202 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,360 – $29,618 · median $14,639 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,153 – $14,658 · median $8,194 | 28 plans |
| 748 | Female reproductive system reconstructive procedures | $11,138 – $23,653 · median $12,051 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,864 – $43,778 · median $20,784 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,621 – $25,162 · median $12,706 | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,319 – $31,401 · median $15,413 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,896 – $18,547 · median $9,835 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,923 – $16,377 · median $8,893 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,516 – $24,414 · median $12,381 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,064 – $16,692 · median $9,030 | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,654 – $11,314 · median $6,696 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,282 – $17,178 · median $9,240 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,943 – $9,727 · median $6,007 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,678 – $16,698 · median $9,715 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,332 – $28,811 · median $14,289 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,245 – $17,096 · median $9,205 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,586 – $11,163 · median $6,630 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $7,012 – $14,344 · median $8,054 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,722 – $18,184 · median $10,421 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,722 – $15,588 · median $9,188 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,722 – $14,914 · median $8,868 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,191 – $77,218 · median $35,296 | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,051 – $47,900 · median $22,573 | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,126 – $32,547 · median $15,910 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,951 – $67,929 · median $31,265 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,110 – $31,694 · median $15,540 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,312 – $23,120 · median $11,819 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,678 – $16,816 · median $9,771 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,345 – $11,749 · median $7,365 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,735 – $10,505 · median $6,774 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,455 – $37,645 · median $18,123 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,257 – $21,584 · median $11,152 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,218 – $17,845 · median $9,530 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,314 – $23,943 · median $12,177 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,600 – $15,655 · median $8,580 | 28 plans |
| 813 | Coagulation disorders | $12,239 – $26,006 · median $13,072 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,320 – $36,260 · median $17,522 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,332 – $17,289 · median $9,289 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,413 – $10,776 · median $6,462 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,018 – $38,901 · median $18,948 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,441 – $19,764 · median $10,486 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,154 – $14,661 · median $8,148 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,423 – $79,756 · median $36,398 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,850 – $29,050 · median $14,393 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,851 – $25,660 · median $12,922 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,510 – $20,503 · median $10,683 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,097 – $12,303 · median $7,125 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,579 – $8,915 · median $5,655 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,917 – $34,011 · median $16,546 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,091 – $14,520 · median $8,087 | 28 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $48,143 – $147,644 · median $65,860 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,662 – $34,068 · median $16,570 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,024 – $25,527 · median $12,938 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,947 – $25,546 · median $12,872 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,159 – $12,441 · median $7,185 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,652 – $71,552 · median $32,903 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,947 – $32,642 · median $15,952 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,521 – $19,942 · median $10,440 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,651 – $62,626 · median $28,964 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,919 – $25,292 · median $12,953 | 28 plans |
| 906 | Hand procedures for injuries | $15,594 – $33,491 · median $16,565 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,790 – $65,460 · median $30,194 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,797 – $34,018 · median $16,549 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,470 – $22,382 · median $11,499 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,960 – $27,870 · median $13,881 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,350 – $15,098 · median $8,338 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,433 – $28,671 · median $14,228 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,675 – $11,360 · median $6,716 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,568 – $26,741 · median $13,391 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,133 – $14,614 · median $8,128 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,421 – $31,215 · median $15,332 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,242 – $17,089 · median $9,202 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,844 – $11,737 · median $6,879 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,466 – $29,827 · median $14,730 | 28 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,360 – $17,352 · median $9,316 | 28 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $159,765 – $364,026 · median $164,146 | 28 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,966 – $122,295 · median $55,126 | 28 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,074 – $54,915 · median $25,617 | 28 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,341 – $66,396 · median $31,059 | 28 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,713 – $37,691 · median $18,143 | 28 plans |
| 935 | Non-extensive burns | $16,325 – $35,123 · median $17,051 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,029 – $61,866 · median $28,634 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,468 – $39,844 · median $19,077 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,351 – $34,572 · median $16,789 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,283 – $21,643 · median $11,178 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,700 – $13,649 · median $7,709 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,123 – $20,284 · median $10,589 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,380 – $10,702 · median $6,430 | 28 plans |
| 951 | Other factors influencing health status | $4,832 – $9,480 · median $5,900 | 28 plans |
| 955 | Craniotomy for multiple significant trauma | $50,029 – $114,765 · median $51,805 | 28 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,642 – $64,159 · median $29,629 | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,553 – $129,919 · median $58,489 | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,687 – $71,847 · median $32,966 | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,257 – $50,197 · median $23,570 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,775 – $46,611 · median $22,014 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,119 – $26,131 · median $13,126 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,770 – $16,036 · median $8,745 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,443 – $104,368 · median $47,219 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,324 – $44,968 · median $21,301 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,637 – $49,206 · median $23,140 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,479 – $22,080 · median $11,463 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,481 – $15,391 · median $8,524 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,500 – $22,126 · median $11,546 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,270 – $79,995 · median $36,502 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,865 – $41,917 · median $19,977 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,315 – $29,224 · median $14,468 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,367 – $58,454 · median $27,154 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,143 – $28,023 · median $13,947 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,667 – $20,446 · median $10,659 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,698 – $38,255 · median $19,952 | 27 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,684 – $16,954 · median $9,630 | 27 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,661 – $16,954 · median $8,873 | 27 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,698 – $25,703 · median $13,991 | 27 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,000 – $17,402 · median $10,049 | 27 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,883 – $16,954 · median $8,880 | 27 plans |
| 789 | Neonates, died or transferred to another acute care facility | $5,351 – $30,728 · median $15,121 | 25 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $5,351 – $101,337 · median $45,764 | 25 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,351 – $69,206 · median $31,820 | 25 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,351 – $41,759 · median $19,908 | 25 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,351 – $71,092 · median $32,638 | 25 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,838 – $26,404 · median $13,244 | 25 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,395 – $19,553 · median $10,271 | 25 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,861 – $25,164 · median $12,706 | 24 plans |
| 795 | NORMAL NEWBORN | $2,110 – $3,590 · median $3,264 | 24 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,405 – $65,897 · median $30,383 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,921 – $16,371 · median $8,890 | 24 plans |
| 881 | Depressive neuroses | $7,773 – $16,042 · median $8,748 | 24 plans |
| 882 | Neuroses except depressive | $8,290 – $18,308 · median $9,731 | 24 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,636 – $33,525 · median $16,335 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,878 – $27,432 · median $13,690 | 24 plans |
| 885 | Psychoses | $11,257 – $23,815 · median $12,121 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,228 – $35,384 · median $17,141 | 24 plans |
| 887 | Other mental disorder diagnoses | $8,767 – $18,259 · median $9,710 | 24 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $5,297 – $10,518 · median $6,350 | 24 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $11,401 – $24,136 · median $12,260 | 24 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $13,700 – $29,754 · median $14,698 | 24 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $7,306 – $15,052 · median $8,318 | 24 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $19,648 – $192,986 · median $85,537 | 23 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $19,648 – $97,303 · median $44,013 | 23 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,093 – $41,299 · median $19,708 | 23 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $19,648 – $58,628 · median $27,229 | 23 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,032 – $41,164 · median $19,650 | 23 plans |
No procedures match that keyword.