Marymount 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 AND KIDNEY TRANSPLANT | $26,000 – $308,400 · median $39,845 | 33 plans |
| 010 | Pancreas transplant | $10,700 – $240,800 · median $51,797 | 33 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $12,900 – $428,000 · median $86,250 | 33 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $36,400 – $477,808 · median $196,321 | 32 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $27,200 – $603,170 · median $72,690 | 32 plans |
| 007 | Lung transplant | $26,000 – $479,141 · median $91,114 | 32 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,998 – $185,100 · median $33,867 | 32 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,503 – $185,100 · median $26,851 | 32 plans |
| 652 | Kidney transplant | $20,853 – $185,100 · median $23,494 | 32 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $73,351 – $446,380 · median $79,818 | 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 $148,869 | 31 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,128 – $486,600 · median $33,092 | 31 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $40,434 – $240,500 · median $42,114 | 31 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,517 – $240,500 · median $39,393 | 31 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,052 – $292,000 · median $51,505 | 31 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,674 – $48,200 · median $14,080 | 30 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $9,800 – $92,700 · median $23,015 | 30 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,085 – $43,400 · median $8,932 | 30 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,900 – $52,200 · median $12,600 | 30 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,943 – $33,100 · median $14,111 | 30 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,241 – $46,700 · median $6,612 | 30 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,176 – $47,862 · median $14,841 | 30 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,748 – $100,800 · median $23,431 | 30 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,100 – $47,090 · median $13,923 | 30 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $16,743 – $173,600 · median $42,234 | 30 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,008 – $39,400 · median $5,426 | 30 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,525 – $16,700 · median $5,998 | 30 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,522 – $51,500 · median $12,160 | 30 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,803 – $40,400 · median $12,470 | 30 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,373 – $30,400 · median $10,115 | 30 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $16,400 – $97,400 · median $30,930 | 30 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,441 – $48,700 · median $16,959 | 30 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $16,743 – $125,500 · median $33,427 | 30 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,355 – $51,600 · median $12,929 | 30 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,795 – $38,100 · median $10,122 | 30 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,992 – $97,000 · median $22,971 | 30 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,854 – $54,500 · median $15,232 | 30 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,426 – $49,400 · median $11,453 | 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 $94,567 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $16,743 – $289,300 · median $54,027 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $16,743 – $160,500 · median $36,579 | 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 $39,536 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $16,743 – $94,700 · median $27,214 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $16,743 – $135,700 · median $31,516 | 29 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $16,743 – $87,500 · median $21,775 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,743 – $77,400 · median $17,802 | 29 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $16,743 – $108,100 · median $41,420 | 29 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $16,743 – $70,100 · median $23,824 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,266 – $59,300 · median $16,049 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $16,743 – $79,700 · median $31,067 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,672 – $46,900 · median $15,601 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,105 – $50,400 · median $12,334 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $16,743 – $75,400 · median $26,935 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,592 – $59,600 · median $16,905 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,209 – $54,900 · median $12,053 | 29 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $16,743 – $71,900 · median $26,871 | 29 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,482 – $50,100 · median $16,074 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,468 – $32,000 · median $11,385 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,616 – $25,700 · median $7,844 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,448 – $41,200 · median $16,942 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,381 – $49,677 · median $9,770 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,649 – $34,500 · median $9,389 | 29 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,461 – $21,000 · median $7,148 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,706 – $56,900 · median $14,369 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,284 – $35,300 · median $7,779 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,113 – $24,000 · median $5,505 | 29 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,389 – $25,600 · median $6,761 | 29 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,852 – $15,300 · median $6,303 | 29 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,988 – $64,800 · median $12,347 | 29 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,528 – $24,100 · median $7,889 | 29 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,522 – $25,700 · median $6,006 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,776 – $52,600 · median $11,925 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,452 – $17,575 · median $7,922 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,298 – $14,070 · median $6,487 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,543 – $18,000 · median $6,979 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,600 – $38,969 · median $16,194 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,230 – $23,500 · median $9,820 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,406 – $15,596 · median $7,112 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,607 – $43,200 · median $12,985 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,560 – $20,800 · median $7,868 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,780 – $14,800 · median $6,286 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,555 – $82,500 · median $25,291 | 29 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,400 – $57,400 · median $18,729 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,400 – $63,500 · median $18,729 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,895 – $50,100 · median $16,745 | 29 plans |
| 100 | SEIZURES WITH MCC | $13,680 – $39,800 · median $14,246 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $6,655 – $33,500 · median $7,027 | 29 plans |
| 102 | HEADACHES WITH MCC | $8,225 – $22,600 · median $8,551 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $6,182 – $14,259 · median $6,565 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,179 – $22,559 · median $9,962 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,909 – $13,091 · median $6,087 | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,940 – $15,110 · median $6,913 | 29 plans |
| 139 | Salivary gland procedures | $5,700 – $21,069 · median $9,352 | 29 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,055 – $36,102 · median $15,506 | 29 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,789 – $22,600 · median $9,602 | 29 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,856 – $34,800 · median $6,291 | 29 plans |
| 149 | Dysequilibrium | $5,504 – $31,200 · median $5,974 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,383 – $29,271 · median $12,400 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,780 – $15,512 · median $7,000 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,010 – $119,500 · median $32,009 | 29 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,192 – $78,100 · median $18,344 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,879 – $57,400 · median $14,088 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,998 – $78,400 · median $26,815 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,636 – $50,100 · median $13,315 | 29 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,509 – $34,500 · median $10,265 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,874 – $37,600 · median $10,315 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,947 – $25,000 · median $6,346 | 29 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,244 – $46,700 · median $11,635 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,120 – $28,900 · median $7,540 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,651 – $18,500 · median $5,997 | 29 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,111 – $37,100 · median $13,054 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,900 – $25,400 · median $8,203 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,815 – $31,800 · median $5,989 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,003 – $36,600 · median $11,605 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,198 – $20,900 · median $7,631 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,740 – $41,000 · median $9,350 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,984 – $29,600 · median $8,459 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,842 – $17,300 · median $5,209 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,270 – $31,800 · median $9,902 | 29 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,983 – $21,000 · median $6,353 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,680 – $11,900 · median $5,114 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,011 – $50,400 · median $13,900 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,106 – $21,600 · median $7,352 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,193 – $17,400 · median $5,727 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,882 – $18,743 · median $8,400 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,039 – $12,192 · median $5,719 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,952 – $17,200 · median $7,506 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,168 – $11,424 · median $5,404 | 29 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,924 – $16,800 · median $6,363 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,036 – $31,219 · median $13,507 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,550 – $18,700 · median $7,296 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $43,282 – $148,400 · median $45,639 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,293 – $59,600 · median $19,912 | 29 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $16,743 – $283,600 · median $66,997 | 29 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $16,743 – $223,200 · median $45,262 | 29 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $16,743 – $193,600 · median $52,736 | 29 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $16,743 – $146,600 · median $36,843 | 29 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,743 – $127,500 · median $34,860 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $16,743 – $185,200 · median $34,231 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,743 – $143,800 · median $22,048 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $16,743 – $217,200 · median $52,512 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $16,743 – $158,100 · median $37,723 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $16,743 – $168,400 · median $40,473 | 29 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $16,743 – $130,900 · median $29,091 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $33,835 – $159,900 · median $35,079 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,802 – $77,600 · median $20,623 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,088 – $53,900 · median $10,390 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,743 – $119,200 · median $22,342 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,146 – $71,700 · median $15,600 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,487 – $51,439 · median $13,343 | 29 plans |
| 245 | AICD generator procedures | $16,743 – $114,807 · median $31,622 | 29 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,496 – $114,400 · median $15,961 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,834 – $58,200 · median $11,159 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $16,743 – $96,400 · median $24,344 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,743 – $63,576 · median $18,295 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,122 – $49,600 · median $13,163 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,754 – $28,949 · median $12,578 | 29 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,458 – $35,400 · median $8,351 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,097 – $53,573 · median $22,658 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,592 – $41,900 · median $12,104 | 29 plans |
| 264 | Other circulatory system O.R. procedures | $23,343 – $56,957 · median $24,044 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $16,743 – $77,210 · median $25,224 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $16,743 – $159,600 · median $32,967 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,408 – $59,200 · median $11,924 | 29 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,655 – $40,000 · median $7,143 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,356 – $30,200 · median $5,775 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,482 – $60,200 · median $14,553 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,186 – $73,600 · median $16,172 | 29 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,764 – $33,100 · median $8,197 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,608 – $78,100 · median $19,616 | 29 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,006 – $15,851 · median $7,217 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,185 – $38,900 · median $9,688 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,255 – $26,700 · median $6,653 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,191 – $18,500 · median $4,678 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,251 – $36,100 · median $12,123 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,638 – $19,500 · median $8,178 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,279 – $18,100 · median $5,751 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $8,326 – $27,100 · median $9,033 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,457 – $47,500 · median $11,726 | 29 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,686 – $19,579 · median $7,101 | 29 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,532 – $27,600 · median $9,131 | 29 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,450 – $18,653 · median $5,863 | 29 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,262 – $14,800 · median $4,679 | 29 plans |
| 311 | Angina pectoris | $5,179 – $14,200 · median $5,627 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,322 – $17,000 · median $6,811 | 29 plans |
| 313 | Chest pain | $5,279 – $14,800 · median $5,753 | 29 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,791 – $43,600 · median $15,281 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,923 – $27,400 · median $7,451 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,076 – $18,000 · median $5,489 | 29 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,113 – $144,100 · median $35,537 | 29 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,604 – $74,300 · median $17,787 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,092 – $46,000 · median $11,911 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,369 – $117,800 · median $31,853 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,369 – $59,600 · median $16,951 | 29 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,472 – $46,400 · median $12,474 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $14,604 – $61,900 · median $17,075 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,499 – $89,400 · median $25,651 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,519 – $35,953 · median $15,445 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,706 – $35,300 · median $11,441 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,208 – $48,600 · median $18,754 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,400 – $28,400 · median $11,230 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,745 – $23,000 · median $9,007 | 29 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,882 – $25,400 · median $9,863 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,385 – $19,500 · median $6,804 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,504 – $40,300 · median $11,368 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,850 – $24,600 · median $8,878 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,517 – $37,100 · median $10,484 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,112 – $46,500 · median $13,103 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,365 – $20,900 · median $7,854 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,358 – $17,500 · median $5,805 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,513 – $42,100 · median $15,655 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,682 – $33,500 · median $9,170 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,399 – $15,759 · median $7,179 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,576 – $40,800 · median $13,486 | 29 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,079 – $21,200 · median $7,573 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,772 – $16,900 · median $5,128 | 29 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,516 – $14,800 · median $6,316 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,299 – $34,400 · median $11,771 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,122 – $19,400 · median $7,542 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,994 – $15,300 · median $5,483 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,276 – $33,100 · median $11,035 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,861 – $18,700 · median $6,240 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,181 – $10,800 · median $4,525 | 29 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,051 – $21,625 · median $9,580 | 29 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,721 – $14,369 · median $6,169 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,505 – $34,500 · median $11,890 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,784 – $17,300 · median $7,259 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,770 – $14,800 · median $5,258 | 29 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $19,648 – $172,700 · median $27,950 | 29 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $36,423 – $128,400 · median $38,909 | 29 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,116 – $73,800 · median $20,970 | 29 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,674 – $47,500 · median $16,220 | 29 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,414 – $70,100 · median $15,924 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,264 – $61,900 · median $17,384 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,521 – $44,600 · median $12,534 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,270 – $33,300 · median $10,260 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,432 – $111,300 · median $29,714 | 29 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $19,648 – $269,394 · median $49,621 | 29 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $19,648 – $203,786 · median $38,802 | 29 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $19,648 – $228,300 · median $39,786 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,507 – $40,800 · median $14,465 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,633 – $18,008 · median $8,100 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,167 – $12,148 · median $5,701 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,618 – $31,316 · median $13,547 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,015 – $23,400 · median $8,622 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,753 – $14,549 · median $6,683 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,556 – $28,900 · median $12,106 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,249 – $21,800 · median $6,599 | 29 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,630 – $13,700 · median $5,065 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,868 – $46,000 · median $13,254 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,949 – $24,500 · median $7,465 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,208 – $12,000 · median $5,611 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,692 – $40,700 · median $12,390 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,730 – $22,500 · median $8,366 | 29 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,833 – $15,600 · median $6,502 | 29 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,648 – $132,220 · median $29,443 | 29 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,648 – $108,180 · median $22,596 | 29 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $16,743 – $212,600 · median $57,650 | 29 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $16,743 – $158,200 · median $41,114 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $16,743 – $145,800 · median $28,981 | 29 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $16,743 – $116,800 · median $38,132 | 29 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $16,743 – $85,200 · median $19,293 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,240 – $188,200 · median $40,507 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,042 – $105,500 · median $22,467 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,034 – $67,300 · median $13,456 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $16,743 – $120,500 · median $35,980 | 29 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $16,743 – $90,700 · median $24,604 | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,743 – $75,200 · median $19,328 | 29 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $16,743 – $95,100 · median $21,260 | 29 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $13,021 – $60,600 · median $14,191 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,743 – $102,300 · median $20,670 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,203 – $83,000 · median $17,249 | 29 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,816 – $57,400 · median $16,611 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,013 – $60,800 · median $17,892 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,296 – $42,700 · median $13,702 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,992 – $85,900 · median $21,054 | 29 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,272 – $67,000 · median $15,346 | 29 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,045 – $47,500 · median $12,111 | 29 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $14,369 – $62,100 · median $19,490 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,743 – $140,400 · median $22,574 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,575 – $77,200 · median $15,323 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,693 – $45,100 · median $13,074 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,274 – $40,900 · median $8,523 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,425 – $50,500 · median $17,892 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,020 – $37,500 · median $14,732 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,820 – $98,000 · median $26,033 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,930 – $64,200 · median $13,318 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,894 – $44,600 · median $9,161 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,496 – $60,800 · median $22,817 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,048 – $47,588 · median $20,208 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,159 – $34,400 · median $13,241 | 29 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $11,186 – $34,500 · median $12,282 | 29 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,301 – $81,100 · median $7,863 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $15,600 – $63,721 · median $26,031 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,591 – $37,400 · median $14,688 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,033 – $28,600 · median $11,154 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,943 – $15,300 · median $6,354 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,925 – $63,600 · median $14,475 | 29 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,114 – $22,102 · median $9,775 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,677 – $43,500 · median $13,057 | 29 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,574 – $35,600 · median $7,903 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,558 – $23,800 · median $5,995 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,257 – $52,500 · median $18,049 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,213 – $31,800 · median $8,778 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,496 – $19,700 · median $6,564 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,838 – $29,900 · median $12,426 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,933 – $16,800 · median $7,437 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,193 – $22,102 · median $9,775 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,079 – $14,153 · median $6,521 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,960 – $59,593 · median $6,525 | 29 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,782 – $30,400 · median $11,106 | 29 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,272 – $15,229 · median $6,962 | 29 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,967 – $16,800 · median $6,339 | 29 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,470 – $15,268 · median $6,978 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,302 – $21,000 · median $7,529 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,508 – $12,776 · median $5,958 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,575 – $97,600 · median $20,880 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,115 – $68,400 · median $11,897 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,023 – $56,100 · median $10,928 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,919 – $144,700 · median $36,996 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,207 – $115,500 · median $20,266 | 29 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,287 – $92,000 · median $15,501 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,086 – $103,500 · median $22,949 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,641 – $68,300 · median $13,500 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,501 – $59,500 · median $11,559 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,636 – $72,100 · median $18,462 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,418 – $51,200 · median $9,953 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,348 – $50,400 · median $7,954 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,655 – $50,900 · median $11,338 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,699 – $38,900 · median $8,035 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,788 – $37,800 · median $11,560 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,879 – $29,500 · median $7,549 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,952 – $45,200 · median $13,256 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,795 – $46,000 · median $8,262 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $28,239 – $71,637 · median $30,053 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,814 – $49,800 · median $17,050 | 29 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,906 – $27,986 · median $12,184 | 29 plans |
| 682 | RENAL FAILURE WITH MCC | $10,487 – $33,500 · median $11,064 | 29 plans |
| 683 | RENAL FAILURE WITH CC | $6,438 – $20,400 · median $6,840 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,579 – $14,000 · median $4,918 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,929 – $39,300 · median $13,317 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,520 – $28,000 · median $8,041 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,350 – $19,400 · median $6,244 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,297 – $29,900 · median $8,826 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,868 – $15,900 · median $6,378 | 29 plans |
| 693 | URINARY STONES WITH MCC | $9,817 – $22,924 · median $10,112 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,728 – $16,900 · median $6,184 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,136 – $15,100 · median $5,537 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,669 – $28,208 · median $12,275 | 29 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,303 – $19,900 · median $7,812 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,152 – $14,500 · median $5,543 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,023 – $207,900 · median $41,661 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,312 – $62,300 · median $16,352 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,121 – $53,000 · median $9,131 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,475 – $112,000 · median $32,727 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,094 – $72,800 · median $16,541 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,696 – $45,700 · median $10,146 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,154 – $98,600 · median $16,859 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $20,935 – $104,500 · median $22,783 | 29 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $37,074 – $152,300 · median $39,045 | 29 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,674 – $106,100 · median $15,286 | 29 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,960 – $28,500 · median $9,239 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,262 – $171,600 · median $34,259 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,963 – $71,900 · median $15,297 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,618 – $24,619 · median $10,806 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,630 – $72,000 · median $23,306 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,924 – $30,200 · median $12,114 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,515 – $28,400 · median $7,780 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,461 – $28,600 · median $9,225 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,435 – $44,202 · median $18,822 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,960 – $22,305 · median $9,858 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,976 – $14,482 · median $6,656 | 29 plans |
| 849 | RADIOTHERAPY | $18,209 – $46,197 · median $19,639 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $14,369 – $124,000 · median $34,172 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,366 – $103,500 · median $32,475 | 29 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,958 – $48,700 · median $15,674 | 29 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,077 – $38,300 · median $10,450 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,711 – $36,000 · median $13,456 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,171 – $18,200 · median $7,693 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,498 – $17,600 · median $6,924 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,411 – $14,827 · median $6,797 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,730 – $50,700 · median $15,337 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,503 – $37,600 · median $7,924 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $14,369 – $194,500 · median $47,542 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,527 – $49,800 · median $14,285 | 29 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,377 – $28,200 · median $7,870 | 29 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $36,207 – $92,992 · median $38,230 | 28 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $27,672 – $71,883 · median $29,714 | 28 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,070 – $49,135 · median $20,538 | 28 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $249,658 – $736,267 · median $297,722 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $16,743 – $54,175 · median $22,237 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,980 – $30,883 · median $13,370 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,653 – $16,695 · median $7,452 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,291 – $29,147 · median $12,659 | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,423 – $47,009 · median $19,680 | 28 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,330 – $35,220 · median $12,803 | 28 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,846 – $29,427 · median $10,372 | 28 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,176 – $25,041 · median $10,819 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,972 – $30,861 · median $13,361 | 28 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,750 – $23,927 · median $10,317 | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,882 – $17,290 · median $7,291 | 28 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,534 – $38,736 · median $16,343 | 28 plans |
| 088 | CONCUSSION WITH MCC | $9,867 – $23,048 · median $10,024 | 28 plans |
| 089 | CONCUSSION WITH CC | $7,648 – $18,731 · median $8,273 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,229 – $14,036 · median $6,379 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,243 – $61,581 · median $25,559 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,770 – $23,229 · median $10,088 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,472 – $40,086 · median $16,888 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,375 – $23,069 · median $10,023 | 28 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,679 – $26,170 · median $11,274 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,588 – $30,828 · median $13,153 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,691 – $18,498 · median $8,179 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,250 – $19,834 · median $8,718 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,047 – $13,398 · median $6,122 | 28 plans |
| 123 | Neurological eye disorders | $5,872 – $13,616 · median $6,210 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,411 – $36,999 · median $15,873 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,028 – $17,311 · median $7,700 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,805 – $25,459 · median $10,987 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,501 – $72,723 · median $30,053 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,758 – $37,188 · median $15,719 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,953 – $27,219 · median $11,697 | 28 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,376 – $63,880 · median $26,486 | 28 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,170 – $29,546 · median $12,636 | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,392 – $20,499 · median $8,986 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $9,696 – $22,702 · median $9,875 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,574 – $12,515 · median $5,766 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,062 – $20,157 · median $8,848 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,268 – $12,586 · median $5,794 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,301 – $26,658 · median $11,474 | 28 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,733 – $15,626 · median $7,021 | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,008 – $11,783 · median $5,470 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,924 – $12,080 · median $5,590 | 28 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $20,835 – $50,748 · median $21,188 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,051 – $26,085 · median $11,240 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,622 – $18,143 · median $8,036 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,704 – $13,410 · median $6,127 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,416 – $12,228 · median $5,650 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,227 – $30,078 · median $12,850 | 28 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $16,743 – $185,403 · median $74,392 | 28 plans |
| 215 | Other heart assist system implant | $68,177 – $169,767 · median $70,223 | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,743 – $112,109 · median $45,262 | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $16,743 – $143,730 · median $57,829 | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $16,743 – $103,367 · median $41,788 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,849 – $45,991 · median $19,270 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,282 – $52,129 · median $21,746 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $16,743 – $151,598 · median $47,313 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $16,743 – $96,839 · median $29,324 | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $17,221 – $114,427 · median $36,460 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $16,743 – $75,193 · median $24,805 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,743 – $55,591 · median $18,006 | 28 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $16,743 – $86,671 · median $28,662 | 28 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $16,743 – $60,842 · median $23,012 | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $16,743 – $121,573 · median $49,024 | 28 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $16,743 – $102,413 · median $41,409 | 28 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $16,743 – $109,842 · median $32,003 | 28 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $16,743 – $94,904 · median $38,424 | 28 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $16,743 – $61,489 · median $25,144 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,397 – $18,143 · median $5,510 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,275 – $12,479 · median $4,836 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,981 – $29,103 · median $12,457 | 28 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,290 – $26,630 · median $11,509 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,003 – $10,810 · median $5,153 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,484 – $7,759 · median $3,847 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,250 – $20,402 · median $8,947 | 28 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $19,648 – $114,005 · median $46,016 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $19,648 – $76,092 · median $30,948 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,856 – $41,010 · median $17,261 | 28 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $16,743 – $46,390 · median $19,257 | 28 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,517 – $50,987 · median $12,843 | 28 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $16,743 – $73,782 · median $30,030 | 28 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $16,743 – $53,725 · median $22,058 | 28 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $16,743 – $54,737 · median $22,461 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,478 – $61,733 · median $25,620 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,200 – $39,140 · median $16,506 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,542 – $42,487 · median $17,856 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,939 – $49,479 · median $20,677 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,494 – $27,209 · median $11,718 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,288 – $17,053 · median $7,596 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,177 – $11,949 · median $5,537 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,277 – $33,456 · median $14,213 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,760 – $18,474 · median $8,169 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,917 – $23,541 · median $10,213 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,311 – $14,574 · median $6,596 | 28 plans |
| 397 | Appendix Procedures with MCC | $16,933 – $40,833 · median $17,189 | 28 plans |
| 398 | Appendix Procedures without MCC/CC | $10,562 – $25,807 · median $11,128 | 28 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,990 – $19,517 · median $8,590 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,693 – $60,793 · median $25,241 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,812 – $27,070 · median $11,637 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,641 – $56,321 · median $23,437 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,646 – $35,848 · median $15,178 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,548 – $28,312 · median $12,138 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,709 – $60,742 · median $25,220 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,632 – $35,237 · median $14,932 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,617 – $23,244 · median $10,094 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,794 – $58,091 · median $24,193 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,383 – $29,624 · median $12,667 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,190 – $23,861 · median $10,384 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,532 – $37,304 · median $15,823 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,777 – $25,580 · median $11,036 | 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 $75,389 | 28 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $19,648 – $153,614 · median $61,758 | 28 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $16,471 – $113,921 · median $45,983 | 28 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $16,471 – $91,148 · median $36,821 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,796 – $73,194 · median $30,439 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,249 – $20,122 · median $8,834 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,281 – $58,901 · median $24,477 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,004 – $28,245 · median $11,489 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $16,743 – $62,601 · median $25,586 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,244 – $51,436 · median $21,466 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,234 – $34,352 · median $14,575 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,159 – $31,870 · median $13,573 | 28 plans |
| 506 | Major thumb or joint procedures | $9,849 – $24,185 · median $10,145 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,947 – $35,776 · median $13,336 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,091 – $30,876 · median $11,133 | 28 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $19,445 – $51,500 · median $21,492 | 28 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $13,521 – $35,454 · median $15,019 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,511 – $27,499 · median $11,545 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,648 – $48,937 · median $20,156 | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,491 – $36,107 · median $15,282 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,639 – $26,729 · median $11,500 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,351 – $21,858 · median $9,535 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,923 – $13,770 · median $6,272 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,637 – $16,271 · median $7,281 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,002 – $12,281 · median $5,671 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,042 – $13,425 · median $6,223 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,791 – $32,922 · median $14,039 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,527 – $20,583 · median $9,020 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,261 – $14,903 · median $6,729 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,461 – $22,537 · median $9,808 | 28 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,828 – $31,797 · median $13,544 | 28 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,088 – $19,200 · median $8,462 | 28 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $10,233 – $24,293 · median $10,517 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,931 – $26,318 · median $11,334 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,449 – $50,146 · median $20,946 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,626 – $28,806 · median $12,337 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,112 – $19,544 · median $8,601 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,241 – $111,701 · median $45,777 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,452 – $59,187 · median $24,593 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,883 – $30,639 · median $13,270 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,918 – $83,565 · median $34,936 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,155 – $45,194 · median $18,948 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,592 – $27,389 · median $11,836 | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,095 – $55,216 · median $22,991 | 28 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,278 – $29,462 · median $12,602 | 28 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,073 – $24,605 · median $10,643 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,134 – $32,849 · median $13,968 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,417 – $29,401 · median $12,577 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,090 – $36,499 · median $15,441 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,678 – $32,891 · median $13,985 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $13,821 – $32,997 · median $14,192 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $8,643 – $20,226 · median $8,876 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,173 – $14,779 · median $6,679 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,537 – $36,158 · median $15,303 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,708 – $18,457 · median $8,162 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,003 – $28,424 · median $12,267 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,693 – $19,289 · median $8,498 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,920 – $13,118 · median $6,098 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,885 – $17,759 · median $7,881 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,527 – $10,315 · median $4,878 | 28 plans |
| 602 | CELLULITIS WITH MCC | $10,271 – $24,233 · median $10,493 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,385 – $14,849 · median $6,707 | 28 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,380 – $25,099 · median $10,842 | 28 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,668 – $15,618 · median $7,017 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,960 – $25,800 · median $11,246 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,275 – $15,454 · median $6,951 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,559 – $37,370 · median $15,823 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,032 – $23,858 · median $10,341 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,338 – $59,460 · median $25,068 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,325 – $31,889 · median $13,581 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,791 – $24,182 · median $10,472 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,825 – $60,684 · median $25,426 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,862 – $30,586 · median $13,225 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,192 – $21,345 · median $9,328 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,504 – $51,493 · median $21,489 | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,536 – $25,565 · median $11,030 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,935 – $22,648 · median $9,853 | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,960 – $63,542 · median $26,684 | 28 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,422 – $37,149 · median $15,703 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,822 – $24,884 · median $10,755 | 28 plans |
| 637 | DIABETES WITH MCC | $10,186 – $24,496 · median $10,599 | 28 plans |
| 638 | DIABETES WITH CC | $6,625 – $15,280 · median $6,881 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,706 – $10,591 · median $4,990 | 28 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $9,338 – $22,772 · median $9,903 | 28 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,728 – $13,268 · median $6,070 | 28 plans |
| 642 | Inborn errors of metabolism | $8,764 – $24,247 · median $10,498 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,513 – $28,066 · median $12,039 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,393 – $17,476 · median $7,767 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,710 – $13,100 · median $6,001 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,172 – $52,199 · median $21,774 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,857 – $53,216 · median $22,512 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $11,447 – $29,826 · median $12,749 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,356 – $18,861 · median $8,325 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,829 – $49,786 · median $20,801 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,016 – $19,502 · median $8,584 | 28 plans |
| 697 | Urethral stricture | $7,184 – $18,376 · median $8,130 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,385 – $34,105 · median $14,475 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,359 – $26,158 · median $11,269 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,409 – $39,677 · median $16,723 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,201 – $23,890 · median $10,496 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,186 – $35,529 · median $15,049 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,632 – $18,750 · median $8,281 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,118 – $25,633 · median $11,057 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,774 – $18,029 · median $7,990 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,483 – $38,146 · median $16,105 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,941 – $25,081 · median $10,835 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,822 – $32,233 · median $13,720 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,704 – $22,900 · median $9,955 | 28 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,986 – $30,855 · median $13,164 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,984 – $19,483 · median $8,577 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,150 – $11,180 · median $5,304 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,636 – $19,952 · median $8,895 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,484 – $12,310 · median $5,683 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,272 – $25,283 · median $10,916 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,964 – $13,831 · median $6,297 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,838 – $18,051 · median $7,999 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,575 – $11,458 · median $5,339 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,456 – $36,317 · median $15,367 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,585 – $22,941 · median $9,971 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,928 – $60,945 · median $25,676 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,766 – $35,133 · median $14,890 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,586 – $25,038 · median $10,817 | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,984 – $61,087 · median $25,734 | 28 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $12,577 – $30,854 · median $13,163 | 28 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,640 – $24,315 · median $10,526 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,632 – $31,283 · median $13,337 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,484 – $21,154 · median $9,251 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,473 – $34,937 · median $14,811 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,336 – $19,394 · median $8,541 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,628 – $29,618 · median $12,665 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,532 – $14,658 · median $6,728 | 28 plans |
| 748 | Female reproductive system reconstructive procedures | $9,565 – $23,653 · median $10,259 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,664 – $43,778 · median $18,377 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,084 – $25,162 · median $10,868 | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,517 – $31,401 · median $13,384 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,899 – $18,547 · median $8,199 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,875 – $16,377 · median $7,323 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,915 – $24,414 · median $10,566 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,299 – $16,692 · median $7,451 | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,794 – $11,314 · median $5,281 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,077 – $17,178 · median $7,647 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,572 – $9,727 · median $4,710 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,678 – $16,698 · median $7,968 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,745 – $28,811 · median $12,339 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,501 – $17,096 · median $7,700 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,143 – $11,163 · median $5,288 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $6,407 – $14,344 · median $6,600 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,722 – $18,184 · median $8,614 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,722 – $15,588 · median $7,486 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,722 – $14,914 · median $7,192 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,395 – $77,218 · median $32,155 | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,744 – $47,900 · median $20,074 | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,410 – $32,547 · median $13,846 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,244 – $67,929 · median $28,119 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,324 – $31,694 · median $13,502 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,869 – $23,120 · median $10,044 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,159 – $16,816 · median $8,019 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,346 – $11,749 · median $5,903 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,776 – $10,505 · median $5,354 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,668 – $37,645 · median $15,916 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,747 – $21,584 · median $9,424 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,854 – $17,845 · median $7,916 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,859 – $23,943 · median $10,376 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,663 – $15,655 · median $7,032 | 28 plans |
| 813 | Coagulation disorders | $10,791 – $26,006 · median $11,208 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,375 – $36,260 · median $15,344 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,278 – $17,289 · median $7,691 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,922 – $10,776 · median $5,064 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,167 – $38,901 · median $16,652 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,562 – $19,764 · median $8,818 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,960 – $14,661 · median $6,631 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,109 – $79,756 · median $32,890 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,154 – $29,050 · median $12,436 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,227 – $25,660 · median $11,068 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,169 – $20,503 · median $8,855 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,503 – $12,303 · median $5,680 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $8,915 · median $4,314 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,072 – $34,011 · median $14,437 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,094 – $14,520 · median $6,574 | 28 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $48,143 – $147,644 · median $60,276 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,764 – $34,068 · median $14,460 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,852 – $25,527 · median $11,178 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,315 – $25,546 · median $11,022 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,320 – $12,441 · median $5,736 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,144 – $71,552 · median $29,924 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,100 – $32,642 · median $13,885 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,619 – $19,942 · median $8,762 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,596 – $62,626 · median $26,217 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,758 – $25,292 · median $11,081 | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,017 – $33,491 · median $14,438 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,723 – $65,460 · median $27,202 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,890 – $34,018 · median $14,440 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,944 – $22,382 · median $9,746 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,256 – $27,870 · median $11,960 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,620 – $15,098 · median $6,808 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,046 – $28,671 · median $12,283 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,953 – $11,360 · median $5,300 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,334 – $26,741 · median $11,536 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,410 – $14,614 · median $6,612 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,612 – $31,215 · median $13,309 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,277 – $17,089 · median $7,611 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,109 – $11,737 · median $5,452 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,725 – $29,827 · median $12,749 | 28 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,303 – $17,352 · median $7,717 | 28 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $145,382 – $364,026 · median $149,744 | 28 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,681 – $122,295 · median $50,050 | 28 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,573 – $54,915 · median $22,869 | 28 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,095 – $66,396 · median $27,907 | 28 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,740 – $37,691 · median $15,921 | 28 plans |
| 935 | Non-extensive burns | $14,666 – $35,123 · median $15,090 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $21,531 – $61,866 · median $25,674 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,513 – $39,844 · median $16,790 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,475 – $34,572 · median $14,663 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,062 – $21,643 · median $9,448 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,815 – $13,649 · median $6,223 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,694 – $20,284 · median $8,900 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,438 – $10,702 · median $5,034 | 28 plans |
| 951 | Other factors influencing health status | $4,312 – $9,480 · median $4,541 | 28 plans |
| 955 | Craniotomy for multiple significant trauma | $45,667 – $114,765 · median $47,013 | 28 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,814 – $64,159 · median $26,599 | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $49,868 – $129,919 · median $53,126 | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,712 – $71,847 · median $29,700 | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,030 – $50,197 · median $20,966 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,511 – $46,611 · median $19,520 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,475 – $26,131 · median $11,258 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,595 – $16,036 · median $7,186 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,186 – $104,368 · median $42,895 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,092 – $44,968 · median $18,857 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,263 – $49,206 · median $20,581 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,482 – $22,080 · median $9,766 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,823 – $15,391 · median $7,028 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,500 – $22,126 · median $9,785 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,966 – $79,995 · median $32,987 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,738 – $41,917 · median $17,626 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,585 – $29,224 · median $12,506 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,702 – $58,454 · median $24,297 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,844 – $28,023 · median $12,050 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,199 – $20,446 · median $8,965 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,698 – $38,255 · median $17,343 | 27 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,720 – $16,954 · median $7,890 | 27 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,336 – $16,954 · median $7,197 | 27 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,698 – $25,703 · median $11,884 | 27 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,580 – $17,402 · median $8,274 | 27 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,542 – $16,954 · median $7,204 | 27 plans |
| 789 | Neonates, died or transferred to another acute care facility | $5,351 – $30,728 · median $12,919 | 25 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $5,351 – $101,337 · median $40,981 | 25 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,351 – $69,206 · median $28,211 | 25 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,351 – $41,759 · median $17,303 | 25 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,351 – $71,092 · median $28,961 | 25 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,317 – $25,164 · median $10,708 | 24 plans |
| 795 | Normal newborn | $1,887 – $3,407 · median $2,060 | 24 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,522 – $65,897 · median $26,896 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,898 – $16,371 · median $7,213 | 24 plans |
| 881 | Depressive neuroses | $6,605 – $16,042 · median $7,082 | 24 plans |
| 882 | Neuroses except depressive | $6,921 – $18,308 · median $7,983 | 24 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,812 – $33,525 · median $14,031 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,599 – $27,432 · median $11,609 | 24 plans |
| 885 | Psychoses | $9,877 – $23,815 · median $10,172 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,433 – $35,384 · median $14,769 | 24 plans |
| 887 | Other mental disorder diagnoses | $7,963 – $18,259 · median $7,963 | 24 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,689 – $10,518 · median $4,887 | 24 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,200 – $26,404 · median $11,200 | 24 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,478 – $19,553 · median $8,478 | 24 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $19,648 – $192,986 · median $77,405 | 23 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $19,648 – $97,303 · median $39,378 | 23 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,120 – $41,299 · median $17,120 | 23 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $19,648 – $58,628 · median $24,007 | 23 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,066 – $41,164 · median $17,066 | 23 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $10,299 – $24,136 · median $10,299 | 23 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $12,532 – $29,754 · median $12,532 | 23 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $6,689 – $15,052 · median $6,689 | 23 plans |
No procedures match that keyword.