Cleveland Clinic Main Campus — 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 |
|---|---|---|---|
| 010 | Pancreas transplant | $10,700 – $240,800 · median $69,558 | 42 plans |
| 008 | Simultaneous pancreas/kidney transplant | $18,150 – $308,400 · median $53,205 | 41 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $12,900 – $481,200 · median $113,491 | 41 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $14,401 – $185,100 · median $43,959 | 41 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $14,401 – $185,100 · median $34,883 | 41 plans |
| 652 | Kidney transplant | $14,401 – $185,100 · median $30,542 | 41 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $17,927 – $603,170 · median $93,742 | 40 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $18,150 – $818,382 · median $256,550 | 39 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $18,150 – $486,600 · median $44,214 | 39 plans |
| 007 | Lung transplant | $18,150 – $479,141 · median $119,149 | 39 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,700 – $56,495 · median $18,813 | 39 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,800 – $97,673 · median $30,206 | 39 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,585 – $43,400 · median $12,048 | 39 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,900 – $60,355 · median $17,180 | 39 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,610 – $65,700 · median $19,485 | 39 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,185 – $46,700 · median $9,215 | 39 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,914 – $75,459 · median $20,484 | 39 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,200 – $148,661 · median $31,351 | 39 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,117 – $68,065 · median $19,226 | 39 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,579 – $39,400 · median $7,592 | 39 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,252 – $25,116 · median $8,142 | 39 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,062 – $51,500 · median $16,812 | 39 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,427 – $49,131 · median $17,238 | 39 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,263 – $39,278 · median $13,623 | 39 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $16,400 – $128,283 · median $39,947 | 39 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,166 – $67,912 · median $22,735 | 39 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $17,927 – $95,100 · median $28,752 | 39 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,013 – $71,744 · median $19,049 | 39 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,927 – $152,475 · median $43,805 | 39 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,100 – $112,416 · median $30,739 | 39 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,099 – $67,605 · median $21,020 | 39 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,635 – $53,986 · median $15,845 | 39 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $18,150 – $446,380 · median $105,410 | 38 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $17,927 – $289,300 · median $70,709 | 38 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $17,927 – $225,857 · median $48,130 | 38 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $18,708 – $178,158 · median $51,784 | 38 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $17,927 – $119,999 · median $35,691 | 38 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $20,763 – $156,323 · median $41,309 | 38 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,763 – $100,531 · median $28,588 | 38 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,763 – $77,400 · median $24,101 | 38 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $17,927 – $149,477 · median $54,244 | 38 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,763 – $99,585 · median $31,264 | 38 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,927 – $60,728 · median $21,114 | 38 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $17,927 – $145,052 · median $40,723 | 38 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,927 – $69,212 · median $20,728 | 38 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,519 – $50,400 · median $16,814 | 38 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $17,927 – $125,572 · median $35,327 | 38 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,927 – $67,910 · median $22,561 | 38 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,655 – $54,900 · median $16,434 | 38 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $17,927 – $131,564 · median $35,243 | 38 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,927 – $72,554 · median $21,146 | 38 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,690 – $51,500 · median $15,533 | 38 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,095 – $39,700 · median $10,751 | 38 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,631 – $71,700 · median $23,037 | 38 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,000 – $43,300 · median $13,039 | 38 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,320 – $40,600 · median $12,837 | 38 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,471 – $31,400 · median $9,811 | 38 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,905 – $67,800 · median $19,623 | 38 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,542 – $40,400 · median $10,664 | 38 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,716 – $28,800 · median $7,592 | 38 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,377 – $33,500 · median $9,288 | 38 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,677 – $28,500 · median $8,670 | 38 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,752 – $64,800 · median $16,832 | 38 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,860 – $38,000 · median $10,812 | 38 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,248 – $28,500 · median $8,269 | 38 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,090 – $52,600 · median $16,262 | 38 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,761 – $35,500 · median $10,602 | 38 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,800 – $37,200 · median $8,738 | 38 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,578 – $29,700 · median $9,358 | 38 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,077 – $44,100 · median $13,419 | 38 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,800 – $31,200 · median $9,533 | 38 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,475 – $61,100 · median $17,694 | 38 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,902 – $35,500 · median $10,783 | 38 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,584 – $27,400 · median $8,647 | 38 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,200 – $134,700 · median $33,506 | 38 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,415 – $92,000 · median $24,853 | 38 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $21,415 – $82,800 · median $24,853 | 38 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $19,455 – $70,100 · median $22,771 | 38 plans |
| 100 | SEIZURES WITH MCC | $17,872 – $61,700 · median $18,941 | 38 plans |
| 101 | SEIZURES WITHOUT MCC | $8,723 – $33,500 · median $9,648 | 38 plans |
| 102 | HEADACHES WITH MCC | $10,769 – $41,200 · median $11,706 | 38 plans |
| 103 | HEADACHES WITHOUT MCC | $8,108 – $28,700 · median $8,812 | 38 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $17,927 – $130,882 · median $41,346 | 38 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,927 – $78,100 · median $23,760 | 38 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,828 – $57,400 · median $18,552 | 38 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $17,927 – $109,152 · median $34,662 | 38 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,512 – $52,665 · median $17,905 | 38 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,441 – $39,903 · median $14,020 | 38 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,916 – $40,113 · median $14,088 | 38 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,801 – $25,000 · median $8,729 | 38 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,700 – $54,966 · median $15,870 | 38 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,329 – $33,500 · median $10,340 | 38 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,416 – $23,600 · median $8,257 | 38 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,829 – $51,573 · median $17,786 | 38 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,345 – $31,276 · median $11,236 | 38 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,743 – $31,800 · median $8,246 | 38 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,386 – $45,513 · median $15,830 | 38 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,431 – $28,885 · median $10,464 | 38 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,439 – $41,000 · median $12,785 | 38 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,455 – $32,348 · median $11,582 | 38 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,362 – $18,748 · median $7,192 | 38 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,129 – $38,384 · median $13,530 | 38 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,848 – $24,000 · median $8,737 | 38 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,151 – $18,354 · median $7,065 | 38 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,001 – $55,112 · median $18,484 | 38 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,311 – $27,717 · median $10,087 | 38 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,820 – $20,915 · median $7,892 | 38 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,321 – $32,103 · median $11,232 | 38 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,619 – $20,883 · median $7,696 | 38 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,110 – $28,362 · median $10,275 | 38 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,800 – $19,566 · median $7,281 | 38 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,771 – $23,579 · median $8,751 | 38 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,000 – $53,471 · median $17,967 | 38 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,586 – $27,483 · median $10,011 | 38 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $18,150 – $187,913 · median $60,338 | 38 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,927 – $80,270 · median $25,778 | 38 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $18,138 – $299,842 · median $88,962 | 38 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $18,138 – $229,093 · median $60,151 | 38 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $18,138 – $227,461 · median $70,059 | 38 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $18,138 – $212,849 · median $48,990 | 38 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $18,138 – $179,538 · median $46,362 | 38 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,144 – $185,200 · median $45,528 | 38 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,144 – $167,029 · median $29,378 | 38 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $19,029 – $272,007 · median $69,761 | 38 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $19,029 – $196,512 · median $50,157 | 38 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $19,029 – $234,722 · median $53,803 | 38 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $19,029 – $153,340 · median $38,714 | 38 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $24,200 – $187,507 · median $46,413 | 38 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $24,200 – $78,165 · median $27,350 | 38 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,323 – $60,173 · median $14,189 | 38 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,144 – $151,462 · median $30,089 | 38 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,029 – $106,366 · median $20,727 | 38 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,318 – $83,717 · median $18,177 | 38 plans |
| 245 | AICD generator procedures | $19,029 – $172,674 · median $42,692 | 38 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,144 – $121,722 · median $20,998 | 38 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,236 – $78,084 · median $15,227 | 38 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $18,708 – $122,679 · median $31,943 | 38 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,708 – $100,418 · median $24,121 | 38 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,843 – $67,418 · median $17,934 | 38 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,364 – $44,007 · median $17,101 | 38 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,851 – $50,882 · median $16,503 | 38 plans |
| 264 | Other circulatory system O.R. procedures | $24,200 – $108,274 · median $31,861 | 38 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $19,029 – $298,716 · median $55,307 | 38 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,914 – $59,200 · median $16,260 | 38 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,724 – $44,493 · median $9,804 | 38 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,032 – $31,401 · median $7,957 | 38 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,615 – $71,192 · median $19,811 | 38 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,927 – $83,685 · median $21,274 | 38 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,168 – $43,469 · median $11,227 | 38 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,200 – $114,585 · median $26,022 | 38 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,018 – $61,593 · median $13,241 | 38 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,203 – $40,729 · median $9,143 | 38 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,515 – $27,401 · median $6,476 | 38 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,709 – $57,584 · median $16,530 | 38 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,004 – $39,291 · median $11,203 | 38 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,932 – $27,110 · median $7,925 | 38 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,675 – $53,263 · median $15,993 | 38 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,764 – $31,824 · median $9,748 | 38 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,168 – $34,100 · median $12,489 | 38 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,154 – $32,869 · median $8,075 | 38 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,608 – $24,200 · median $6,477 | 38 plans |
| 311 | ANGINA PECTORIS | $6,802 – $24,200 · median $7,757 | 38 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,290 – $29,791 · median $9,356 | 38 plans |
| 313 | CHEST PAIN | $6,932 – $24,200 · median $7,927 | 38 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,927 – $53,500 · median $20,306 | 38 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,072 – $38,669 · median $10,221 | 38 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,902 – $24,200 · median $7,321 | 38 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $17,927 – $145,647 · median $45,887 | 38 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,927 – $74,300 · median $23,043 | 38 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,502 – $46,792 · median $16,243 | 38 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,927 – $134,232 · median $42,376 | 38 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,927 – $70,005 · median $22,621 | 38 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,996 – $49,146 · median $17,003 | 38 plans |
| 333 | RECTAL RESECTION WITH CC | $19,076 – $68,399 · median $22,672 | 38 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,000 – $108,700 · median $33,980 | 38 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,927 – $62,100 · median $20,523 | 38 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,999 – $44,827 · median $15,609 | 38 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,000 – $83,900 · median $24,886 | 38 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,600 – $44,000 · median $15,323 | 38 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,507 – $34,641 · median $12,321 | 38 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,624 – $38,400 · median $13,477 | 38 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,372 – $25,424 · median $9,347 | 38 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,736 – $44,520 · median $15,510 | 38 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,279 – $34,103 · median $12,148 | 38 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,451 – $40,823 · median $14,317 | 38 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,831 – $51,780 · median $17,853 | 38 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,649 – $29,900 · median $10,764 | 38 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,035 – $22,000 · median $7,997 | 38 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,956 – $62,456 · median $21,299 | 38 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,364 – $35,324 · median $12,542 | 38 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,390 – $26,992 · median $9,622 | 38 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,435 – $53,383 · median $18,370 | 38 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,275 – $28,639 · median $10,385 | 38 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,272 – $22,000 · median $7,083 | 38 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,240 – $23,380 · median $8,687 | 38 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,771 – $46,208 · median $16,055 | 38 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,332 – $28,511 · median $10,343 | 38 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,561 – $22,000 · median $7,563 | 38 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,439 – $43,127 · median $15,060 | 38 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,690 – $23,600 · median $8,585 | 38 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,502 – $22,000 · median $6,269 | 38 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,844 – $37,038 · median $12,905 | 38 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,507 – $22,767 · median $8,485 | 38 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,039 – $46,704 · median $16,215 | 38 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,892 – $27,325 · median $9,960 | 38 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,269 – $22,000 · median $7,258 | 38 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $17,927 – $159,755 · median $50,227 | 38 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,150 – $84,695 · median $27,807 | 38 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,150 – $64,819 · median $21,543 | 38 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,150 – $70,100 · median $21,154 | 38 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,150 – $69,690 · median $23,079 | 38 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,060 – $49,400 · median $17,085 | 38 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,129 – $39,885 · median $14,014 | 38 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $18,150 – $121,280 · median $39,338 | 38 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,646 – $57,477 · median $19,230 | 38 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,997 – $30,844 · median $10,836 | 38 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,700 – $20,807 · median $7,649 | 38 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,490 – $53,637 · median $18,039 | 38 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,495 – $33,032 · median $11,802 | 38 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,100 – $24,919 · median $8,968 | 38 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,106 – $47,607 · median $16,506 | 38 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,194 – $24,566 · median $9,070 | 38 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,086 – $18,150 · median $6,998 | 38 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,954 – $71,872 · median $17,865 | 38 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,106 – $28,190 · median $10,239 | 38 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,839 – $20,433 · median $7,555 | 38 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,284 – $48,795 · median $16,890 | 38 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,124 – $31,960 · median $11,456 | 38 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,653 – $24,160 · median $8,939 | 38 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $17,927 – $239,699 · median $75,440 | 38 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $20,763 – $219,724 · median $53,844 | 38 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $20,763 – $171,455 · median $37,998 | 38 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $17,927 – $167,991 · median $50,698 | 38 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,927 – $115,546 · median $24,981 | 38 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,100 – $188,200 · median $53,572 | 38 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,100 – $105,500 · median $29,782 | 38 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,728 – $67,300 · median $18,330 | 38 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $17,927 – $155,593 · median $47,139 | 38 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $18,708 – $105,084 · median $32,281 | 38 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,708 – $89,272 · median $25,391 | 38 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,927 – $102,300 · median $27,144 | 38 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,927 – $83,000 · median $22,888 | 38 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,351 – $57,400 · median $22,590 | 38 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,911 – $77,600 · median $23,749 | 38 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,070 – $57,943 · median $18,662 | 38 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,100 – $103,979 · median $27,919 | 38 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,927 – $67,000 · median $20,392 | 38 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,441 – $53,623 · median $16,514 | 38 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,927 – $86,679 · median $25,987 | 38 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,927 – $140,400 · median $29,631 | 38 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,927 – $77,200 · median $20,361 | 38 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,146 – $54,580 · median $17,617 | 38 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,813 – $38,100 · median $13,827 | 38 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,625 – $38,353 · median $16,744 | 38 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,797 – $25,221 · median $8,739 | 38 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,191 – $68,422 · median $19,706 | 38 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,926 – $37,100 · median $13,046 | 38 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,705 – $69,486 · median $17,734 | 38 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,921 – $35,600 · median $10,830 | 38 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,295 – $27,436 · median $8,254 | 38 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,530 – $84,862 · median $23,956 | 38 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,753 – $40,290 · median $12,012 | 38 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,214 – $25,957 · median $9,023 | 38 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,473 – $55,966 · median $16,939 | 38 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,085 – $29,217 · median $10,079 | 38 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,029 – $41,388 · median $13,235 | 38 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,300 – $23,100 · median $8,755 | 38 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,818 – $24,101 · median $8,922 | 38 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,125 – $53,459 · median $15,156 | 38 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,600 – $29,426 · median $9,335 | 38 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,828 – $23,100 · median $8,718 | 38 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $6,600 – $25,554 · median $9,357 | 38 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,566 – $32,141 · median $10,325 | 38 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,100 – $23,236 · median $8,011 | 38 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,029 – $97,600 · median $27,024 | 38 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,532 – $68,400 · median $16,224 | 38 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,369 – $56,100 · median $15,358 | 38 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $20,350 – $178,400 · median $49,079 | 38 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,927 – $115,500 · median $26,233 | 38 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,663 – $92,000 · median $20,595 | 38 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,927 – $106,800 · median $29,686 | 38 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,520 – $68,300 · median $18,029 | 38 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,732 – $59,500 · median $15,767 | 38 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,350 – $104,000 · median $24,501 | 38 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,321 – $58,500 · median $13,598 | 38 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,626 – $50,400 · median $10,900 | 38 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,933 – $50,900 · median $15,469 | 38 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,083 – $38,900 · median $11,008 | 38 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,106 – $45,323 · median $15,769 | 38 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,016 – $29,900 · median $10,353 | 38 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,622 – $52,419 · median $18,059 | 38 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,209 – $46,000 · median $11,316 | 38 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $20,350 – $122,699 · median $39,403 | 38 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,350 – $69,900 · median $22,639 | 38 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,259 – $48,000 · median $16,539 | 38 plans |
| 682 | RENAL FAILURE WITH MCC | $13,714 – $43,250 · median $15,100 | 38 plans |
| 683 | RENAL FAILURE WITH CC | $8,441 – $25,900 · median $9,396 | 38 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,020 – $20,350 · median $6,799 | 38 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,015 – $52,673 · median $18,141 | 38 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,850 – $30,599 · median $11,017 | 38 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,024 – $23,079 · median $8,590 | 38 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,862 – $33,884 · median $12,077 | 38 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,699 – $23,640 · median $8,771 | 38 plans |
| 693 | URINARY STONES WITH MCC | $10,500 – $39,263 · median $13,531 | 38 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,516 – $22,828 · median $8,509 | 38 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,746 – $20,350 · median $7,635 | 38 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,254 – $48,313 · median $16,449 | 38 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,568 – $29,641 · median $10,708 | 38 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,766 – $21,000 · median $7,644 | 38 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $20,350 – $207,900 · median $55,093 | 38 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,997 – $65,374 · median $21,718 | 38 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,633 – $53,000 · median $12,489 | 38 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $20,350 – $133,890 · median $43,312 | 38 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,713 – $72,800 · median $21,967 | 38 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,382 – $45,700 · median $13,860 | 38 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,350 – $98,600 · median $22,386 | 38 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $20,350 – $104,500 · median $30,199 | 38 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $17,927 – $160,322 · median $50,401 | 38 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $19,167 – $106,100 · median $20,429 | 38 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,725 – $35,613 · median $12,635 | 38 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $17,927 – $171,600 · median $44,381 | 38 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,927 – $71,900 · median $20,241 | 38 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,583 – $42,166 · median $14,404 | 38 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,927 – $94,469 · median $30,145 | 38 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,282 – $47,642 · median $16,517 | 38 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,843 – $29,507 · median $10,664 | 38 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,076 – $35,552 · median $12,615 | 38 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $13,900 – $75,709 · median $24,015 | 38 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,725 – $38,203 · median $13,155 | 38 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,839 – $24,805 · median $8,932 | 38 plans |
| 849 | RADIOTHERAPY | $18,100 – $79,126 · median $25,802 | 38 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $17,927 – $144,222 · median $45,449 | 38 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $17,927 – $132,836 · median $41,947 | 38 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,150 – $62,538 · median $20,825 | 38 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,877 – $40,677 · median $14,270 | 38 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,611 – $53,258 · median $18,111 | 38 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,396 – $29,142 · median $10,547 | 38 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,519 – $25,924 · median $9,508 | 38 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,700 – $25,395 · median $9,118 | 38 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,150 – $66,600 · median $20,380 | 38 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,828 – $37,600 · median $10,860 | 38 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $17,927 – $201,845 · median $63,173 | 38 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,672 – $56,727 · median $18,810 | 38 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,663 – $29,883 · median $10,786 | 38 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $19,029 – $224,295 · median $43,204 | 37 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,726 – $57,746 · median $17,701 | 37 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,955 – $40,900 · median $11,503 | 37 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,927 – $66,117 · median $23,516 | 37 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,013 – $55,559 · median $19,394 | 37 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,100 – $102,644 · median $34,153 | 37 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,036 – $64,200 · median $17,888 | 37 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,765 – $44,600 · median $12,353 | 37 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,100 – $82,608 · median $29,952 | 37 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,891 – $39,301 · median $17,785 | 37 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $18,150 – $240,500 · median $55,155 | 36 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,150 – $240,500 · median $51,112 | 36 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $18,150 – $292,000 · median $66,780 | 36 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $18,150 – $172,700 · median $37,202 | 36 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $18,150 – $269,394 · median $65,929 | 36 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $18,150 – $206,546 · median $51,588 | 36 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $18,150 – $228,300 · median $52,891 | 36 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,150 – $153,238 · median $39,181 | 36 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,150 – $115,805 · median $30,105 | 36 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $18,150 – $619,840 · median $188,911 | 35 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,600 – $77,700 · median $21,618 | 34 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,300 – $38,638 · median $12,973 | 34 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,800 – $22,422 · median $8,000 | 34 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,793 – $30,100 · median $9,182 | 34 plans |
| 139 | Salivary gland procedures | $5,700 – $36,600 · median $12,368 | 34 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,150 – $61,834 · median $20,405 | 34 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,502 – $37,132 · median $12,694 | 34 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,682 – $34,800 · median $8,370 | 34 plans |
| 149 | DYSEQUILIBRIUM | $7,225 – $31,200 · median $7,955 | 34 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,400 – $50,136 · median $16,509 | 34 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,000 – $26,569 · median $9,260 | 34 plans |
| 215 | Other heart assist system implant | $24,200 – $455,400 · median $91,865 | 34 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,467 – $38,703 · median $11,060 | 34 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,200 – $109,370 · median $29,312 | 34 plans |
| 265 | AICD lead procedures | $19,029 – $102,016 · median $33,092 | 34 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $19,029 – $345,352 · median $61,940 | 34 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $19,029 – $345,352 · median $38,446 | 34 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,216 – $49,083 · median $9,578 | 34 plans |
| 304 | HYPERTENSION WITH MCC | $10,900 – $42,634 · median $11,951 | 34 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,100 – $78,774 · median $26,159 | 34 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,565 – $81,100 · median $10,422 | 34 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $15,600 – $109,140 · median $34,146 | 34 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,757 – $58,412 · median $19,336 | 34 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,743 – $43,626 · median $14,292 | 34 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $18,150 – $404,502 · median $123,654 | 33 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,927 – $153,254 · median $29,191 | 33 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,101 – $61,300 · median $17,614 | 33 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,721 – $33,300 · median $10,030 | 33 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,200 – $65,200 · median $16,687 | 33 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,049 – $105,900 · median $25,472 | 33 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,114 – $73,000 · median $17,121 | 33 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,879 – $61,100 · median $13,900 | 33 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,310 – $51,800 · median $14,492 | 33 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,090 – $48,600 · median $17,603 | 33 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,755 – $49,500 · median $13,827 | 33 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,019 – $35,800 · median $9,816 | 33 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,286 – $77,500 · median $21,813 | 33 plans |
| 088 | CONCUSSION WITH MCC | $12,929 – $57,400 · median $13,426 | 33 plans |
| 089 | CONCUSSION WITH CC | $10,017 – $39,300 · median $11,118 | 33 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,169 – $29,500 · median $8,608 | 33 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,200 – $120,100 · median $33,035 | 33 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,780 – $49,300 · median $13,523 | 33 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,150 – $68,659 · median $21,879 | 33 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,963 – $39,512 · median $13,437 | 33 plans |
| 115 | Extraocular procedures except orbit | $13,964 – $44,824 · median $15,095 | 33 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,148 – $52,802 · median $17,585 | 33 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,073 – $31,682 · median $10,993 | 33 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,800 – $33,972 · median $11,708 | 33 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,630 – $22,948 · median $8,267 | 33 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,704 – $23,322 · median $8,383 | 33 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,150 – $71,800 · median $20,884 | 33 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,209 – $39,400 · median $10,359 | 33 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,825 – $50,500 · median $14,715 | 33 plans |
| 150 | EPISTAXIS WITH MCC | $12,684 – $38,884 · median $13,241 | 33 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,315 – $21,435 · median $7,795 | 33 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,556 – $34,524 · median $11,880 | 33 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,917 – $21,558 · median $7,833 | 33 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,784 – $45,659 · median $15,356 | 33 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,826 – $26,765 · median $9,458 | 33 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,579 – $20,182 · median $7,403 | 33 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,469 – $20,690 · median $7,562 | 33 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,448 – $44,678 · median $15,049 | 33 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,982 – $31,075 · median $10,803 | 33 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,485 – $22,968 · median $8,273 | 33 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,110 – $20,944 · median $7,641 | 33 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,979 – $51,517 · median $17,184 | 33 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $19,029 – $216,872 · median $59,262 | 33 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $19,029 – $279,851 · median $75,675 | 33 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $19,029 – $231,979 · median $54,725 | 33 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $23,301 – $98,965 · median $24,943 | 33 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,865 – $77,489 · median $28,129 | 33 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $19,029 – $186,137 · median $47,766 | 33 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,029 – $123,543 · median $32,544 | 33 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,029 – $88,486 · median $23,665 | 33 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $19,029 – $140,021 · median $37,582 | 33 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $19,029 – $95,442 · median $30,203 | 33 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,169 – $32,644 · median $7,414 | 33 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,624 – $24,200 · median $6,563 | 33 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,357 – $73,652 · median $16,663 | 33 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,888 – $52,273 · median $15,341 | 33 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,683 – $26,202 · median $6,883 | 33 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,594 – $24,200 · median $5,252 | 33 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,801 – $41,170 · median $12,011 | 33 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,000 – $126,700 · median $33,114 | 33 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,153 – $67,038 · median $22,000 | 33 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,600 – $72,771 · median $23,125 | 33 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,000 – $84,747 · median $26,754 | 33 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,160 – $51,700 · median $15,615 | 33 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,548 – $29,209 · median $10,221 | 33 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,799 – $22,000 · median $7,492 | 33 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,347 – $57,302 · median $18,990 | 33 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,163 – $31,641 · median $10,980 | 33 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,669 – $40,321 · median $13,689 | 33 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,275 – $24,963 · median $8,896 | 33 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $18,150 – $104,126 · median $32,627 | 33 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,137 – $46,366 · median $15,576 | 33 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,150 – $96,466 · median $30,305 | 33 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,150 – $61,399 · median $19,678 | 33 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,095 – $48,492 · median $16,240 | 33 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $18,150 – $104,039 · median $32,600 | 33 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,810 – $60,354 · median $19,362 | 33 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,581 – $39,812 · median $13,531 | 33 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,150 – $99,498 · median $31,224 | 33 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,881 – $50,740 · median $16,942 | 33 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,434 – $40,870 · median $13,861 | 33 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,150 – $63,893 · median $20,435 | 33 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,091 – $43,813 · median $14,780 | 33 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,100 – $122,157 · median $39,371 | 33 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,800 – $34,830 · median $11,862 | 33 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,100 – $68,000 · median $31,644 | 33 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,387 – $50,893 · median $15,380 | 33 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $17,927 – $106,279 · median $33,565 | 33 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,513 – $72,947 · median $27,770 | 33 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,780 – $36,625 · median $18,902 | 33 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,891 – $53,555 · median $18,142 | 33 plans |
| 506 | Major thumb or joint procedures | $13,012 – $44,519 · median $13,402 | 33 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,058 – $63,989 · median $17,570 | 33 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,896 – $41,329 · median $14,908 | 33 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,100 – $78,630 · median $27,803 | 33 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,665 – $52,123 · median $20,058 | 33 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,746 – $45,914 · median $15,454 | 33 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,912 – $50,418 · median $15,394 | 33 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,234 – $43,793 · median $12,790 | 33 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,770 – $24,469 · median $8,465 | 33 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,700 – $29,576 · median $9,803 | 33 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,571 – $23,100 · median $7,670 | 33 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,040 – $33,453 · median $8,281 | 33 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,124 – $59,801 · median $18,705 | 33 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,161 – $40,003 · median $12,108 | 33 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,211 – $26,443 · median $9,072 | 33 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,378 – $42,283 · median $13,153 | 33 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,762 – $64,173 · median $18,103 | 33 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,590 – $35,269 · median $11,369 | 33 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $13,384 – $47,898 · median $14,091 | 33 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,293 – $49,506 · median $15,174 | 33 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,150 – $96,100 · median $27,100 | 33 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,197 – $58,400 · median $16,504 | 33 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,622 – $42,600 · median $11,553 | 33 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $18,150 – $191,321 · median $59,050 | 33 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,150 – $115,800 · median $31,793 | 33 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,975 – $59,900 · median $17,484 | 33 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $18,150 – $175,100 · median $45,780 | 33 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,150 – $92,700 · median $24,530 | 33 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,288 – $56,100 · median $15,747 | 33 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,150 – $110,300 · median $29,732 | 33 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,046 – $66,800 · median $16,855 | 33 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,175 – $51,400 · median $14,258 | 33 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,858 – $60,700 · median $18,150 | 33 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,925 – $53,300 · median $16,822 | 33 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,150 – $72,700 · median $20,017 | 33 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,870 – $64,300 · median $18,150 | 33 plans |
| 592 | SKIN ULCERS WITH MCC | $18,150 – $56,517 · median $18,483 | 33 plans |
| 593 | SKIN ULCERS WITH CC | $11,312 – $34,644 · median $11,917 | 33 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,095 – $25,313 · median $9,005 | 33 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,150 – $61,931 · median $19,840 | 33 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,094 – $31,612 · median $10,971 | 33 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,825 – $48,684 · median $16,300 | 33 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,075 – $33,037 · median $11,416 | 33 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,881 – $22,469 · median $8,117 | 33 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,023 – $30,418 · median $10,598 | 33 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,952 – $18,150 · median $6,619 | 33 plans |
| 602 | CELLULITIS WITH MCC | $13,433 – $41,506 · median $14,059 | 33 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,371 – $25,433 · median $9,042 | 33 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,574 – $42,990 · median $14,523 | 33 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,740 – $26,750 · median $9,454 | 33 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,463 – $44,190 · median $14,897 | 33 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,229 – $26,470 · median $9,366 | 33 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,927 – $64,007 · median $20,469 | 33 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,121 – $40,864 · median $13,859 | 33 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,350 – $107,800 · median $32,893 | 33 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,410 – $54,618 · median $18,152 | 33 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,505 – $41,419 · median $14,032 | 33 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,350 – $103,939 · median $32,982 | 33 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,947 – $52,387 · median $17,456 | 33 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,423 – $36,559 · median $12,515 | 33 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,350 – $88,196 · median $27,799 | 33 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,777 – $43,787 · median $14,771 | 33 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,692 – $38,790 · median $13,212 | 33 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $20,350 – $108,834 · median $34,734 | 33 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,141 – $63,628 · median $20,354 | 33 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,849 – $42,622 · median $14,408 | 33 plans |
| 637 | DIABETES WITH MCC | $13,322 – $41,956 · median $14,200 | 33 plans |
| 638 | DIABETES WITH CC | $8,685 – $26,172 · median $9,273 | 33 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,185 – $20,350 · median $6,766 | 33 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $12,218 – $39,004 · median $13,278 | 33 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $7,516 – $22,726 · median $8,197 | 33 plans |
| 642 | Inborn errors of metabolism | $11,471 – $41,530 · median $14,067 | 33 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,051 – $48,071 · median $16,109 | 33 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,684 – $29,933 · median $10,447 | 33 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,493 – $22,437 · median $8,107 | 33 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,350 – $89,700 · median $28,165 | 33 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,350 – $95,100 · median $29,555 | 33 plans |
| 666 | PROSTATECTOMY WITH CC | $14,965 – $54,500 · median $17,049 | 33 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,636 – $32,304 · median $11,187 | 33 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,350 – $85,273 · median $26,913 | 33 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,496 – $34,400 · median $11,530 | 33 plans |
| 697 | Urethral stricture | $9,412 – $31,475 · median $10,928 | 33 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,487 – $59,300 · median $18,774 | 33 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,766 – $44,803 · median $14,649 | 33 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,150 – $71,300 · median $21,666 | 33 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,472 – $48,000 · median $13,876 | 33 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,229 – $69,500 · median $19,513 | 33 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,995 – $35,100 · median $11,128 | 33 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,233 – $52,400 · median $14,808 | 33 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,878 – $30,879 · median $10,742 | 33 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,150 – $67,800 · median $20,871 | 33 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,003 – $42,958 · median $14,513 | 33 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,755 – $55,208 · median $18,150 | 33 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,391 – $39,223 · median $13,347 | 33 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,666 – $52,849 · median $17,600 | 33 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,454 – $33,370 · median $11,520 | 33 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,875 – $19,148 · median $7,081 | 33 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,428 – $34,173 · median $11,771 | 33 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,198 – $21,085 · median $7,685 | 33 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,434 – $43,305 · median $14,621 | 33 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,823 – $23,689 · median $8,498 | 33 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,265 – $30,917 · median $10,754 | 33 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,015 – $19,624 · median $7,229 | 33 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,150 – $86,600 · median $19,922 | 33 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,237 – $39,500 · median $13,369 | 33 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $18,150 – $133,000 · median $33,687 | 33 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,985 – $62,200 · median $19,308 | 33 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,843 – $44,500 · median $14,490 | 33 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $18,150 – $111,600 · median $33,762 | 33 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $16,435 – $54,400 · median $17,599 | 33 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $12,610 – $41,646 · median $14,103 | 33 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,508 – $53,582 · median $17,829 | 33 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,106 – $36,232 · median $12,413 | 33 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,603 – $59,840 · median $19,206 | 33 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,610 – $33,800 · median $11,473 | 33 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,199 – $50,729 · median $16,938 | 33 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,680 – $29,800 · median $8,940 | 33 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,513 – $40,513 · median $13,750 | 33 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,150 – $87,800 · median $23,795 | 33 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,887 – $43,098 · median $14,556 | 33 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,358 – $53,783 · median $17,892 | 33 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,344 – $31,767 · median $11,020 | 33 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,010 – $28,049 · median $9,859 | 33 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,969 – $41,816 · median $14,156 | 33 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,563 – $28,590 · median $10,028 | 33 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,300 – $19,379 · median $7,153 | 33 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,273 – $29,422 · median $10,288 | 33 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,121 – $18,150 · median $6,304 | 33 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,141 – $36,300 · median $10,555 | 33 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,747 – $58,800 · median $16,507 | 33 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,945 – $29,282 · median $10,244 | 33 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,866 – $22,100 · median $7,072 | 33 plans |
| 779 | ABORTION WITHOUT D&C | $8,517 – $24,568 · median $8,773 | 33 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,672 – $48,100 · median $22,799 | 33 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,672 – $30,300 · median $10,453 | 33 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,309 – $23,400 · median $9,672 | 33 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,672 – $42,900 · median $15,670 | 33 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,672 – $29,800 · median $10,955 | 33 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,577 – $24,900 · median $9,672 | 33 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,141 – $40,100 · median $11,399 | 33 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,141 – $23,200 · median $9,925 | 33 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,141 – $23,200 · median $9,542 | 33 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $18,150 – $132,257 · median $41,694 | 33 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,150 – $82,043 · median $25,934 | 33 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,916 – $55,746 · median $18,150 | 33 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $18,150 – $116,348 · median $36,330 | 33 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,106 – $54,285 · median $18,048 | 33 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,305 – $39,599 · median $13,464 | 33 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,141 – $30,600 · median $10,622 | 33 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,141 – $21,100 · median $7,745 | 33 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,141 – $18,200 · median $7,038 | 33 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,150 – $71,800 · median $20,611 | 33 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,448 – $39,800 · median $12,643 | 33 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,982 – $31,000 · median $10,644 | 33 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,897 – $44,100 · median $13,905 | 33 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,734 – $28,500 · median $9,474 | 33 plans |
| 813 | Coagulation disorders | $14,110 – $63,500 · median $15,007 | 33 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,150 – $62,106 · median $19,893 | 33 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,535 – $31,900 · median $10,347 | 33 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,467 – $24,200 · median $6,865 | 33 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,150 – $76,700 · median $21,901 | 33 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,330 – $41,100 · median $11,670 | 33 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,818 – $25,112 · median $8,942 | 33 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $20,350 – $136,606 · median $42,469 | 33 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,583 – $49,756 · median $16,635 | 33 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,375 – $43,951 · median $14,822 | 33 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,696 – $35,117 · median $12,065 | 33 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,224 – $21,700 · median $7,682 | 33 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,266 – $18,150 · median $5,870 | 33 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,080 – $58,254 · median $19,287 | 33 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,993 – $24,869 · median $8,866 | 33 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,982 – $58,351 · median $18,755 | 33 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,322 – $43,723 · median $14,751 | 33 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,490 – $43,755 · median $14,761 | 33 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,985 – $21,309 · median $7,755 | 33 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $18,150 – $122,553 · median $38,904 | 33 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,117 – $55,909 · median $18,150 | 33 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,281 – $34,156 · median $11,765 | 33 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $18,150 – $107,266 · median $34,007 | 33 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,200 – $43,320 · median $14,626 | 33 plans |
| 906 | Hand procedures for injuries | $18,150 – $57,363 · median $19,009 | 33 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $18,150 – $112,119 · median $35,061 | 33 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,145 – $58,266 · median $18,729 | 33 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,705 – $38,335 · median $13,070 | 33 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,715 – $47,735 · median $16,004 | 33 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,678 – $25,859 · median $9,176 | 33 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,744 – $49,108 · median $16,432 | 33 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,507 – $19,458 · median $7,177 | 33 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,899 – $45,802 · median $15,400 | 33 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,404 – $25,030 · median $8,917 | 33 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,481 – $53,465 · median $17,792 | 33 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,533 – $29,270 · median $10,240 | 33 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,710 – $20,103 · median $7,379 | 33 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,327 – $51,088 · median $17,050 | 33 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,568 – $29,720 · median $10,381 | 33 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $18,150 – $623,499 · median $195,720 | 33 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $18,150 – $209,464 · median $64,549 | 33 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,150 – $94,057 · median $29,575 | 33 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $18,150 – $113,722 · median $36,601 | 33 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,150 – $64,556 · median $20,635 | 33 plans |
| 935 | NON-EXTENSIVE BURNS | $18,150 – $60,158 · median $19,688 | 33 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $18,150 – $105,963 · median $33,183 | 33 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,150 – $68,244 · median $21,753 | 33 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,605 – $59,215 · median $19,016 | 33 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,858 – $37,070 · median $12,675 | 33 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,629 – $23,377 · median $8,401 | 33 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,076 – $34,743 · median $11,948 | 33 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,837 – $18,331 · median $6,826 | 33 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,672 – $23,300 · median $6,172 | 33 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $18,150 – $196,568 · median $60,641 | 33 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $18,150 – $109,891 · median $34,374 | 33 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,150 – $222,524 · median $68,506 | 33 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,150 – $123,059 · median $38,364 | 33 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,150 – $85,977 · median $27,126 | 33 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,150 – $79,835 · median $25,265 | 33 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,698 – $44,757 · median $15,074 | 33 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,645 – $27,465 · median $9,677 | 33 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $18,150 – $178,760 · median $55,244 | 33 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,150 – $77,020 · median $24,412 | 33 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,150 – $84,280 · median $26,612 | 33 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,532 – $37,818 · median $12,908 | 33 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,060 – $26,362 · median $9,332 | 33 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,556 – $37,897 · median $12,933 | 33 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $18,150 – $159,276 · median $49,339 | 32 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $17,927 – $123,120 · median $38,383 | 32 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $18,150 – $84,157 · median $26,575 | 32 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $18,150 – $124,560 · median $38,819 | 32 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,150 – $63,695 · median $20,374 | 32 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,320 – $46,620 · median $15,428 | 32 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $18,150 – $109,412 · median $34,228 | 32 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,906 – $50,606 · median $16,654 | 32 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,986 – $35,111 · median $11,888 | 32 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,150 – $86,920 · median $27,412 | 32 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $18,138 – $317,556 · median $97,305 | 32 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $18,150 – $278,518 · median $64,174 | 32 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $18,150 – $259,111 · median $54,229 | 32 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $18,150 – $149,409 · median $41,945 | 32 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $18,150 – $122,679 · median $50,332 | 32 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $18,150 – $119,101 · median $32,988 | 32 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $18,150 – $202,235 · median $60,246 | 32 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $24,200 – $138,902 · median $40,568 | 32 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,706 – $79,524 · median $22,694 | 32 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $18,150 – $119,642 · median $25,150 | 32 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $16,357 – $75,177 · median $16,924 | 32 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $18,150 – $126,373 · median $39,368 | 32 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $18,150 – $92,019 · median $28,957 | 32 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $18,150 – $93,753 · median $29,483 | 32 plans |
| 397 | Appendix Procedures with MCC | $18,150 – $69,938 · median $22,266 | 32 plans |
| 398 | Appendix Procedures without MCC/CC | $13,811 – $44,202 · median $14,684 | 32 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,462 – $33,429 · median $11,370 | 32 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $18,150 – $393,099 · median $98,607 | 32 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $18,150 – $312,988 · median $80,805 | 32 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $18,150 – $251,600 · median $60,203 | 32 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $18,150 – $193,263 · median $48,238 | 32 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,927 – $83,818 · median $26,472 | 32 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,927 – $61,843 · median $19,813 | 32 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $18,150 – $252,883 · median $78,068 | 32 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,927 – $137,015 · median $42,593 | 32 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,150 – $71,796 · median $22,829 | 32 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,144 – $50,054 · median $16,484 | 32 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,150 – $100,120 · median $31,412 | 32 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,555 – $47,998 · median $15,852 | 32 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,734 – $35,020 · median $11,860 | 32 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $18,150 – $1,261,067 · median $383,231 | 31 plans |
| 789 | Neonates, died or transferred to another acute care facility | $16,300 – $52,630 · median $17,021 | 30 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $17,927 – $173,568 · median $53,671 | 30 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,927 – $118,535 · median $36,993 | 30 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,927 – $71,524 · median $22,747 | 30 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,927 – $121,765 · median $37,972 | 30 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,493 – $43,101 · median $14,133 | 30 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,777 – $45,224 · median $14,777 | 28 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,221 – $33,490 · median $11,221 | 28 plans |
| 795 | Normal newborn | $2,514 – $18,150 · median $2,840 | 27 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $18,150 – $112,867 · median $35,275 | 27 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,041 – $28,041 · median $9,569 | 27 plans |
| 881 | Depressive neuroses | $8,658 – $27,477 · median $9,399 | 27 plans |
| 882 | Neuroses except depressive | $9,070 – $31,358 · median $10,575 | 27 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,742 – $57,422 · median $18,473 | 27 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,161 – $46,985 · median $15,310 | 27 plans |
| 885 | Psychoses | $12,920 – $40,791 · median $13,433 | 27 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,248 – $60,605 · median $19,438 | 27 plans |
| 887 | Other mental disorder diagnoses | $10,549 – $31,273 · median $10,549 | 27 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $6,163 – $18,150 · median $6,531 | 27 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $18,150 – $267,973 · median $101,241 | 26 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $18,150 – $101,200 · median $51,577 | 26 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,150 – $42,953 · median $22,508 | 26 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $18,150 – $60,977 · median $31,503 | 26 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,150 – $42,813 · median $22,438 | 26 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $13,600 – $41,340 · median $13,600 | 26 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $16,516 – $50,962 · median $16,516 | 26 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $8,884 – $25,780 · median $8,884 | 26 plans |
No procedures match that keyword.