Mercy Health - Fairfield Hospital — Pricing
514 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 514 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 514 procedures
Procedures with negotiated rates only
These 514 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 |
|---|---|---|---|
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,977 – $33,491 · median $13,397 | 49 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,501 – $87,803 · median $33,870 | 49 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $19,555 – $73,225 · median $28,375 | 49 plans |
| 175 | PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE | $9,929 – $27,093 · median $15,075 | 49 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,600 – $40,830 · median $12,008 | 49 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,268 – $20,982 · median $13,063 | 49 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $3,803 – $21,701 · median $8,952 | 49 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,551 – $16,515 · median $6,998 | 49 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,505 – $15,788 · median $6,724 | 49 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,368 – $18,594 · median $7,781 | 49 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,015 – $34,560 · median $13,800 | 49 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,915 – $21,536 · median $8,890 | 49 plans |
| 201 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MAJOR | $3,183 – $14,010 · median $6,053 | 49 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,813 – $13,126 · median $5,720 | 49 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $3,875 – $27,122 · median $10,996 | 49 plans |
| 242 | MAJOR ESOPHAGEAL DISORDERS,MAJOR | $4,469 – $62,550 · median $24,351 | 49 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,459 – $41,746 · median $16,509 | 49 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,368 – $35,411 · median $14,120 | 49 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $5,755 – $68,339 · median $26,533 | 49 plans |
| 253 | OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE | $3,684 – $50,850 · median $19,941 | 49 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,369 – $18,006 · median $7,560 | 49 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,366 – $14,166 · median $6,112 | 49 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,902 – $38,806 · median $15,400 | 49 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,097 – $13,561 · median $5,884 | 49 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,046 – $14,793 · median $7,964 | 49 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,648 – $24,888 · median $13,345 | 49 plans |
| 313 | CHEST PAIN | $5,799 – $16,624 · median $9,163 | 49 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $7,816 – $40,851 · median $16,171 | 49 plans |
| 315 | SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT,MODERATE | $7,510 – $18,872 · median $9,819 | 49 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,680 – $47,122 · median $18,535 | 49 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $13,228 – $84,778 · median $32,730 | 49 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,817 – $29,866 · median $12,030 | 49 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,648 – $38,441 · median $15,263 | 49 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,175 – $16,746 · median $7,085 | 49 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,703 – $30,999 · median $12,457 | 49 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,509 – $16,208 · median $6,882 | 49 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,059 – $57,519 · median $23,172 | 49 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,803 – $25,893 · median $10,533 | 49 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $5,215 – $59,978 · median $23,381 | 49 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $3,717 – $29,782 · median $11,999 | 49 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,762 – $27,512 · median $11,143 | 49 plans |
| 812 | POISONING OF MEDICINAL AGENTS,MINOR | $2,646 – $17,988 · median $7,553 | 49 plans |
| 813 | COAGULATION DISORDERS | $4,186 – $29,882 · median $13,030 | 49 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,970 – $19,865 · median $8,260 | 49 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,769 – $35,728 · median $14,240 | 49 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,646 – $16,456 · median $7,340 | 49 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $4,348 – $29,279 · median $11,809 | 47 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,623 – $35,871 · median $14,294 | 46 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $6,738 – $126,062 · median $46,913 | 46 plans |
| 245 | AICD GENERATOR PROCEDURES | $5,304 – $89,382 · median $33,481 | 46 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,491 – $111,659 · median $41,638 | 46 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $9,824 – $101,979 · median $38,094 | 46 plans |
| 233 | APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MODERATE | $8,294 – $149,777 · median $55,597 | 45 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $24,106 – $130,995 · median $48,719 | 45 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $3,526 – $66,749 · median $24,946 | 43 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,480 – $49,426 · median $23,100 | 42 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,730 – $66,837 · median $30,913 | 42 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,959 – $75,831 · median $34,949 | 42 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,548 – $46,832 · median $21,936 | 42 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,400 – $38,061 · median $18,000 | 42 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,890 – $64,496 · median $29,862 | 42 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,148 – $31,788 · median $15,184 | 42 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,003 – $23,029 · median $11,254 | 42 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,612 – $41,557 · median $23,747 | 42 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,094 – $34,425 · median $16,368 | 42 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,609 – $27,502 · median $13,261 | 42 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,879 – $39,398 · median $18,599 | 42 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,841 – $19,793 · median $9,801 | 42 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,549 – $13,408 · median $6,936 | 42 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,065 – $28,773 · median $13,831 | 42 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,815 – $16,934 · median $8,519 | 42 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,353 – $15,649 · median $7,942 | 42 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,444 – $32,615 · median $15,555 | 42 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $1,612 – $40,023 · median $22,871 | 42 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,019 – $31,430 · median $15,024 | 42 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,985 – $20,194 · median $9,982 | 42 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,222 – $37,566 · median $17,777 | 42 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,811 – $44,777 · median $21,013 | 42 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,552 – $27,345 · median $13,191 | 42 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,458 – $18,725 · median $9,322 | 42 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,714 – $44,509 · median $20,893 | 42 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,898 – $25,521 · median $12,372 | 42 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,169 – $17,920 · median $8,961 | 42 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,612 – $37,990 · median $21,708 | 42 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,930 – $20,042 · median $9,913 | 42 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,336 – $15,600 · median $7,920 | 42 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,876 – $50,529 · median $23,595 | 42 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,612 – $27,432 · median $15,676 | 42 plans |
| 100 | SEIZURES WITH MCC | $14,357 – $37,944 · median $17,947 | 42 plans |
| 103 | HEADACHES WITHOUT MCC | $6,617 – $16,384 · median $8,272 | 42 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,352 – $15,645 · median $7,940 | 42 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,628 – $41,482 · median $19,535 | 42 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,342 – $15,616 · median $7,927 | 42 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,732 – $30,631 · median $14,665 | 42 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,134 – $17,824 · median $8,918 | 42 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,397 – $15,771 · median $7,996 | 42 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,726 – $30,615 · median $14,658 | 42 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,156 – $34,598 · median $16,445 | 42 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,219 – $20,847 · median $10,274 | 42 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,697 – $30,533 · median $14,621 | 42 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,692 – $19,377 · median $9,615 | 42 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,424 – $24,203 · median $11,780 | 42 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,980 – $25,750 · median $12,475 | 42 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,156 – $12,313 · median $6,429 | 42 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,009 – $36,972 · median $17,511 | 42 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,566 – $19,027 · median $9,458 | 42 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,068 – $53,850 · median $25,085 | 42 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,982 – $128,817 · median $58,727 | 42 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,887 – $61,702 · median $28,609 | 42 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $4,792 – $107,020 · median $41,114 | 42 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,351 – $96,421 · median $44,189 | 42 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,784 – $55,844 · median $25,980 | 42 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,086 – $42,757 · median $20,107 | 42 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,032 – $37,037 · median $17,540 | 42 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,199 – $31,931 · median $15,249 | 42 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,231 – $65,446 · median $30,289 | 42 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,110 – $134,745 · median $61,388 | 42 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,845 – $103,368 · median $47,307 | 42 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,748 – $69,671 · median $32,185 | 42 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,691 – $50,016 · median $23,364 | 42 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,751 – $80,823 · median $37,189 | 42 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,887 – $64,488 · median $29,859 | 42 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,017 – $31,426 · median $15,022 | 42 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,299 – $43,351 · median $20,373 | 42 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,262 – $20,964 · median $10,327 | 42 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,765 – $25,151 · median $12,206 | 42 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,707 – $16,633 · median $8,383 | 42 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,721 – $30,599 · median $14,651 | 42 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,219 – $31,986 · median $15,273 | 42 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,243 – $20,913 · median $10,304 | 42 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,151 – $23,443 · median $11,439 | 42 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,470 – $13,189 · median $6,838 | 42 plans |
| 304 | HYPERTENSION WITH MCC | $9,105 – $23,313 · median $11,381 | 42 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,818 – $30,872 · median $14,773 | 42 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,158 – $17,891 · median $8,948 | 42 plans |
| 311 | ANGINA PECTORIS | $5,672 – $13,751 · median $7,090 | 42 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,865 – $17,076 · median $8,582 | 42 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,533 – $13,363 · median $6,916 | 42 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,872 – $53,303 · median $24,840 | 42 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,813 – $97,708 · median $44,767 | 42 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,926 – $47,884 · median $22,408 | 42 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,005 – $31,391 · median $15,006 | 42 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,596 – $46,964 · median $21,995 | 42 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,572 – $32,970 · median $15,715 | 42 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,851 – $69,958 · median $32,313 | 42 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,566 – $41,312 · median $19,458 | 42 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,531 – $30,072 · median $14,414 | 42 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,318 – $29,479 · median $14,148 | 42 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,078 – $23,239 · median $11,348 | 42 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,949 – $22,878 · median $11,186 | 42 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,146 – $56,853 · median $26,433 | 42 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,568 – $32,960 · median $15,710 | 42 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,631 – $86,059 · median $39,539 | 42 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,091 – $45,559 · median $21,364 | 42 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,716 – $47,299 · median $22,145 | 42 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,932 – $31,187 · median $14,915 | 42 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,770 – $19,595 · median $9,712 | 42 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,206 – $34,737 · median $16,508 | 42 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,916 – $20,002 · median $9,895 | 42 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,777 – $41,899 · median $19,722 | 42 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,243 – $23,697 · median $11,553 | 42 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,236 – $18,108 · median $9,045 | 42 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,592 – $35,812 · median $16,990 | 42 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,633 – $19,213 · median $9,541 | 42 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,366 – $15,685 · median $7,958 | 42 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,602 – $19,127 · median $9,502 | 42 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,527 – $13,347 · median $6,909 | 42 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,122 – $28,932 · median $13,903 | 42 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,290 – $15,473 · median $7,863 | 42 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,561 – $10,658 · median $5,616 | 42 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,656 – $24,847 · median $12,070 | 42 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,218 – $15,273 · median $7,773 | 42 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,984 – $31,332 · median $14,980 | 42 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,316 – $18,331 · median $9,145 | 42 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,300 – $12,715 · median $6,625 | 42 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,381 – $29,653 · median $14,226 | 42 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,786 – $22,426 · median $10,983 | 42 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,013 – $76,241 · median $36,266 | 42 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,271 – $40,489 · median $19,089 | 42 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,520 – $46,752 · median $21,900 | 42 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,633 – $33,140 · median $15,791 | 42 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,341 – $26,757 · median $12,927 | 42 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,164 – $20,692 · median $10,205 | 42 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,653 – $35,983 · median $17,067 | 42 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,691 – $22,159 · median $10,863 | 42 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,652 – $16,480 · median $8,315 | 42 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,358 – $35,160 · median $16,698 | 42 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,525 – $18,911 · median $9,406 | 42 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,487 – $32,735 · median $15,609 | 42 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,433 – $21,440 · median $10,541 | 42 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,456 – $61,258 · median $29,320 | 42 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,642 – $61,020 · median $28,303 | 42 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,539 – $69,090 · median $31,924 | 42 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,063 – $53,836 · median $25,079 | 42 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,456 – $55,867 · median $26,069 | 42 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,929 – $84,102 · median $38,661 | 42 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,033 – $67,679 · median $31,291 | 42 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,032 – $48,178 · median $22,540 | 42 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,219 – $57,055 · median $26,523 | 42 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,467 – $41,033 · median $19,333 | 42 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,207 – $31,953 · median $15,258 | 42 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,231 – $54,304 · median $25,289 | 42 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,443 – $40,967 · median $19,303 | 42 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,590 – $21,879 · median $10,738 | 42 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,559 – $71,930 · median $33,199 | 42 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,573 – $49,685 · median $23,216 | 42 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,848 – $39,309 · median $18,560 | 42 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,423 – $35,340 · median $16,778 | 42 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,954 – $59,102 · median $27,442 | 42 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,994 – $62,002 · median $28,743 | 42 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,612 – $67,302 · median $38,458 | 42 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,360 – $40,738 · median $19,201 | 42 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,808 – $30,842 · median $14,760 | 42 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,150 – $62,435 · median $28,937 | 42 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,351 – $40,712 · median $19,189 | 42 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,543 – $30,105 · median $14,429 | 42 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,922 – $56,230 · median $26,153 | 42 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,630 – $41,488 · median $19,537 | 42 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,752 – $25,116 · median $12,190 | 42 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,415 – $15,822 · median $8,019 | 42 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,853 – $25,396 · median $12,316 | 42 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,160 – $34,608 · median $16,450 | 42 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,043 – $14,783 · median $7,553 | 42 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,190 – $48,619 · median $22,737 | 42 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,848 – $22,596 · median $11,059 | 42 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,226 – $23,650 · median $11,532 | 42 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,524 – $32,836 · median $15,655 | 42 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,496 – $18,833 · median $9,370 | 42 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,574 – $16,262 · median $8,217 | 42 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,577 – $16,272 · median $8,221 | 42 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,193 – $29,130 · median $13,991 | 42 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,612 – $45,883 · median $26,219 | 42 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,612 – $33,579 · median $19,188 | 42 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,612 – $35,999 · median $20,571 | 42 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,756 – $27,913 · median $13,445 | 42 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,034 – $17,544 · median $8,792 | 42 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,592 – $30,241 · median $14,490 | 42 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,589 – $19,089 · median $9,486 | 42 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,005 – $14,680 · median $7,507 | 42 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,618 – $33,099 · median $15,773 | 42 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,798 – $22,457 · median $10,997 | 42 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,151 – $68,008 · median $31,439 | 42 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,513 – $63,445 · median $29,391 | 42 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,885 – $28,272 · median $13,606 | 42 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,651 – $41,547 · median $19,564 | 42 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,461 – $32,660 · median $15,576 | 42 plans |
| 602 | CELLULITIS WITH MCC | $10,732 – $27,845 · median $13,415 | 42 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,861 – $17,062 · median $8,576 | 42 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,089 – $28,840 · median $13,861 | 42 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,178 – $17,945 · median $8,972 | 42 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,263 – $68,322 · median $31,579 | 42 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,890 – $36,641 · median $17,362 | 42 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,726 – $54,754 · median $22,096 | 42 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,991 – $30,346 · median $14,988 | 42 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,344 – $28,604 · median $14,180 | 42 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,768 – $69,728 · median $32,211 | 42 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,352 – $35,144 · median $16,690 | 42 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,947 – $73,012 · median $33,684 | 42 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,060 – $42,685 · median $20,074 | 42 plans |
| 637 | DIABETES WITH MCC | $10,840 – $28,146 · median $13,550 | 42 plans |
| 638 | DIABETES WITH CC | $7,039 – $17,557 · median $8,798 | 42 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,209 – $15,246 · median $7,761 | 42 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,916 – $20,002 · median $9,895 | 42 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,313 – $32,249 · median $15,391 | 42 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,944 – $20,081 · median $9,931 | 42 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,139 – $15,052 · median $7,674 | 42 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,424 – $54,841 · median $25,530 | 42 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,128 – $62,374 · median $28,910 | 42 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,606 – $35,852 · median $17,008 | 42 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,650 – $30,401 · median $14,562 | 42 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,606 – $49,779 · median $23,258 | 42 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,018 – $20,285 · median $13,933 | 42 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,098 – $20,510 · median $10,123 | 42 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,651 – $30,405 · median $14,564 | 42 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,183 – $45,816 · median $21,479 | 42 plans |
| 682 | RENAL FAILURE WITH MCC | $11,152 – $29,014 · median $13,940 | 42 plans |
| 683 | RENAL FAILURE WITH CC | $6,895 – $17,158 · median $8,619 | 42 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,957 – $11,760 · median $6,158 | 42 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,421 – $35,336 · median $16,777 | 42 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,105 – $20,527 · median $10,131 | 42 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,896 – $22,731 · median $11,120 | 42 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,429 – $15,859 · median $8,036 | 42 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,581 – $13,498 · median $6,977 | 42 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,371 – $32,411 · median $15,464 | 42 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,874 – $19,885 · median $9,843 | 42 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,588 – $13,516 · median $6,984 | 42 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,526 – $30,057 · median $14,407 | 42 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,309 – $29,453 · median $14,136 | 42 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,471 – $43,831 · median $20,589 | 42 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,032 – $37,037 · median $17,540 | 42 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,966 – $22,925 · median $11,207 | 42 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,813 – $14,145 · median $7,267 | 42 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,165 – $29,051 · median $13,956 | 42 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,441 – $15,892 · median $8,051 | 42 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,228 – $40,369 · median $19,035 | 42 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,064 – $28,769 · median $13,830 | 42 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,766 – $27,939 · median $13,457 | 42 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,640 – $35,946 · median $17,050 | 42 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,462 – $24,307 · median $11,827 | 42 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,386 – $21,311 · median $10,483 | 42 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,620 – $33,105 · median $15,775 | 42 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,600 – $21,837 · median $11,116 | 42 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,264 – $43,255 · median $20,330 | 42 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,639 – $24,800 · median $12,048 | 42 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,693 – $41,664 · median $19,616 | 42 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,982 – $89,821 · median $41,227 | 42 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,991 – $45,279 · median $21,238 | 42 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,961 – $61,908 · median $28,701 | 42 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,348 – $107,553 · median $49,185 | 42 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,487 – $63,375 · median $29,359 | 42 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,209 – $31,961 · median $15,262 | 42 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,842 – $19,795 · median $9,802 | 42 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,765 – $39,080 · median $18,457 | 42 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,298 – $23,850 · median $11,622 | 42 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,470 – $96,752 · median $44,338 | 42 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,789 – $39,145 · median $18,486 | 42 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,266 – $29,332 · median $14,082 | 42 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,728 – $89,114 · median $40,910 | 42 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,797 – $41,954 · median $19,746 | 42 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,754 – $19,550 · median $9,692 | 42 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,979 – $17,391 · median $8,723 | 42 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,273 – $29,353 · median $14,092 | 42 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,851 – $17,036 · median $8,564 | 42 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,398 – $38,056 · median $17,997 | 42 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,238 – $18,811 · median $7,489 | 42 plans |
| 885 | PSYCHOSES | $2,238 – $27,365 · median $10,559 | 42 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,238 – $11,698 · median $5,074 | 42 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,201 – $37,507 · median $17,751 | 42 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,961 – $22,914 · median $11,202 | 42 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,738 – $75,216 · median $34,673 | 42 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,563 – $32,944 · median $15,703 | 42 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,422 – $13,053 · median $6,777 | 42 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,766 – $30,727 · median $14,708 | 42 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,764 – $16,791 · median $8,454 | 42 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,612 – $35,867 · median $17,015 | 42 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,577 – $13,486 · median $6,971 | 42 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,039 – $34,273 · median $16,299 | 42 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,893 – $19,938 · median $9,866 | 42 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,612 – $51,529 · median $29,445 | 42 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,612 – $28,982 · median $16,561 | 42 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,612 – $34,668 · median $19,810 | 42 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,612 – $57,258 · median $32,719 | 42 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,202 – $73,721 · median $34,002 | 42 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,515 – $30,025 · median $14,393 | 42 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,789 – $119,922 · median $54,736 | 42 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $14,398 – $38,056 · median $17,997 | 42 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,734 – $91,917 · median $42,168 | 42 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,027 – $48,164 · median $22,533 | 42 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,790 – $33,579 · median $15,988 | 42 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,848 – $67,166 · median $31,061 | 42 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,565 – $38,522 · median $15,293 | 41 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,528 – $16,741 · median $7,083 | 41 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,836 – $21,180 · median $10,187 | 40 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,487 – $49,448 · median $19,412 | 39 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,243 – $104,475 · median $40,155 | 39 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,185 – $98,743 · median $37,994 | 39 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,532 – $96,925 · median $37,309 | 39 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,197 – $82,063 · median $31,706 | 39 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,613 – $63,726 · median $24,794 | 39 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,839 – $120,061 · median $46,030 | 39 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,220 – $93,269 · median $35,931 | 39 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,439 – $82,737 · median $31,961 | 39 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,982 – $117,675 · median $45,131 | 39 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,219 – $90,481 · median $34,880 | 39 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,100 – $70,653 · median $27,405 | 39 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,064 – $90,050 · median $34,717 | 39 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,457 – $126,703 · median $48,684 | 39 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,622 – $41,466 · median $16,403 | 39 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,821 – $19,738 · median $8,212 | 39 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,541 – $191,655 · median $73,018 | 38 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,982 – $128,817 · median $49,331 | 38 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,740 – $150,426 · median $57,477 | 38 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,011 – $114,972 · median $44,112 | 38 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,886 – $139,692 · median $53,430 | 38 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,096 – $20,504 · median $8,501 | 38 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,251 – $82,216 · median $31,764 | 38 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,888 – $23,211 · median $8,962 | 37 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,127 – $54,014 · median $21,133 | 36 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,135 – $15,042 · median $6,442 | 36 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,769 – $53,017 · median $20,757 | 36 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,897 – $61,731 · median $28,622 | 36 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,920 – $67,366 · median $37,380 | 36 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,578 – $38,559 · median $15,307 | 36 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,405 – $15,792 · median $6,725 | 36 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,110 – $17,757 · median $8,888 | 36 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,287 – $82,314 · median $31,801 | 36 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,405 – $40,863 · median $16,176 | 36 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,932 – $20,047 · median $8,329 | 36 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,176 – $10,834 · median $4,384 | 35 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,664 – $35,444 · median $13,297 | 35 plans |
| 697 | URETHRAL STRICTURE | $7,302 – $19,626 · median $11,318 | 35 plans |
| 881 | DEPRESSIVE NEUROSES | $2,238 – $17,759 · median $6,545 | 35 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,703 – $47,272 · median $11,561 | 34 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,354 – $18,437 · median $7,722 | 34 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,767 – $195,068 · median $73,243 | 34 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,315 – $62,895 · median $35,322 | 34 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $4,601 – $36,578 · median $14,302 | 34 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,955 – $18,741 · median $10,432 | 34 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,596 – $44,023 · median $24,408 | 34 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,785 – $19,636 · median $11,580 | 34 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,843 – $25,370 · median $10,188 | 34 plans |
| 383 | CELLULITIS AND OTHER SKIN INFECTIONS,MODERATE | $3,341 – $24,767 · median $9,104 | 33 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,761 – $30,713 · median $11,997 | 33 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,104 – $12,170 · median $5,360 | 33 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,238 – $21,037 · median $8,288 | 33 plans |
| 101 | SEIZURES WITHOUT MCC | $7,084 – $17,683 · median $11,086 | 32 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,194 – $15,888 · median $6,098 | 32 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,195 – $26,350 · median $12,744 | 32 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,106 – $12,174 · median $5,361 | 32 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,233 – $15,314 · median $7,902 | 32 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,736 – $22,285 · median $9,172 | 32 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,867 – $14,296 · median $8,869 | 32 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,579 – $46,918 · median $27,776 | 31 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,801 – $14,111 · median $8,412 | 31 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,792 – $41,938 · median $16,581 | 31 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,078 – $26,023 · median $15,923 | 31 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,074 – $45,512 · median $26,722 | 30 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,352 – $14,395 · median $5,620 | 30 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,081 – $13,173 · median $7,920 | 30 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,395 – $16,923 · median $11,506 | 30 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,238 – $32,721 · median $11,792 | 30 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,050 – $23,160 · median $9,503 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,223 – $10,750 · median $6,124 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,858 – $12,474 · median $5,101 | 29 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,238 – $33,769 · median $12,474 | 29 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,968 – $25,717 · median $14,453 | 29 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,181 – $17,955 · median $9,336 | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,406 – $14,211 · median $9,638 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,902 – $31,105 · median $18,627 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,147 – $40,144 · median $19,919 | 28 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,929 – $19,261 · median $6,865 | 27 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,499 – $14,019 · median $5,774 | 27 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,889 – $33,853 · median $20,364 | 27 plans |
| 102 | HEADACHES WITH MCC | $8,619 – $21,960 · median $11,163 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $4,279 – $34,273 · median $12,513 | 26 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,797 – $14,100 · median $9,985 | 26 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,653 – $20,784 · median $7,921 | 26 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,378 – $29,645 · median $17,779 | 26 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,129 – $26,166 · median $15,911 | 26 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,771 – $44,240 · median $26,747 | 25 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,379 – $35,446 · median $12,998 | 25 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,146 – $37,835 · median $21,926 | 25 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,658 – $14,850 · median $5,941 | 24 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,295 – $32,200 · median $19,242 | 24 plans |
| 149 | DYSEQUILIBRIUM | $5,554 – $14,644 · median $5,638 | 22 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $98,157 – $271,363 · median $142,328 | 19 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,349 – $135,409 · median $51,816 | 19 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,201 – $30,913 · median $12,811 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,920 – $21,337 · median $9,900 | 16 plans |
| 024 | OPEN EXTRACRANIAL VASCULAR PROCEDURES,MINOR | — | 7 plans |
| 030 | PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,MINOR | $15,755 – $16,745 · median $15,983 | 7 plans |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MODERATE | $3,625 – $6,124 · median $5,846 | 7 plans |
| 047 | TRANSIENT ISCHEMIA,MAJOR | $7,021 – $7,462 · median $7,123 | 7 plans |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MAJOR | $3,744 – $7,669 · median $4,973 | 7 plans |
| 052 | ALTERATION IN CONSCIOUSNESS,MAJOR | $7,195 – $7,647 · median $7,299 | 7 plans |
| 053 | SEIZURE,MODERATE | $4,435 – $4,714 · median $4,500 | 7 plans |
| 055 | HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,MAJOR | $8,343 – $8,867 · median $8,464 | 7 plans |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MAJOR | $2,941 – $5,943 · median $5,673 | 7 plans |
| 121 | OTHER RESPIRATORY AND CHEST PROCEDURES,MAJOR | $19,046 – $20,242 · median $19,322 | 7 plans |
| 130 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,MAJOR | $29,324 – $39,022 · median $31,166 | 7 plans |
| 133 | RESPIRATORY FAILURE,MODERATE | $5,147 – $13,319 · median $5,310 | 7 plans |
| 134 | PULMONARY EMBOLISM,MAJOR | $4,431 – $7,160 · median $6,897 | 7 plans |
| 137 | MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MINOR | $4,164 – $6,518 · median $6,222 | 7 plans |
| 139 | OTHER PNEUMONIA,MODERATE | $3,982 – $9,486 · median $5,527 | 7 plans |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE,EXTREME | — | 7 plans |
| 141 | ASTHMA,MODERATE | $3,395 – $4,386 · median $4,186 | 7 plans |
| 142 | INTERSTITIAL AND ALVEOLAR LUNG DISEASES,MAJOR | $6,496 – $6,904 · median $6,590 | 7 plans |
| 165 | CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MODERATE | $24,260 – $25,784 · median $24,612 | 7 plans |
| 167 | OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,MAJOR | $28,156 – $29,925 · median $28,564 | 7 plans |
| 169 | MAJOR ABDOMINAL VASCULAR PROCEDURES,MINOR | $15,053 – $15,769 · median $15,626 | 7 plans |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MODERATE | $12,489 – $13,274 · median $12,670 | 7 plans |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MODERATE | $8,836 – $10,200 · median $9,685 | 7 plans |
| 182 | OTHER UPPER VASCULAR PROCEDURES,MINOR | $11,788 – $12,528 · median $11,959 | 7 plans |
| 183 | PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,MODERATE | $41,048 – $43,626 · median $41,643 | 7 plans |
| 198 | ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MINOR | $2,781 – $5,383 · median $3,460 | 7 plans |
| 222 | OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MODERATE | $9,106 – $9,678 · median $9,238 | 7 plans |
| 224 | PERITONEAL ADHESIOLYSIS,MINOR | $7,857 – $31,276 · median $7,971 | 7 plans |
| 226 | ANAL AND PERINEAL PROCEDURES,MODERATE | $6,271 – $6,664 · median $6,361 | 7 plans |
| 227 | HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR | $7,387 – $9,821 · median $7,494 | 7 plans |
| 231 | MAJOR LARGE BOWEL PROCEDURES,MINOR | $9,796 – $26,679 · median $12,042 | 7 plans |
| 247 | INTESTINAL OBSTRUCTION,MINOR | $3,240 – $3,443 · median $3,287 | 7 plans |
| 248 | MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MINOR | $4,015 – $5,339 · median $5,069 | 7 plans |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MODERATE | $3,859 – $4,647 · median $4,477 | 7 plans |
| 263 | CHOLECYSTECTOMY,MINOR | $6,040 – $9,709 · median $6,270 | 7 plans |
| 343 | MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MODERATE | $6,406 – $6,809 · median $6,499 | 7 plans |
| 344 | OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS,MODERATE | $5,654 – $6,009 · median $5,736 | 7 plans |
| 347 | OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MODERATE | $3,896 – $6,357 · median $4,653 | 7 plans |
| 361 | SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,MINOR | $9,684 – $10,293 · median $9,825 | 7 plans |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MODERATE | $4,634 – $6,429 · median $6,137 | 7 plans |
| 403 | PROCEDURES FOR OBESITY,MINOR | $8,476 – $9,245 · median $8,476 | 7 plans |
| 405 | OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS,MAJOR | $15,353 – $16,318 · median $15,576 | 7 plans |
| 421 | MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS,MODERATE | $7,388 – $7,852 · median $7,495 | 7 plans |
| 424 | OTHER ENDOCRINE DISORDERS,EXTREME | $13,711 – $14,572 · median $13,910 | 7 plans |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MAJOR | $2,847 – $5,868 · median $3,894 | 7 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS,MAJOR | — | 7 plans |
| 465 | URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MINOR | $3,468 – $4,363 · median $3,468 | 7 plans |
| 548 | POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,EXTREME | $5,079 – $21,979 · median $20,980 | 7 plans |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,EXTREME | $8,289 – $33,674 · median $14,869 | 7 plans |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MODERATE | $9,550 – $17,342 · median $10,150 | 7 plans |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MODERATE | $3,585 – $14,938 · median $4,628 | 7 plans |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MODERATE | $5,631 – $9,721 · median $5,846 | 7 plans |
| 723 | VIRAL ILLNESS,MINOR | $3,835 – $4,744 · median $4,463 | 7 plans |
| 770 | DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MAJOR | $2,865 – $7,087 · median $4,045 | 7 plans |
| 773 | OPIOID ABUSE AND DEPENDENCE,MAJOR | $4,765 – $8,812 · median $8,411 | 7 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE,MAJOR | $4,611 – $9,792 · median $6,071 | 7 plans |
| 793 | MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,MODERATE | $9,933 – $10,556 · median $10,076 | 7 plans |
| 816 | TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,EXTREME | $3,784 – $9,050 · median $8,638 | 7 plans |
| 817 | INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,MINOR | $3,231 – $10,194 · median $3,278 | 7 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $197,838 – $549,016 · median $197,838 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $150,020 – $318,803 · median $157,521 | 6 plans |
| 162 | CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,EXTREME | $55,374 – $58,317 · median $56,177 | 6 plans |
| 042 | DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MODERATE | $7,284 – $7,742 · median $7,390 | 5 plans |
| 111 | VERTIGO AND OTHER LABYRINTH DISORDERS,MODERATE | $3,743 – $3,921 · median $3,743 | 4 plans |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR | $8,232 – $8,624 · median $8,428 | 2 plans |
No procedures match that keyword.