Summa Health System — Pricing
791 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 791 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 791 procedures
Procedures with negotiated rates only
These 791 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 |
|---|---|---|---|
| 001 | Heart Transplant Or Implant Of Heart Assist System With Mcc | $174,660 – $771,619 · median $399,540 | 15 plans |
| 002 | Heart Transplant Or Implant Of Heart Assist System Without Mcc | $68,333 – $301,885 · median $160,941 | 15 plans |
| 003 | Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major | $132,889 – $587,080 · median $302,273 | 15 plans |
| 004 | Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. | $87,615 – $387,067 · median $199,291 | 15 plans |
| 005 | Liver Transplant With Mcc Or Intestinal Transplant | $66,032 – $291,718 · median $150,199 | 15 plans |
| 006 | Liver Transplant Without Mcc | $30,068 – $132,836 · median $68,394 | 15 plans |
| 007 | Lung Transplant | $81,034 – $357,995 · median $184,512 | 15 plans |
| 008 | Simultaneous Pancreas And Kidney Transplant | $33,738 – $149,051 · median $78,794 | 15 plans |
| 010 | Pancreas Transplant | $49,438 – $218,409 · median $111,739 | 15 plans |
| 011 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc | $33,458 – $147,812 · median $77,491 | 15 plans |
| 012 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc | $25,445 – $112,413 · median $59,425 | 15 plans |
| 013 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc | $16,431 – $72,591 · median $38,374 | 15 plans |
| 014 | Allogeneic Bone Marrow Transplant | $81,239 – $358,899 · median $184,680 | 15 plans |
| 016 | Autologous Bone Marrow Transplant With Cc/Mcc | $37,426 – $165,343 · median $85,367 | 15 plans |
| 017 | Autologous Bone Marrow Transplant Without Cc/Mcc | $37,426 – $165,343 · median $84,841 | 15 plans |
| 018 | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies | $233,841 – $1,033,071 · median $546,885 | 15 plans |
| 019 | Simultaneous Pancreas And Kidney Transplant With Hemodialysis | $49,153 – $217,152 · median $111,103 | 15 plans |
| 020 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc | $49,983 – $220,817 · median $113,693 | 15 plans |
| 021 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc | $34,275 – $151,420 · median $77,963 | 15 plans |
| 022 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc | $21,892 – $96,715 · median $49,796 | 15 plans |
| 023 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla | $35,375 – $156,280 · median $81,622 | 15 plans |
| 024 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc | $23,572 – $104,139 · median $55,052 | 15 plans |
| 025 | Craniotomy And Endovascular Intracranial Procedures With Mcc | $27,731 – $122,510 · median $64,573 | 15 plans |
| 026 | Craniotomy And Endovascular Intracranial Procedures With Cc | $18,965 – $83,785 · median $44,292 | 15 plans |
| 027 | Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc | $15,302 – $67,600 · median $35,736 | 15 plans |
| 028 | Spinal Procedures With Mcc | $37,697 – $166,537 · median $86,228 | 15 plans |
| 029 | Spinal Procedures With Cc Or Spinal Neurostimulators | $20,814 – $91,951 · median $48,609 | 15 plans |
| 030 | Spinal Procedures Without Cc/Mcc | $13,798 – $60,959 · median $32,135 | 15 plans |
| 031 | Ventricular Shunt Procedures With Mcc | $25,984 – $114,793 · median $60,684 | 15 plans |
| 032 | Ventricular Shunt Procedures With Cc | $13,242 – $58,502 · median $30,926 | 15 plans |
| 033 | Ventricular Shunt Procedures Without Cc/Mcc | $9,893 – $43,706 · median $23,105 | 15 plans |
| 034 | Carotid Artery Stent Procedures With Mcc | $24,113 – $106,525 · median $55,690 | 15 plans |
| 035 | Carotid Artery Stent Procedures With Cc | $14,105 – $62,313 · median $32,941 | 15 plans |
| 036 | Carotid Artery Stent Procedures Without Cc/Mcc | $11,366 – $50,215 · median $26,546 | 15 plans |
| 037 | Extracranial Procedures With Mcc | $20,592 – $90,971 · median $47,603 | 15 plans |
| 038 | Extracranial Procedures With Cc | $9,990 – $44,136 · median $23,332 | 15 plans |
| 039 | Extracranial Procedures Without Cc/Mcc | $7,058 – $31,181 · median $16,526 | 15 plans |
| 040 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc | $23,389 – $103,328 · median $54,623 | 15 plans |
| 041 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator | $14,006 – $61,874 · median $32,397 | 15 plans |
| 042 | Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc | $10,898 – $48,147 · median $25,452 | 15 plans |
| 052 | Spinal Disorders And Injuries With Cc/Mcc | $12,479 – $55,130 · median $28,385 | 15 plans |
| 053 | Spinal Disorders And Injuries Without Cc/Mcc | $5,713 – $25,239 · median $13,708 | 15 plans |
| 054 | Nervous System Neoplasms With Mcc | $9,296 – $41,068 · median $21,710 | 15 plans |
| 055 | Nervous System Neoplasms Without Mcc | $6,765 – $29,885 · median $15,798 | 15 plans |
| 056 | Degenerative Nervous System Disorders With Mcc | $15,527 – $68,597 · median $35,319 | 15 plans |
| 057 | Degenerative Nervous System Disorders Without Mcc | $8,276 – $36,564 · median $19,329 | 15 plans |
| 058 | Multiple Sclerosis And Cerebellar Ataxia With Mcc | $11,445 – $50,563 · median $26,035 | 15 plans |
| 059 | Multiple Sclerosis And Cerebellar Ataxia With Cc | $7,587 – $33,518 · median $17,719 | 15 plans |
| 060 | Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc | $5,534 – $24,447 · median $13,126 | 15 plans |
| 061 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc | $16,763 – $74,054 · median $39,148 | 15 plans |
| 062 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc | $11,043 – $48,785 · median $25,790 | 15 plans |
| 063 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc | $8,711 – $38,482 · median $20,343 | 15 plans |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With Mcc | $12,334 – $54,491 · median $28,806 | 15 plans |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $6,306 – $27,861 · median $14,728 | 15 plans |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | $4,268 – $18,856 · median $10,160 | 15 plans |
| 067 | Precerebral Occlusion Without Infarction With Mcc | $9,027 – $39,882 · median $21,083 | 15 plans |
| 068 | Precerebral Occlusion Without Infarction Without Mcc | $5,467 – $24,151 · median $12,767 | 15 plans |
| 069 | Transient Ischemia Without Thrombolytic | $4,962 – $21,921 · median $11,696 | 15 plans |
| 070 | Other Cerebrovascular Disorders With Mcc | $10,782 – $47,632 · median $24,963 | 15 plans |
| 071 | Other Cerebrovascular Disorders With Cc | $6,535 – $28,869 · median $15,261 | 15 plans |
| 072 | Other Cerebrovascular Disorders Without Cc/Mcc | $4,651 – $20,549 · median $11,062 | 15 plans |
| 073 | Cranial And Peripheral Nerve Disorders With Mcc | $9,584 – $42,339 · median $22,382 | 15 plans |
| 074 | Cranial And Peripheral Nerve Disorders Without Mcc | $6,464 – $28,557 · median $15,096 | 15 plans |
| 075 | Viral Meningitis With Cc/Mcc | $10,681 – $47,185 · median $25,437 | 15 plans |
| 076 | Viral Meningitis Without Cc/Mcc | $5,686 – $25,118 · median $13,242 | 15 plans |
| 080 | Nontraumatic Stupor And Coma With Mcc | $12,326 – $54,456 · median $28,038 | 15 plans |
| 081 | Nontraumatic Stupor And Coma Without Mcc | $5,611 – $24,787 · median $13,103 | 15 plans |
| 082 | Traumatic Stupor And Coma >1 Hour With Mcc | $14,387 – $63,559 · median $33,443 | 15 plans |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $8,621 – $38,087 · median $20,134 | 15 plans |
| 084 | Traumatic Stupor And Coma >1 Hour Without Cc/Mcc | $5,928 – $26,190 · median $13,845 | 15 plans |
| 085 | Traumatic Stupor And Coma <1 Hour With Mcc | $14,051 – $62,074 · median $32,815 | 15 plans |
| 086 | Traumatic Stupor And Coma <1 Hour With Cc | $8,133 – $35,931 · median $18,995 | 15 plans |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/Mcc | $5,482 – $24,217 · median $13,033 | 15 plans |
| 088 | Concussion With Mcc | $8,747 – $38,643 · median $20,428 | 15 plans |
| 089 | Concussion With Cc | $6,648 – $29,370 · median $15,561 | 15 plans |
| 090 | Concussion Without Cc/Mcc | $5,316 – $23,483 · median $12,414 | 15 plans |
| 091 | Other Disorders Of Nervous System With Mcc | $11,303 – $49,936 · median $26,200 | 15 plans |
| 092 | Other Disorders Of Nervous System With Cc | $6,566 – $29,006 · median $15,334 | 15 plans |
| 093 | Other Disorders Of Nervous System Without Cc/Mcc | $4,894 – $21,623 · median $11,600 | 15 plans |
| 094 | Bacterial And Tuberculous Infections Of Nervous System With Mcc | $22,624 – $99,948 · median $51,522 | 15 plans |
| 095 | Bacterial And Tuberculous Infections Of Nervous System With Cc | $14,864 – $65,666 · median $34,713 | 15 plans |
| 096 | Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc | $14,864 – $65,666 · median $34,713 | 15 plans |
| 097 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc | $22,229 – $98,206 · median $51,719 | 15 plans |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $13,451 – $59,422 · median $31,413 | 15 plans |
| 099 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc | $8,639 – $38,167 · median $20,176 | 15 plans |
| 100 | Seizures With Mcc | $12,310 – $54,385 · median $28,620 | 15 plans |
| 101 | Seizures Without Mcc | $5,715 – $25,247 · median $13,347 | 15 plans |
| 102 | Headaches With Mcc | $7,189 – $31,762 · median $16,790 | 15 plans |
| 103 | Headaches Without Mcc | $5,272 – $23,291 · median $12,313 | 15 plans |
| 113 | Orbital Procedures With Cc/Mcc | $13,993 – $61,820 · median $32,680 | 15 plans |
| 114 | Orbital Procedures Without Cc/Mcc | $7,330 – $32,384 · median $17,710 | 15 plans |
| 115 | Extraocular Procedures Except Orbit | $9,493 – $41,939 · median $22,170 | 15 plans |
| 116 | Intraocular Procedures With Cc/Mcc | $10,346 – $45,709 · median $24,362 | 15 plans |
| 117 | Intraocular Procedures Without Cc/Mcc | $6,688 – $29,548 · median $15,620 | 15 plans |
| 121 | Acute Major Eye Infections With Cc/Mcc | $7,212 – $31,863 · median $16,844 | 15 plans |
| 122 | Acute Major Eye Infections Without Cc/Mcc | $4,206 – $18,582 · median $10,162 | 15 plans |
| 123 | Neurological Eye Disorders | $4,981 – $22,004 · median $11,717 | 15 plans |
| 124 | Other Disorders Of The Eye With Mcc Or Thrombolytic Agent | $8,085 – $35,718 · median $18,882 | 15 plans |
| 125 | Other Disorders Of The Eye Without Mcc | $5,120 – $22,620 · median $11,958 | 15 plans |
| 135 | Sinus And Mastoid Procedures With Cc/Mcc | $14,950 – $66,047 · median $34,006 | 15 plans |
| 136 | Sinus And Mastoid Procedures Without Cc/Mcc | $6,066 – $26,798 · median $14,352 | 15 plans |
| 137 | Mouth Procedures With Cc/Mcc | $8,672 – $38,312 · median $20,417 | 15 plans |
| 138 | Mouth Procedures Without Cc/Mcc | $5,045 – $22,286 · median $12,188 | 15 plans |
| 139 | Salivary Gland Procedures | $8,513 – $37,611 · median $19,365 | 15 plans |
| 140 | Major Head And Neck Procedures With Mcc | $26,224 – $115,853 · median $60,874 | 15 plans |
| 141 | Major Head And Neck Procedures With Cc | $13,322 – $58,853 · median $31,112 | 15 plans |
| 142 | Major Head And Neck Procedures Without Cc/Mcc | $9,750 – $43,073 · median $22,770 | 15 plans |
| 143 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc | $20,474 – $90,450 · median $48,433 | 15 plans |
| 144 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc | $10,893 – $48,122 · median $25,439 | 15 plans |
| 145 | Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc | $7,346 – $32,455 · median $17,157 | 15 plans |
| 146 | Ear, Nose, Mouth And Throat Malignancy With Mcc | $14,224 – $62,841 · median $32,355 | 15 plans |
| 147 | Ear, Nose, Mouth And Throat Malignancy With Cc | $7,718 – $34,099 · median $18,026 | 15 plans |
| 148 | Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc | $4,965 – $21,935 · median $11,689 | 15 plans |
| 149 | Dysequilibrium | $4,635 – $20,478 · median $11,014 | 15 plans |
| 150 | Epistaxis With Mcc | $8,570 – $37,863 · median $20,016 | 15 plans |
| 151 | Epistaxis Without Mcc | $4,700 – $20,765 · median $10,983 | 15 plans |
| 152 | Otitis Media And Uri With Mcc | $7,036 – $31,085 · median $16,541 | 15 plans |
| 153 | Otitis Media And Uri Without Mcc | $4,413 – $19,497 · median $10,663 | 15 plans |
| 154 | Other Ear, Nose, Mouth And Throat Diagnoses With Mcc | $10,084 – $44,550 · median $23,454 | 15 plans |
| 155 | Other Ear, Nose, Mouth And Throat Diagnoses With Cc | $5,789 – $25,576 · median $13,520 | 15 plans |
| 156 | Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc | $4,170 – $18,420 · median $10,074 | 15 plans |
| 157 | Dental And Oral Diseases With Mcc | $10,154 – $44,857 · median $23,713 | 15 plans |
| 158 | Dental And Oral Diseases With Cc | $5,832 – $25,765 · median $13,620 | 15 plans |
| 159 | Dental And Oral Diseases Without Cc/Mcc | $4,090 – $18,070 · median $9,882 | 15 plans |
| 163 | Major Chest Procedures With Mcc | $28,580 – $126,261 · median $65,088 | 15 plans |
| 164 | Major Chest Procedures With Cc | $15,607 – $68,948 · median $36,448 | 15 plans |
| 165 | Major Chest Procedures Without Cc/Mcc | $11,558 – $51,062 · median $26,993 | 15 plans |
| 166 | Other Respiratory System O.R. Procedures With Mcc | $23,880 – $105,498 · median $54,491 | 15 plans |
| 167 | Other Respiratory System O.R. Procedures With Cc | $11,330 – $50,053 · median $26,460 | 15 plans |
| 168 | Other Respiratory System O.R. Procedures Without Cc/Mcc | $8,395 – $37,087 · median $19,606 | 15 plans |
| 173 | Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism | $19,027 – $84,059 · median $43,598 | 15 plans |
| 175 | Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | $8,738 – $38,602 · median $20,407 | 15 plans |
| 176 | Pulmonary Embolism Without Mcc | $5,051 – $22,313 · median $11,840 | 15 plans |
| 177 | Respiratory Infections And Inflammations With Mcc | $10,024 – $44,284 · median $23,379 | 15 plans |
| 178 | Respiratory Infections And Inflammations With Cc | $6,152 – $27,179 · median $14,368 | 15 plans |
| 179 | Respiratory Infections And Inflammations Without Cc/Mcc | $4,773 – $21,086 · median $11,199 | 15 plans |
| 180 | Respiratory Neoplasms With Mcc | $10,837 – $47,878 · median $25,310 | 15 plans |
| 181 | Respiratory Neoplasms With Cc | $6,884 – $30,414 · median $16,078 | 15 plans |
| 182 | Respiratory Neoplasms Without Cc/Mcc | $5,193 – $22,943 · median $12,129 | 15 plans |
| 183 | Major Chest Trauma With Mcc | $9,842 – $43,481 · median $22,941 | 15 plans |
| 184 | Major Chest Trauma With Cc | $6,623 – $29,258 · median $15,467 | 15 plans |
| 185 | Major Chest Trauma Without Cc/Mcc | $4,822 – $21,302 · median $11,452 | 15 plans |
| 186 | Pleural Effusion With Mcc | $9,798 – $43,284 · median $22,882 | 15 plans |
| 187 | Pleural Effusion With Cc | $6,225 – $27,502 · median $14,538 | 15 plans |
| 188 | Pleural Effusion Without Cc/Mcc | $4,552 – $20,111 · median $10,702 | 15 plans |
| 189 | Pulmonary Edema And Respiratory Failure | $7,674 – $33,901 · median $17,921 | 15 plans |
| 190 | Chronic Obstructive Pulmonary Disease With Mcc | $6,966 – $30,773 · median $16,268 | 15 plans |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $5,327 – $23,535 · median $12,441 | 15 plans |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/Mcc | $4,013 – $17,730 · median $9,594 | 15 plans |
| 193 | Simple Pneumonia And Pleurisy With Mcc | $8,172 – $36,101 · median $19,084 | 15 plans |
| 194 | Simple Pneumonia And Pleurisy With Cc | $5,085 – $22,464 · median $11,886 | 15 plans |
| 195 | Simple Pneumonia And Pleurisy Without Cc/Mcc | $3,862 – $17,062 · median $9,330 | 15 plans |
| 196 | Interstitial Lung Disease With Mcc | $11,684 – $51,618 · median $27,287 | 15 plans |
| 197 | Interstitial Lung Disease With Cc | $6,138 – $27,118 · median $14,336 | 15 plans |
| 198 | Interstitial Lung Disease Without Cc/Mcc | $4,343 – $19,187 · median $10,447 | 15 plans |
| 199 | Pneumothorax With Mcc | $10,946 – $48,358 · median $25,564 | 15 plans |
| 200 | Pneumothorax With Cc | $6,867 – $30,337 · median $16,037 | 15 plans |
| 201 | Pneumothorax Without Cc/Mcc | $4,197 – $18,544 · median $10,141 | 15 plans |
| 202 | Bronchitis And Asthma With Cc/Mcc | $5,995 – $26,483 · median $14,000 | 15 plans |
| 203 | Bronchitis And Asthma Without Cc/Mcc | $4,318 – $19,075 · median $10,130 | 15 plans |
| 204 | Respiratory Signs And Symptoms | $5,028 – $22,215 · median $11,828 | 15 plans |
| 205 | Other Respiratory System Diagnoses With Mcc | $11,706 – $51,714 · median $27,186 | 15 plans |
| 206 | Other Respiratory System Diagnoses Without Mcc | $5,617 – $24,814 · median $13,357 | 15 plans |
| 207 | Respiratory System Diagnosis With Ventilator Support >96 Hours | $40,106 – $177,183 · median $91,976 | 15 plans |
| 208 | Respiratory System Diagnosis With Ventilator Support <=96 Hours | $16,644 – $73,531 · median $38,871 | 15 plans |
| 212 | Concomitant Aortic And Mitral Valve Procedures | $67,548 – $298,416 · median $154,518 | 15 plans |
| 215 | Other Heart Assist System Implant | $65,695 – $290,228 · median $150,279 | 15 plans |
| 216 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | $59,842 – $264,373 · median $139,200 | 15 plans |
| 217 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc | $40,042 – $176,900 · median $94,182 | 15 plans |
| 218 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc | $36,890 – $162,976 · median $86,155 | 15 plans |
| 219 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc | $47,977 – $211,955 · median $109,749 | 15 plans |
| 220 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc | $32,842 – $145,092 · median $76,743 | 15 plans |
| 221 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M | $28,477 – $125,806 · median $66,506 | 15 plans |
| 228 | Other Cardiothoracic Procedures With Mcc | $30,899 – $136,507 · median $71,334 | 15 plans |
| 229 | Other Cardiothoracic Procedures Without Mcc | $19,261 – $85,092 · median $45,905 | 15 plans |
| 231 | Coronary Bypass With Ptca With Mcc | $52,544 – $232,129 · median $120,212 | 15 plans |
| 232 | Coronary Bypass With Ptca Without Mcc | $37,878 – $167,337 · median $86,986 | 15 plans |
| 233 | Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc | $48,466 – $214,114 · median $110,867 | 15 plans |
| 234 | Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc | $32,989 – $145,739 · median $78,566 | 15 plans |
| 235 | Coronary Bypass Without Cardiac Catheterization With Mcc | $36,485 – $161,187 · median $84,263 | 15 plans |
| 236 | Coronary Bypass Without Cardiac Catheterization Without Mcc | $25,497 – $112,643 · median $60,687 | 15 plans |
| 239 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc | $31,231 – $137,975 · median $71,208 | 15 plans |
| 240 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc | $18,057 – $79,774 · median $41,605 | 15 plans |
| 241 | Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc | $9,362 – $41,361 · median $21,371 | 15 plans |
| 242 | Permanent Cardiac Pacemaker Implant With Mcc | $21,034 – $92,924 · median $48,116 | 15 plans |
| 243 | Permanent Cardiac Pacemaker Implant With Cc | $13,969 – $61,713 · median $31,955 | 15 plans |
| 244 | Permanent Cardiac Pacemaker Implant Without Cc/Mcc | $11,191 – $49,440 · median $26,672 | 15 plans |
| 245 | Aicd Generator Procedures | $30,301 – $133,866 · median $68,924 | 15 plans |
| 250 | Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc | $14,341 – $63,356 · median $32,806 | 15 plans |
| 251 | Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc | $9,689 – $42,805 · median $22,872 | 15 plans |
| 252 | Other Vascular Procedures With Mcc | $21,271 – $93,970 · median $50,695 | 15 plans |
| 253 | Other Vascular Procedures With Cc | $15,831 – $69,937 · median $37,729 | 15 plans |
| 254 | Other Vascular Procedures Without Cc/Mcc | $10,847 – $47,922 · median $25,333 | 15 plans |
| 255 | Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc | $16,224 – $71,674 · median $37,889 | 15 plans |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $10,502 – $46,396 · median $24,527 | 15 plans |
| 257 | Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc | $5,531 – $24,434 · median $13,362 | 15 plans |
| 258 | Cardiac Pacemaker Device Replacement With Mcc | $17,396 – $76,854 · median $41,461 | 15 plans |
| 259 | Cardiac Pacemaker Device Replacement Without Mcc | $10,899 – $48,149 · median $26,689 | 15 plans |
| 260 | Cardiac Pacemaker Revision Except Device Replacement With Mcc | $21,126 – $93,329 · median $48,325 | 15 plans |
| 261 | Cardiac Pacemaker Revision Except Device Replacement With Cc | $11,766 – $51,979 · median $28,042 | 15 plans |
| 262 | Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc | $9,411 – $41,577 · median $22,430 | 15 plans |
| 263 | Vein Ligation And Stripping | $16,630 – $73,471 · median $39,586 | 15 plans |
| 264 | Other Circulatory System O.R. Procedures | $21,672 – $95,743 · median $49,296 | 15 plans |
| 265 | Aicd Lead Procedures | $22,118 – $97,715 · median $51,637 | 15 plans |
| 266 | Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc | $37,146 – $164,107 · median $87,910 | 15 plans |
| 267 | Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc | $29,172 – $128,877 · median $68,715 | 15 plans |
| 268 | Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc | $41,343 – $182,648 · median $98,429 | 15 plans |
| 269 | Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc | $25,799 – $113,974 · median $61,170 | 15 plans |
| 270 | Other Major Cardiovascular Procedures With Mcc | $31,828 – $140,613 · median $75,858 | 15 plans |
| 271 | Other Major Cardiovascular Procedures With Cc | $21,359 – $94,359 · median $50,905 | 15 plans |
| 272 | Other Major Cardiovascular Procedures Without Cc/Mcc | $15,515 – $68,542 · median $36,977 | 15 plans |
| 273 | Percutaneous And Other Intracardiac Procedures With Mcc | $24,246 – $107,114 · median $57,786 | 15 plans |
| 274 | Percutaneous And Other Intracardiac Procedures Without Mcc | $19,352 – $85,494 · median $46,122 | 15 plans |
| 275 | Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc | $43,819 – $193,587 · median $101,106 | 15 plans |
| 276 | Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator | $38,409 – $169,685 · median $87,366 | 15 plans |
| 277 | Cardiac Defibrillator Implant Without Mcc | $28,848 – $127,447 · median $66,355 | 15 plans |
| 278 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc | $31,023 – $137,054 · median $72,452 | 15 plans |
| 279 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc | $19,869 – $87,779 · median $46,845 | 15 plans |
| 280 | Acute Myocardial Infarction, Discharged Alive With Mcc | $10,179 – $44,969 · median $23,772 | 15 plans |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $5,716 – $25,253 · median $13,350 | 15 plans |
| 282 | Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc | $4,496 – $19,864 · median $10,672 | 15 plans |
| 283 | Acute Myocardial Infarction, Expired With Mcc | $12,125 – $53,568 · median $28,318 | 15 plans |
| 284 | Acute Myocardial Infarction, Expired With Cc | $4,594 – $20,297 · median $10,730 | 15 plans |
| 285 | Acute Myocardial Infarction, Expired Without Cc/Mcc | $3,481 – $15,377 · median $8,409 | 15 plans |
| 286 | Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | $13,725 – $60,633 · median $32,710 | 15 plans |
| 287 | Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | $6,757 – $29,850 · median $16,103 | 15 plans |
| 288 | Acute And Subacute Endocarditis With Mcc | $16,937 – $74,824 · median $39,311 | 15 plans |
| 289 | Acute And Subacute Endocarditis With Cc | $9,777 – $43,191 · median $23,056 | 15 plans |
| 290 | Acute And Subacute Endocarditis Without Cc/Mcc | $6,071 – $26,820 · median $14,178 | 15 plans |
| 291 | Heart Failure And Shock With Mcc | $8,092 – $35,748 · median $18,898 | 15 plans |
| 292 | Heart Failure And Shock With Cc | $5,341 – $23,595 · median $12,473 | 15 plans |
| 293 | Heart Failure And Shock Without Cc/Mcc | $3,404 – $15,040 · median $8,225 | 15 plans |
| 296 | Cardiac Arrest, Unexplained With Mcc | $10,159 – $44,881 · median $23,528 | 15 plans |
| 297 | Cardiac Arrest, Unexplained With Cc | $4,368 – $19,297 · median $10,201 | 15 plans |
| 298 | Cardiac Arrest, Unexplained Without Cc/Mcc | $2,738 – $12,098 · median $6,616 | 15 plans |
| 299 | Peripheral Vascular Disorders With Mcc | $10,031 – $44,317 · median $23,428 | 15 plans |
| 300 | Peripheral Vascular Disorders With Cc | $6,638 – $29,326 · median $15,503 | 15 plans |
| 301 | Peripheral Vascular Disorders Without Cc/Mcc | $4,423 – $19,541 · median $10,564 | 15 plans |
| 302 | Atherosclerosis With Mcc | $7,213 – $31,866 · median $16,845 | 15 plans |
| 303 | Atherosclerosis Without Mcc | $4,170 – $18,420 · median $9,974 | 15 plans |
| 304 | Hypertension With Mcc | $7,285 – $32,184 · median $17,013 | 15 plans |
| 305 | Hypertension Without Mcc | $4,655 – $20,565 · median $11,059 | 15 plans |
| 306 | Cardiac Congenital And Valvular Disorders With Mcc | $9,285 – $41,021 · median $21,685 | 15 plans |
| 307 | Cardiac Congenital And Valvular Disorders Without Mcc | $5,744 – $25,376 · median $13,415 | 15 plans |
| 308 | Cardiac Arrhythmia And Conduction Disorders With Mcc | $7,478 – $33,038 · median $17,465 | 15 plans |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $4,584 – $20,253 · median $10,855 | 15 plans |
| 310 | Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc | $3,469 – $15,328 · median $8,382 | 15 plans |
| 311 | Angina Pectoris | $4,331 – $19,135 · median $10,344 | 15 plans |
| 312 | Syncope And Collapse | $5,403 – $23,869 · median $12,672 | 15 plans |
| 313 | Chest Pain | $4,423 – $19,541 · median $10,566 | 15 plans |
| 314 | Other Circulatory System Diagnoses With Mcc | $13,353 – $58,992 · median $30,854 | 15 plans |
| 315 | Other Circulatory System Diagnoses With Cc | $5,967 – $26,362 · median $13,936 | 15 plans |
| 316 | Other Circulatory System Diagnoses Without Cc/Mcc | $4,233 – $18,700 · median $10,104 | 15 plans |
| 317 | Concomitant Left Atrial Appendage Closure And Cardiac Ablation | $38,359 – $169,465 · median $89,586 | 15 plans |
| 319 | Other Endovascular Cardiac Valve Procedures With Mcc | $27,238 – $120,333 · median $64,534 | 15 plans |
| 320 | Other Endovascular Cardiac Valve Procedures Without Mcc | $14,353 – $63,408 · median $34,207 | 15 plans |
| 321 | Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal | $17,652 – $77,985 · median $40,232 | 15 plans |
| 322 | Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | $11,218 – $49,560 · median $26,151 | 15 plans |
| 323 | Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc | $26,411 – $116,681 · median $61,524 | 15 plans |
| 324 | Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc | $19,812 – $87,527 · median $45,721 | 15 plans |
| 325 | Coronary Intravascular Lithotripsy Without Intraluminal Device | $17,747 – $78,404 · median $41,864 | 15 plans |
| 326 | Stomach, Esophageal And Duodenal Procedures With Mcc | $31,493 – $139,131 · median $71,968 | 15 plans |
| 327 | Stomach, Esophageal And Duodenal Procedures With Cc | $15,057 – $66,518 · median $35,164 | 15 plans |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc | $9,881 – $43,651 · median $23,076 | 15 plans |
| 329 | Major Small And Large Bowel Procedures With Mcc | $28,473 – $125,790 · median $65,771 | 15 plans |
| 330 | Major Small And Large Bowel Procedures With Cc | $14,657 – $64,754 · median $34,231 | 15 plans |
| 331 | Major Small And Large Bowel Procedures Without Cc/Mcc | $10,238 – $45,229 · median $23,910 | 15 plans |
| 332 | Rectal Resection With Mcc | $21,508 – $95,020 · median $50,231 | 15 plans |
| 333 | Rectal Resection With Cc | $13,178 – $58,217 · median $31,043 | 15 plans |
| 334 | Rectal Resection Without Cc/Mcc | $10,284 – $45,432 · median $24,017 | 15 plans |
| 335 | Peritoneal Adhesiolysis With Mcc | $22,472 – $99,277 · median $51,710 | 15 plans |
| 336 | Peritoneal Adhesiolysis With Cc | $13,099 – $57,869 · median $30,592 | 15 plans |
| 337 | Peritoneal Adhesiolysis Without Cc/Mcc | $9,519 – $42,051 · median $22,230 | 15 plans |
| 344 | Minor Small And Large Bowel Procedures With Mcc | $16,708 – $73,813 · median $38,183 | 15 plans |
| 345 | Minor Small And Large Bowel Procedures With Cc | $9,235 – $40,797 · median $21,567 | 15 plans |
| 346 | Minor Small And Large Bowel Procedures Without Cc/Mcc | $7,721 – $34,112 · median $18,033 | 15 plans |
| 347 | Anal And Stomal Procedures With Mcc | $14,675 – $64,833 · median $33,843 | 15 plans |
| 348 | Anal And Stomal Procedures With Cc | $7,806 – $34,485 · median $18,242 | 15 plans |
| 349 | Anal And Stomal Procedures Without Cc/Mcc | $5,462 – $24,132 · median $12,757 | 15 plans |
| 350 | Inguinal And Femoral Hernia Procedures With Mcc | $15,005 – $66,290 · median $35,044 | 15 plans |
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $9,331 – $41,221 · median $21,791 | 15 plans |
| 352 | Inguinal And Femoral Hernia Procedures Without Cc/Mcc | $6,837 – $30,203 · median $16,214 | 15 plans |
| 353 | Hernia Procedures Except Inguinal And Femoral With Mcc | $18,186 – $80,344 · median $42,114 | 15 plans |
| 354 | Hernia Procedures Except Inguinal And Femoral With Cc | $10,549 – $46,602 · median $24,635 | 15 plans |
| 355 | Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc | $8,267 – $36,520 · median $19,306 | 15 plans |
| 356 | Other Digestive System O.R. Procedures With Mcc | $26,450 – $116,851 · median $61,772 | 15 plans |
| 357 | Other Digestive System O.R. Procedures With Cc | $13,964 – $61,691 · median $32,612 | 15 plans |
| 358 | Other Digestive System O.R. Procedures Without Cc/Mcc | $8,402 – $37,120 · median $19,623 | 15 plans |
| 368 | Major Esophageal Disorders With Mcc | $10,355 – $45,747 · median $23,963 | 15 plans |
| 369 | Major Esophageal Disorders With Cc | $6,310 – $27,877 · median $14,737 | 15 plans |
| 370 | Major Esophageal Disorders Without Cc/Mcc | $4,328 – $19,119 · median $10,333 | 15 plans |
| 371 | Major Gastrointestinal Disorders And Peritoneal Infections With Mcc | $10,841 – $47,895 · median $25,319 | 15 plans |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $6,383 – $28,198 · median $14,906 | 15 plans |
| 373 | Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc | $4,498 – $19,870 · median $10,700 | 15 plans |
| 374 | Digestive Malignancy With Mcc | $13,093 – $57,845 · median $30,579 | 15 plans |
| 375 | Digestive Malignancy With Cc | $7,619 – $33,660 · median $17,794 | 15 plans |
| 376 | Digestive Malignancy Without Cc/Mcc | $5,475 – $24,187 · median $13,084 | 15 plans |
| 377 | Gastrointestinal Hemorrhage With Mcc | $11,274 – $49,807 · median $26,330 | 15 plans |
| 378 | Gastrointestinal Hemorrhage With Cc | $6,114 – $27,009 · median $14,278 | 15 plans |
| 379 | Gastrointestinal Hemorrhage Without Cc/Mcc | $3,948 – $17,440 · median $9,444 | 15 plans |
| 380 | Complicated Peptic Ulcer With Mcc | $11,933 – $52,716 · median $27,868 | 15 plans |
| 381 | Complicated Peptic Ulcer With Cc | $6,754 – $29,836 · median $15,772 | 15 plans |
| 382 | Complicated Peptic Ulcer Without Cc/Mcc | $4,646 – $20,527 · median $11,226 | 15 plans |
| 383 | Uncomplicated Peptic Ulcer With Mcc | $7,839 – $34,633 · median $18,728 | 15 plans |
| 384 | Uncomplicated Peptic Ulcer Without Mcc | $5,392 – $23,823 · median $12,594 | 15 plans |
| 385 | Inflammatory Bowel Disease With Mcc | $10,075 – $44,509 · median $23,529 | 15 plans |
| 386 | Inflammatory Bowel Disease With Cc | $6,154 – $27,187 · median $14,372 | 15 plans |
| 387 | Inflammatory Bowel Disease Without Cc/Mcc | $4,157 – $18,363 · median $10,008 | 15 plans |
| 388 | Gastrointestinal Obstruction With Mcc | $9,115 – $40,271 · median $21,289 | 15 plans |
| 389 | Gastrointestinal Obstruction With Cc | $4,971 – $21,963 · median $11,651 | 15 plans |
| 390 | Gastrointestinal Obstruction Without Cc/Mcc | $3,393 – $14,988 · median $8,197 | 15 plans |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc | $7,968 – $35,200 · median $18,608 | 15 plans |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc | $4,839 – $21,376 · median $11,430 | 15 plans |
| 393 | Other Digestive System Diagnoses With Mcc | $10,268 – $45,363 · median $23,916 | 15 plans |
| 394 | Other Digestive System Diagnoses With Cc | $5,837 – $25,787 · median $13,632 | 15 plans |
| 395 | Other Digestive System Diagnoses Without Cc/Mcc | $3,946 – $17,434 · median $9,535 | 15 plans |
| 397 | Appendix Procedures With Mcc | $15,364 – $67,874 · median $35,327 | 15 plans |
| 398 | Appendix Procedures With Cc | $9,384 – $41,457 · median $21,916 | 15 plans |
| 399 | Appendix Procedures Without Cc/Mcc | $6,971 – $30,795 · median $16,279 | 15 plans |
| 402 | Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical | $24,365 – $107,640 · median $56,903 | 15 plans |
| 405 | Pancreas, Liver And Shunt Procedures With Mcc | $33,662 – $148,711 · median $77,839 | 15 plans |
| 406 | Pancreas, Liver And Shunt Procedures With Cc | $17,414 – $76,931 · median $40,668 | 15 plans |
| 407 | Pancreas, Liver And Shunt Procedures Without Cc/Mcc | $13,243 – $58,505 · median $30,928 | 15 plans |
| 408 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc | $21,710 – $95,913 · median $50,703 | 15 plans |
| 409 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc | $12,999 – $57,428 · median $30,359 | 15 plans |
| 410 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc | $9,618 – $42,490 · median $22,462 | 15 plans |
| 411 | Cholecystectomy With C.D.E. With Mcc | $16,968 – $74,964 · median $40,997 | 15 plans |
| 412 | Cholecystectomy With C.D.E. With Cc | $13,217 – $58,392 · median $30,820 | 15 plans |
| 413 | Cholecystectomy With C.D.E. Without Cc/Mcc | $10,309 – $45,541 · median $24,075 | 15 plans |
| 414 | Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc | $21,726 – $95,981 · median $50,739 | 15 plans |
| 415 | Cholecystectomy Except By Laparoscope Without C.D.E. With Cc | $12,266 – $54,187 · median $28,645 | 15 plans |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc | $8,497 – $37,537 · median $19,843 | 15 plans |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With Mcc | $14,737 – $65,104 · median $34,416 | 15 plans |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $10,284 – $45,435 · median $24,018 | 15 plans |
| 419 | Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc | $8,170 – $36,096 · median $19,081 | 15 plans |
| 420 | Hepatobiliary Diagnostic Procedures With Mcc | $21,885 – $96,682 · median $49,889 | 15 plans |
| 421 | Hepatobiliary Diagnostic Procedures With Cc | $10,154 – $44,859 · median $23,714 | 15 plans |
| 422 | Hepatobiliary Diagnostic Procedures Without Cc/Mcc | $9,111 – $40,251 · median $21,190 | 15 plans |
| 423 | Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc | $25,220 – $111,418 · median $58,900 | 15 plans |
| 424 | Other Hepatobiliary Or Pancreas O.R. Procedures With Cc | $14,158 – $62,546 · median $32,495 | 15 plans |
| 425 | Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc | $9,585 – $42,344 · median $22,385 | 15 plans |
| 426 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made | $64,996 – $287,143 · median $151,795 | 15 plans |
| 427 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc | $44,019 – $194,469 · median $101,953 | 15 plans |
| 428 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc | $34,138 – $150,815 · median $79,447 | 15 plans |
| 429 | Combined Anterior And Posterior Cervical Spinal Fusion With Mcc | $51,716 – $228,474 · median $120,780 | 15 plans |
| 430 | Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc | $33,920 – $149,853 · median $79,218 | 15 plans |
| 432 | Cirrhosis And Alcoholic Hepatitis With Mcc | $12,148 – $53,670 · median $28,372 | 15 plans |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $6,633 – $29,304 · median $15,491 | 15 plans |
| 434 | Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc | $4,318 – $19,078 · median $10,394 | 15 plans |
| 435 | Malignancy Of Hepatobiliary System Or Pancreas With Mcc | $11,314 – $49,982 · median $26,422 | 15 plans |
| 436 | Malignancy Of Hepatobiliary System Or Pancreas With Cc | $6,992 – $30,891 · median $16,330 | 15 plans |
| 437 | Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc | $4,868 – $21,508 · median $11,762 | 15 plans |
| 438 | Disorders Of Pancreas Except Malignancy With Mcc | $10,317 – $45,580 · median $24,095 | 15 plans |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $5,334 – $23,565 · median $12,457 | 15 plans |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/Mcc | $3,814 – $16,851 · median $9,215 | 15 plans |
| 441 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc | $11,722 – $51,785 · median $26,949 | 15 plans |
| 442 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc | $5,991 – $26,469 · median $13,993 | 15 plans |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc | $4,357 – $19,248 · median $10,361 | 15 plans |
| 444 | Disorders Of The Biliary Tract With Mcc | $10,446 – $46,147 · median $24,395 | 15 plans |
| 445 | Disorders Of The Biliary Tract With Cc | $6,724 – $29,707 · median $15,704 | 15 plans |
| 446 | Disorders Of The Biliary Tract Without Cc/Mcc | $4,943 – $21,839 · median $11,850 | 15 plans |
| 447 | Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody | $41,573 – $183,662 · median $95,386 | 15 plans |
| 448 | Multiple Level Spinal Fusion Except Cervical Without Mcc | $25,320 – $111,859 · median $59,133 | 15 plans |
| 450 | Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F | $31,933 – $141,076 · median $74,578 | 15 plans |
| 451 | Single Level Spinal Fusion Except Cervical Without Mcc | $19,135 – $84,535 · median $44,689 | 15 plans |
| 456 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $52,514 – $231,997 · median $119,983 | 15 plans |
| 457 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $35,588 – $157,220 · median $83,112 | 15 plans |
| 458 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $26,774 – $118,283 · median $60,901 | 15 plans |
| 461 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc | $38,054 – $168,115 · median $86,243 | 15 plans |
| 462 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc | $17,757 – $78,448 · median $40,391 | 15 plans |
| 463 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $33,490 – $147,952 · median $78,213 | 15 plans |
| 464 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $18,284 – $80,777 · median $42,702 | 15 plans |
| 465 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $10,764 – $47,555 · median $25,139 | 15 plans |
| 466 | Revision Of Hip Or Knee Replacement With Mcc | $31,590 – $139,558 · median $73,609 | 15 plans |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $21,238 – $93,825 · median $49,599 | 15 plans |
| 468 | Revision Of Hip Or Knee Replacement Without Cc/Mcc | $16,266 – $71,863 · median $37,989 | 15 plans |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl | $20,268 – $89,541 · median $46,102 | 15 plans |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc | $11,692 – $51,653 · median $27,306 | 15 plans |
| 471 | Cervical Spinal Fusion With Mcc | $30,118 – $133,058 · median $69,282 | 15 plans |
| 472 | Cervical Spinal Fusion With Cc | $17,964 – $79,363 · median $41,954 | 15 plans |
| 473 | Cervical Spinal Fusion Without Cc/Mcc | $14,679 – $64,849 · median $34,282 | 15 plans |
| 474 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc | $27,808 – $122,850 · median $63,252 | 15 plans |
| 475 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc | $13,376 – $59,094 · median $31,239 | 15 plans |
| 476 | Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc | $7,212 – $31,860 · median $16,843 | 15 plans |
| 477 | Biopsies Of Musculoskeletal System And Connective Tissue With Mcc | $21,324 – $94,206 · median $49,581 | 15 plans |
| 478 | Biopsies Of Musculoskeletal System And Connective Tissue With Cc | $14,500 – $64,060 · median $33,865 | 15 plans |
| 479 | Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc | $11,011 – $48,645 · median $25,716 | 15 plans |
| 480 | Hip And Femur Procedures Except Major Joint With Mcc | $18,237 – $80,569 · median $42,244 | 15 plans |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $12,866 – $56,842 · median $30,049 | 15 plans |
| 482 | Hip And Femur Procedures Except Major Joint Without Cc/Mcc | $9,837 – $43,459 · median $22,974 | 15 plans |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $15,801 – $69,805 · median $36,902 | 15 plans |
| 485 | Knee Procedures With Principal Diagnosis Of Infection With Mcc | $19,990 – $88,311 · median $46,458 | 15 plans |
| 486 | Knee Procedures With Principal Diagnosis Of Infection With Cc | $13,150 – $58,097 · median $30,664 | 15 plans |
| 487 | Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc | $9,798 – $43,287 · median $22,883 | 15 plans |
| 488 | Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc | $12,187 – $53,839 · median $27,721 | 15 plans |
| 489 | Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc | $7,681 – $33,931 · median $17,570 | 15 plans |
| 492 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc | $22,020 – $97,280 · median $51,426 | 15 plans |
| 493 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc | $14,889 – $65,775 · median $34,771 | 15 plans |
| 494 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc | $11,692 – $51,653 · median $27,306 | 15 plans |
| 495 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc | $21,829 – $96,439 · median $50,981 | 15 plans |
| 496 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc | $12,234 – $54,048 · median $27,828 | 15 plans |
| 497 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc | $8,328 – $36,791 · median $18,953 | 15 plans |
| 498 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc | $15,656 – $69,164 · median $37,825 | 15 plans |
| 499 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc | $7,198 – $32,837 · median $18,395 | 15 plans |
| 500 | Soft Tissue Procedures With Mcc | $19,648 – $86,801 · median $45,630 | 15 plans |
| 501 | Soft Tissue Procedures With Cc | $11,068 – $48,897 · median $25,849 | 15 plans |
| 502 | Soft Tissue Procedures Without Cc/Mcc | $8,663 – $38,274 · median $20,233 | 15 plans |
| 503 | Foot Procedures With Mcc | $16,411 – $72,501 · median $38,327 | 15 plans |
| 504 | Foot Procedures With Cc | $10,886 – $48,095 · median $25,425 | 15 plans |
| 505 | Foot Procedures Without Cc/Mcc | $10,886 – $48,095 · median $25,425 | 15 plans |
| 506 | Major Thumb Or Joint Procedures | $9,295 – $41,065 · median $21,143 | 15 plans |
| 507 | Major Shoulder Or Elbow Joint Procedures With Cc/Mcc | $12,018 – $53,094 · median $27,371 | 15 plans |
| 508 | Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc | $8,003 – $35,356 · median $19,336 | 15 plans |
| 510 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc | $17,722 – $78,295 · median $41,390 | 15 plans |
| 511 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc | $12,163 – $53,733 · median $28,405 | 15 plans |
| 512 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc | $9,969 – $44,043 · median $23,283 | 15 plans |
| 513 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc | $9,336 – $41,243 · median $21,803 | 15 plans |
| 514 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc | $6,323 – $27,932 · median $14,766 | 15 plans |
| 515 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc | $19,175 – $84,711 · median $44,781 | 15 plans |
| 516 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc | $12,474 – $55,108 · median $29,132 | 15 plans |
| 517 | Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc | $9,256 – $40,890 · median $21,616 | 15 plans |
| 518 | Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator | $22,223 – $98,178 · median $51,901 | 15 plans |
| 519 | Back And Neck Procedures Except Spinal Fusion With Cc | $12,227 – $54,015 · median $28,554 | 15 plans |
| 520 | Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc | $8,887 – $39,260 · median $20,754 | 15 plans |
| 521 | Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc | $18,073 – $79,845 · median $41,762 | 15 plans |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc | $13,073 – $57,754 · median $30,531 | 15 plans |
| 533 | Fractures Of Femur With Mcc | $9,455 – $41,772 · median $22,082 | 15 plans |
| 534 | Fractures Of Femur Without Mcc | $5,047 – $22,297 · median $11,842 | 15 plans |
| 535 | Fractures Of Hip And Pelvis With Mcc | $8,247 – $36,433 · median $19,260 | 15 plans |
| 536 | Fractures Of Hip And Pelvis Without Mcc | $5,028 – $22,215 · median $11,829 | 15 plans |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc | $5,698 – $25,173 · median $13,536 | 15 plans |
| 538 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc | $4,164 – $18,396 · median $10,060 | 15 plans |
| 539 | Osteomyelitis With Mcc | $12,543 – $55,412 · median $29,117 | 15 plans |
| 540 | Osteomyelitis With Cc | $8,027 – $35,460 · median $18,746 | 15 plans |
| 541 | Osteomyelitis Without Cc/Mcc | $5,425 – $23,965 · median $12,669 | 15 plans |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc | $11,564 – $51,089 · median $26,571 | 15 plans |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $6,578 – $29,061 · median $15,363 | 15 plans |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc | $4,686 – $20,702 · median $11,093 | 15 plans |
| 545 | Connective Tissue Disorders With Mcc | $15,668 – $69,219 · median $36,284 | 15 plans |
| 546 | Connective Tissue Disorders With Cc | $7,179 – $31,715 · median $16,766 | 15 plans |
| 547 | Connective Tissue Disorders Without Cc/Mcc | $4,627 – $20,442 · median $11,180 | 15 plans |
| 548 | Septic Arthritis With Mcc | $12,492 – $55,187 · median $28,786 | 15 plans |
| 549 | Septic Arthritis With Cc | $7,472 – $33,011 · median $17,451 | 15 plans |
| 550 | Septic Arthritis Without Cc/Mcc | $5,346 – $23,617 · median $12,619 | 15 plans |
| 551 | Medical Back Problems With Mcc | $10,581 – $46,744 · median $24,711 | 15 plans |
| 552 | Medical Back Problems Without Mcc | $5,977 – $26,403 · median $13,958 | 15 plans |
| 553 | Bone Diseases And Arthropathies With Mcc | $8,100 – $35,786 · median $18,918 | 15 plans |
| 554 | Bone Diseases And Arthropathies Without Mcc | $5,175 – $22,864 · median $12,144 | 15 plans |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc | $8,350 – $36,887 · median $19,500 | 15 plans |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc | $5,063 – $22,368 · median $12,013 | 15 plans |
| 557 | Tendonitis, Myositis And Bursitis With Mcc | $9,610 – $42,454 · median $22,374 | 15 plans |
| 558 | Tendonitis, Myositis And Bursitis Without Mcc | $5,356 – $23,664 · median $12,750 | 15 plans |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With Mcc | $11,510 – $50,848 · median $26,880 | 15 plans |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $7,062 – $31,197 · median $16,492 | 15 plans |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc | $5,070 – $22,398 · median $11,856 | 15 plans |
| 562 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc | $9,076 – $40,098 · median $21,197 | 15 plans |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc | $5,542 – $24,483 · median $12,985 | 15 plans |
| 564 | Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc | $9,731 – $42,988 · median $22,725 | 15 plans |
| 565 | Other Musculoskeletal System And Connective Tissue Diagnoses With Cc | $6,323 – $27,932 · median $14,766 | 15 plans |
| 566 | Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc | $4,638 – $20,491 · median $11,003 | 15 plans |
| 570 | Skin Debridement With Mcc | $18,667 – $82,470 · median $42,939 | 15 plans |
| 571 | Skin Debridement With Cc | $10,385 – $45,881 · median $24,254 | 15 plans |
| 572 | Skin Debridement Without Cc/Mcc | $7,084 – $31,296 · median $16,544 | 15 plans |
| 573 | Skin Graft For Skin Ulcer Or Cellulitis With Mcc | $38,185 – $168,693 · median $89,177 | 15 plans |
| 574 | Skin Graft For Skin Ulcer Or Cellulitis With Cc | $21,485 – $94,915 · median $49,882 | 15 plans |
| 575 | Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc | $12,380 – $54,694 · median $28,161 | 15 plans |
| 576 | Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc | $33,454 – $147,793 · median $76,095 | 15 plans |
| 577 | Skin Graft Except For Skin Ulcer Or Cellulitis With Cc | $16,511 – $72,942 · median $38,434 | 15 plans |
| 578 | Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc | $10,482 – $46,306 · median $24,209 | 15 plans |
| 579 | Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc | $20,210 – $89,283 · median $46,790 | 15 plans |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $10,994 – $48,569 · median $25,649 | 15 plans |
| 581 | Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc | $8,924 – $39,424 · median $20,841 | 15 plans |
| 582 | Mastectomy For Malignancy With Cc/Mcc | $10,859 – $47,971 · median $25,706 | 15 plans |
| 583 | Mastectomy For Malignancy Without Cc/Mcc | $10,185 – $44,996 · median $23,787 | 15 plans |
| 584 | Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc | $12,695 – $56,086 · median $29,649 | 15 plans |
| 585 | Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc | $12,309 – $54,379 · median $28,564 | 15 plans |
| 592 | Skin Ulcers With Mcc | $12,751 – $56,330 · median $29,113 | 15 plans |
| 593 | Skin Ulcers With Cc | $7,581 – $33,493 · median $17,706 | 15 plans |
| 594 | Skin Ulcers Without Cc/Mcc | $5,262 – $23,247 · median $12,474 | 15 plans |
| 595 | Major Skin Disorders With Mcc | $13,115 – $57,940 · median $30,629 | 15 plans |
| 596 | Major Skin Disorders Without Mcc | $6,703 – $29,614 · median $15,655 | 15 plans |
| 597 | Malignant Breast Disorders With Mcc | $10,892 – $48,119 · median $25,105 | 15 plans |
| 598 | Malignant Breast Disorders With Cc | $6,690 – $29,556 · median $15,814 | 15 plans |
| 599 | Malignant Breast Disorders Without Cc/Mcc | $5,301 – $23,420 · median $12,381 | 15 plans |
| 600 | Non-Malignant Breast Disorders With Cc/Mcc | $5,936 – $26,222 · median $14,341 | 15 plans |
| 601 | Non-Malignant Breast Disorders Without Cc/Mcc | $3,718 – $16,423 · median $8,982 | 15 plans |
| 602 | Cellulitis With Mcc | $9,112 – $40,254 · median $21,280 | 15 plans |
| 603 | Cellulitis Without Mcc | $5,462 – $24,132 · median $12,757 | 15 plans |
| 604 | Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc | $9,213 – $40,701 · median $21,516 | 15 plans |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc | $5,728 – $25,305 · median $13,377 | 15 plans |
| 606 | Minor Skin Disorders With Mcc | $9,984 – $44,109 · median $22,987 | 15 plans |
| 607 | Minor Skin Disorders Without Mcc | $5,360 – $23,678 · median $12,836 | 15 plans |
| 614 | Adrenal And Pituitary Procedures With Cc/Mcc | $14,131 – $62,428 · median $32,492 | 15 plans |
| 615 | Adrenal And Pituitary Procedures Without Cc/Mcc | $8,885 – $39,254 · median $20,751 | 15 plans |
| 616 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc | $23,966 – $105,879 · median $54,514 | 15 plans |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $11,982 – $52,933 · median $27,777 | 15 plans |
| 618 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $7,720 – $34,107 · median $18,653 | 15 plans |
| 619 | O.R. Procedures For Obesity With Mcc | $16,906 – $74,690 · median $39,484 | 15 plans |
| 620 | O.R. Procedures For Obesity With Cc | $9,902 – $43,747 · median $23,126 | 15 plans |
| 621 | O.R. Procedures For Obesity Without Cc/Mcc | $9,064 – $40,043 · median $21,168 | 15 plans |
| 622 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc | $23,217 – $102,567 · median $52,809 | 15 plans |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $11,869 – $52,434 · median $27,112 | 15 plans |
| 624 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $6,220 – $27,480 · median $15,028 | 15 plans |
| 625 | Thyroid, Parathyroid And Thyroglossal Procedures With Mcc | $17,778 – $78,539 · median $41,518 | 15 plans |
| 626 | Thyroid, Parathyroid And Thyroglossal Procedures With Cc | $9,359 – $41,345 · median $21,856 | 15 plans |
| 627 | Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc | $7,855 – $34,704 · median $18,422 | 15 plans |
| 628 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc | $24,471 – $108,109 · median $55,663 | 15 plans |
| 629 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc | $13,953 – $61,641 · median $32,197 | 15 plans |
| 630 | Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc | $8,689 – $38,386 · median $20,292 | 15 plans |
| 637 | Diabetes With Mcc | $9,031 – $39,895 · median $21,090 | 15 plans |
| 638 | Diabetes With Cc | $5,688 – $25,127 · median $13,283 | 15 plans |
| 639 | Diabetes Without Cc/Mcc | $3,886 – $17,166 · median $9,313 | 15 plans |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc | $8,236 – $36,383 · median $19,234 | 15 plans |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc | $4,846 – $21,409 · median $11,430 | 15 plans |
| 642 | Inborn And Other Disorders Of Metabolism | $7,696 – $34,000 · median $18,594 | 15 plans |
| 643 | Endocrine Disorders With Mcc | $10,277 – $45,402 · median $24,001 | 15 plans |
| 644 | Endocrine Disorders With Cc | $6,409 – $28,313 · median $14,967 | 15 plans |
| 645 | Endocrine Disorders Without Cc/Mcc | $4,831 – $21,341 · median $11,350 | 15 plans |
| 650 | Kidney Transplant With Hemodialysis With Mcc | $28,568 – $126,209 · median $66,616 | 15 plans |
| 651 | Kidney Transplant With Hemodialysis Without Mcc | $21,531 – $95,121 · median $50,284 | 15 plans |
| 652 | Kidney Transplant | $19,045 – $84,136 · median $44,477 | 15 plans |
| 653 | Major Bladder Procedures With Mcc | $34,566 – $152,705 · median $78,624 | 15 plans |
| 654 | Major Bladder Procedures With Cc | $17,499 – $77,306 · median $40,607 | 15 plans |
| 655 | Major Bladder Procedures Without Cc/Mcc | $12,881 – $56,905 · median $30,082 | 15 plans |
| 656 | Kidney And Ureter Procedures For Neoplasm With Mcc | $20,201 – $89,245 · median $46,396 | 15 plans |
| 657 | Kidney And Ureter Procedures For Neoplasm With Cc | $11,335 – $50,078 · median $26,473 | 15 plans |
| 658 | Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc | $9,326 – $41,199 · median $21,779 | 15 plans |
| 659 | Kidney And Ureter Procedures For Non-Neoplasm With Mcc | $16,025 – $70,794 · median $37,107 | 15 plans |
| 660 | Kidney And Ureter Procedures For Non-Neoplasm With Cc | $8,309 – $36,707 · median $19,404 | 15 plans |
| 661 | Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc | $6,366 – $28,124 · median $14,867 | 15 plans |
| 662 | Minor Bladder Procedures With Mcc | $19,343 – $85,456 · median $44,557 | 15 plans |
| 663 | Minor Bladder Procedures With Cc | $9,471 – $41,840 · median $22,118 | 15 plans |
| 664 | Minor Bladder Procedures Without Cc/Mcc | $6,696 – $29,581 · median $15,638 | 15 plans |
| 665 | Prostatectomy With Mcc | $21,291 – $94,058 · median $48,428 | 15 plans |
| 666 | Prostatectomy With Cc | $10,214 – $45,125 · median $23,855 | 15 plans |
| 667 | Prostatectomy Without Cc/Mcc | $6,373 – $28,154 · median $15,280 | 15 plans |
| 668 | Transurethral Procedures With Mcc | $18,083 – $79,887 · median $42,122 | 15 plans |
| 669 | Transurethral Procedures With Cc | $9,596 – $42,394 · median $22,411 | 15 plans |
| 670 | Transurethral Procedures Without Cc/Mcc | $5,926 – $26,179 · median $13,949 | 15 plans |
| 671 | Urethral Procedures With Cc/Mcc | $10,688 – $47,218 · median $24,961 | 15 plans |
| 672 | Urethral Procedures Without Cc/Mcc | $6,786 – $29,978 · median $15,848 | 15 plans |
| 673 | Other Kidney And Urinary Tract Procedures With Mcc | $25,982 – $114,785 · median $60,151 | 15 plans |
| 674 | Other Kidney And Urinary Tract Procedures With Cc | $14,314 – $63,236 · median $33,429 | 15 plans |
| 675 | Other Kidney And Urinary Tract Procedures Without Cc/Mcc | $9,706 – $42,879 · median $22,667 | 15 plans |
| 682 | Renal Failure With Mcc | $9,314 – $41,147 · median $21,752 | 15 plans |
| 683 | Renal Failure With Cc | $5,512 – $24,351 · median $12,873 | 15 plans |
| 684 | Renal Failure Without Cc/Mcc | $3,767 – $16,642 · median $9,043 | 15 plans |
| 686 | Kidney And Urinary Tract Neoplasms With Mcc | $11,693 – $51,656 · median $26,979 | 15 plans |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $6,527 – $28,836 · median $15,244 | 15 plans |
| 688 | Kidney And Urinary Tract Neoplasms Without Cc/Mcc | $4,491 – $19,839 · median $10,850 | 15 plans |
| 689 | Kidney And Urinary Tract Infections With Mcc | $7,258 – $32,063 · median $16,950 | 15 plans |
| 690 | Kidney And Urinary Tract Infections Without Mcc | $4,977 – $21,987 · median $11,780 | 15 plans |
| 693 | Urinary Stones With Mcc | $9,117 – $40,279 · median $20,811 | 15 plans |
| 694 | Urinary Stones Without Mcc | $4,845 – $21,406 · median $11,451 | 15 plans |
| 695 | Kidney And Urinary Tract Signs And Symptoms With Mcc | $6,993 – $30,893 · median $16,331 | 15 plans |
| 696 | Kidney And Urinary Tract Signs And Symptoms Without Mcc | $4,289 – $18,949 · median $10,214 | 15 plans |
| 697 | Urethral Stricture | $6,212 – $27,444 · median $14,913 | 15 plans |
| 698 | Other Kidney And Urinary Tract Diagnoses With Mcc | $10,423 – $46,048 · median $24,343 | 15 plans |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $6,324 – $27,937 · median $14,769 | 15 plans |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc | $4,304 – $19,015 · median $10,237 | 15 plans |
| 707 | Major Male Pelvic Procedures With Cc/Mcc | $12,033 – $53,160 · median $28,102 | 15 plans |
| 708 | Major Male Pelvic Procedures Without Cc/Mcc | $9,192 – $40,610 · median $21,468 | 15 plans |
| 709 | Penis Procedures With Cc/Mcc | $13,934 – $61,557 · median $32,541 | 15 plans |
| 710 | Penis Procedures Without Cc/Mcc | $9,310 – $41,128 · median $21,429 | 15 plans |
| 711 | Testes Procedures With Cc/Mcc | $11,848 – $52,341 · median $27,858 | 15 plans |
| 712 | Testes Procedures Without Cc/Mcc | $6,633 – $29,302 · median $15,550 | 15 plans |
| 713 | Transurethral Prostatectomy With Cc/Mcc | $8,966 – $39,610 · median $20,940 | 15 plans |
| 714 | Transurethral Prostatectomy Without Cc/Mcc | $5,826 – $25,740 · median $14,077 | 15 plans |
| 715 | Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc | $14,003 – $61,863 · median $32,665 | 15 plans |
| 716 | Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc | $8,800 – $38,879 · median $20,553 | 15 plans |
| 717 | Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc | $11,505 – $50,829 · median $26,870 | 15 plans |
| 718 | Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc | $7,638 – $33,745 · median $18,255 | 15 plans |
| 722 | Malignancy, Male Reproductive System With Mcc | $10,720 – $47,360 · median $25,036 | 15 plans |
| 723 | Malignancy, Male Reproductive System With Cc | $6,963 – $30,762 · median $16,262 | 15 plans |
| 724 | Malignancy, Male Reproductive System Without Cc/Mcc | $4,518 – $19,960 · median $10,552 | 15 plans |
| 725 | Benign Prostatic Hypertrophy With Mcc | $7,832 – $34,603 · median $18,118 | 15 plans |
| 726 | Benign Prostatic Hypertrophy Without Mcc | $4,615 – $20,390 · median $10,807 | 15 plans |
| 727 | Inflammation Of The Male Reproductive System With Mcc | $9,111 – $40,251 · median $21,278 | 15 plans |
| 728 | Inflammation Of The Male Reproductive System Without Mcc | $5,067 – $22,384 · median $11,897 | 15 plans |
| 729 | Other Male Reproductive System Diagnoses With Cc/Mcc | $6,826 – $30,156 · median $15,942 | 15 plans |
| 730 | Other Male Reproductive System Diagnoses Without Cc/Mcc | $3,763 – $16,626 · median $9,093 | 15 plans |
| 734 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc | $13,039 – $57,603 · median $30,451 | 15 plans |
| 735 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc | $7,527 – $33,252 · median $18,137 | 15 plans |
| 736 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc | $24,415 – $107,862 · median $55,536 | 15 plans |
| 737 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc | $12,391 – $54,743 · median $28,939 | 15 plans |
| 738 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc | $9,406 – $41,553 · median $21,966 | 15 plans |
| 739 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc | $24,684 – $109,051 · median $56,148 | 15 plans |
| 740 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc | $11,275 – $49,810 · median $26,331 | 15 plans |
| 741 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc | $8,517 – $37,627 · median $19,891 | 15 plans |
| 742 | Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc | $11,327 – $50,040 · median $26,453 | 15 plans |
| 743 | Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc | $7,433 – $32,836 · median $17,376 | 15 plans |
| 744 | D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc | $12,116 – $53,527 · median $28,296 | 15 plans |
| 745 | D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc | $6,355 – $28,074 · median $15,354 | 15 plans |
| 746 | Vagina, Cervix And Vulva Procedures With Cc/Mcc | $10,384 – $45,873 · median $24,250 | 15 plans |
| 747 | Vagina, Cervix And Vulva Procedures Without Cc/Mcc | $5,923 – $26,165 · median $13,755 | 15 plans |
| 748 | Female Reproductive System Reconstructive Procedures | $8,447 – $37,317 · median $19,727 | 15 plans |
| 749 | Other Female Reproductive System O.R. Procedures With Cc/Mcc | $16,051 – $70,909 · median $37,325 | 15 plans |
| 750 | Other Female Reproductive System O.R. Procedures Without Cc/Mcc | $7,996 – $35,326 · median $19,319 | 15 plans |
| 754 | Malignancy, Female Reproductive System With Mcc | $11,219 – $49,563 · median $26,201 | 15 plans |
| 755 | Malignancy, Female Reproductive System With Cc | $6,884 – $30,411 · median $16,076 | 15 plans |
| 756 | Malignancy, Female Reproductive System Without Cc/Mcc | $5,921 – $26,159 · median $13,840 | 15 plans |
| 757 | Infections, Female Reproductive System With Mcc | $8,776 – $38,769 · median $20,495 | 15 plans |
| 758 | Infections, Female Reproductive System With Cc | $6,321 – $27,924 · median $14,762 | 15 plans |
| 759 | Infections, Female Reproductive System Without Cc/Mcc | $3,968 – $17,530 · median $9,587 | 15 plans |
| 760 | Menstrual And Other Female Reproductive System Disorders With Cc/Mcc | $6,111 – $26,998 · median $14,357 | 15 plans |
| 761 | Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc | $3,931 – $17,366 · median $9,180 | 15 plans |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $6,798 – $30,033 · median $15,877 | 15 plans |
| 769 | Postpartum And Post Abortion Diagnoses With O.R. Procedures | $8,616 – $38,065 · median $20,817 | 15 plans |
| 770 | Abortion With D&C, Aspiration Curettage Or Hysterotomy | $6,672 – $29,474 · median $15,581 | 15 plans |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $4,424 – $19,544 · median $10,331 | 15 plans |
| 779 | Abortion Without D&C | $5,796 – $25,606 · median $13,481 | 15 plans |
| 783 | Cesarean Section With Sterilization With Mcc | $11,422 – $50,462 · median $27,597 | 15 plans |
| 784 | Cesarean Section With Sterilization With Cc | $6,716 – $29,669 · median $15,684 | 15 plans |
| 785 | Cesarean Section With Sterilization Without Cc/Mcc | $5,425 – $23,968 · median $13,108 | 15 plans |
| 786 | Cesarean Section Without Sterilization With Mcc | $10,020 – $44,265 · median $23,400 | 15 plans |
| 787 | Cesarean Section Without Sterilization With Cc | $6,584 – $29,088 · median $15,598 | 15 plans |
| 788 | Cesarean Section Without Sterilization Without Cc/Mcc | $5,612 – $24,792 · median $13,461 | 15 plans |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $11,179 – $49,385 · median $26,107 | 15 plans |
| 790 | Extreme Immaturity Or Respiratory Distress Syndrome, Neonate | $36,865 – $162,863 · median $84,822 | 15 plans |
| 791 | Prematurity With Major Problems | $25,177 – $111,226 · median $58,229 | 15 plans |
| 792 | Prematurity Without Major Problems | $15,191 – $67,112 · median $35,478 | 15 plans |
| 793 | Full Term Neonate With Major Problems | $25,862 – $114,254 · median $59,789 | 15 plans |
| 794 | Neonate With Other Significant Problems | $9,154 – $40,441 · median $21,378 | 15 plans |
| 795 | Normal Newborn | $1,239 – $5,474 · median $2,993 | 15 plans |
| 796 | Vaginal Delivery With Sterilization And/Or D&C With Mcc | $7,916 – $34,972 · median $18,192 | 15 plans |
| 797 | Vaginal Delivery With Sterilization And/Or D&C With Cc | $6,004 – $26,524 · median $14,185 | 15 plans |
| 798 | Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc | $6,004 – $26,524 · median $14,021 | 15 plans |
| 799 | Splenic Procedures With Mcc | $29,483 – $130,250 · median $67,062 | 15 plans |
| 800 | Splenic Procedures With Cc | $18,067 – $79,818 · median $41,328 | 15 plans |
| 801 | Splenic Procedures Without Cc/Mcc | $10,180 – $44,974 · median $24,596 | 15 plans |
| 802 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc | $22,228 – $98,200 · median $51,994 | 15 plans |
| 803 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc | $11,037 – $48,760 · median $25,777 | 15 plans |
| 804 | Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc | $6,855 – $30,285 · median $16,563 | 15 plans |
| 805 | Vaginal Delivery Without Sterilization Or D&C With Mcc | $6,188 – $27,337 · median $14,893 | 15 plans |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $4,486 – $19,820 · median $10,839 | 15 plans |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc | $3,951 – $17,456 · median $9,547 | 15 plans |
| 808 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $14,203 – $62,746 · median $32,687 | 15 plans |
| 809 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $7,680 – $33,929 · median $17,936 | 15 plans |
| 810 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $5,901 – $26,072 · median $14,258 | 15 plans |
| 811 | Red Blood Cell Disorders With Mcc | $8,724 – $38,539 · median $20,373 | 15 plans |
| 812 | Red Blood Cell Disorders Without Mcc | $5,723 – $25,283 · median $13,365 | 15 plans |
| 813 | Coagulation Disorders | $9,599 – $42,405 · median $22,417 | 15 plans |
| 814 | Reticuloendothelial And Immunity Disorders With Mcc | $12,962 – $57,264 · median $30,272 | 15 plans |
| 815 | Reticuloendothelial And Immunity Disorders With Cc | $6,301 – $27,836 · median $14,715 | 15 plans |
| 816 | Reticuloendothelial And Immunity Disorders Without Cc/Mcc | $4,089 – $18,064 · median $9,622 | 15 plans |
| 817 | Other Antepartum Diagnoses With O.R. Procedures With Mcc | $15,720 – $69,449 · median $35,758 | 15 plans |
| 818 | Other Antepartum Diagnoses With O.R. Procedures With Cc | $7,987 – $35,285 · median $18,218 | 15 plans |
| 819 | Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc | $5,063 – $22,368 · median $12,194 | 15 plans |
| 820 | Lymphoma And Leukemia With Major O.R. Procedures With Mcc | $36,102 – $159,491 · median $83,397 | 15 plans |
| 821 | Lymphoma And Leukemia With Major O.R. Procedures With Cc | $13,842 – $61,151 · median $32,327 | 15 plans |
| 822 | Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc | $7,091 – $31,329 · median $16,742 | 15 plans |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc | $29,016 – $128,187 · median $66,310 | 15 plans |
| 824 | Lymphoma And Non-Acute Leukemia With Other Procedures With Cc | $13,638 – $60,250 · median $31,850 | 15 plans |
| 825 | Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc | $7,632 – $33,715 · median $18,286 | 15 plans |
| 826 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc | $29,611 – $130,817 · median $67,643 | 15 plans |
| 827 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc | $14,633 – $64,644 · median $33,903 | 15 plans |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C | $9,939 – $43,909 · median $23,230 | 15 plans |
| 829 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc | $19,121 – $84,475 · median $44,657 | 15 plans |
| 830 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc | $9,068 – $40,062 · median $21,178 | 15 plans |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With Mcc | $7,137 – $31,529 · median $16,787 | 15 plans |
| 832 | Other Antepartum Diagnoses Without O.R. Procedures With Cc | $4,634 – $20,472 · median $10,827 | 15 plans |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc | $3,223 – $14,240 · median $7,788 | 15 plans |
| 834 | Acute Leukemia With Mcc | $34,272 – $151,409 · median $78,674 | 15 plans |
| 835 | Acute Leukemia With Cc | $13,244 – $58,510 · median $30,733 | 15 plans |
| 836 | Acute Leukemia Without Cc/Mcc | $7,880 – $34,811 · median $18,402 | 15 plans |
| 837 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc | $31,047 – $137,161 · median $70,621 | 15 plans |
| 838 | Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent | $12,576 – $55,560 · median $29,371 | 15 plans |
| 839 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $8,497 – $37,539 · median $19,903 | 15 plans |
| 840 | Lymphoma And Non-Acute Leukemia With Mcc | $19,777 – $87,374 · median $46,189 | 15 plans |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $9,723 – $42,953 · median $22,706 | 15 plans |
| 842 | Lymphoma And Non-Acute Leukemia Without Cc/Mcc | $6,522 – $28,814 · median $15,232 | 15 plans |
| 843 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc | $11,739 – $51,861 · median $27,416 | 15 plans |
| 844 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc | $7,411 – $32,740 · median $17,307 | 15 plans |
| 845 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc | $5,188 – $22,921 · median $12,292 | 15 plans |
| 846 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc | $15,835 – $69,956 · median $36,981 | 15 plans |
| 847 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc | $7,879 – $34,808 · median $18,401 | 15 plans |
| 848 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $5,078 – $22,434 · median $12,147 | 15 plans |
| 849 | Radiotherapy | $16,562 – $73,169 · median $38,680 | 15 plans |
| 850 | Acute Leukemia With Other Procedures | $57,119 – $252,344 · median $129,925 | 15 plans |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With Mcc | $31,014 – $137,016 · median $71,078 | 15 plans |
| 854 | Infectious And Parasitic Diseases With O.R. Procedures With Cc | $12,391 – $54,741 · median $28,938 | 15 plans |
| 855 | Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc | $10,080 – $44,531 · median $22,984 | 15 plans |
| 856 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc | $27,975 – $123,587 · median $64,865 | 15 plans |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $13,511 – $59,691 · median $31,430 | 15 plans |
| 858 | Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc | $7,989 – $35,296 · median $18,982 | 15 plans |
| 862 | Postoperative And Post-Traumatic Infections With Mcc | $11,401 – $50,368 · median $26,627 | 15 plans |
| 863 | Postoperative And Post-Traumatic Infections Without Mcc | $6,200 – $27,392 · median $14,481 | 15 plans |
| 864 | Fever And Inflammatory Conditions | $5,568 – $24,598 · median $13,003 | 15 plans |
| 865 | Viral Illness With Mcc | $9,152 – $40,432 · median $21,374 | 15 plans |
| 866 | Viral Illness Without Mcc | $5,486 – $24,236 · median $12,812 | 15 plans |
| 867 | Other Infectious And Parasitic Diseases Diagnoses With Mcc | $13,296 – $58,740 · median $30,845 | 15 plans |
| 868 | Other Infectious And Parasitic Diseases Diagnoses With Cc | $6,511 – $28,765 · median $15,206 | 15 plans |
| 869 | Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc | $4,462 – $19,711 · median $10,671 | 15 plans |
| 870 | Septicemia Or Severe Sepsis With Mv >96 Hours | $43,137 – $190,573 · median $98,791 | 15 plans |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | $12,168 – $53,757 · median $28,418 | 15 plans |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | $6,393 – $28,244 · median $14,931 | 15 plans |
| 876 | O.R. Procedures With Principal Diagnosis Of Mental Illness | $24,366 – $107,646 · median $55,940 | 15 plans |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $5,944 – $26,261 · median $13,882 | 15 plans |
| 881 | Depressive Neuroses | $5,668 – $25,042 · median $13,417 | 15 plans |
| 882 | Neuroses Except Depressive | $5,965 – $26,351 · median $14,411 | 15 plans |
| 883 | Disorders Of Personality And Impulse Control | $11,512 – $50,856 · median $26,884 | 15 plans |
| 884 | Organic Disturbances And Intellectual Disability | $10,356 – $45,752 · median $24,084 | 15 plans |
| 885 | Psychoses | $8,740 – $38,613 · median $20,412 | 15 plans |
| 886 | Behavioral And Developmental Disorders | $11,139 – $49,212 · median $26,914 | 15 plans |
| 887 | Other Mental Disorder Diagnoses | $7,375 – $32,581 · median $16,898 | 15 plans |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $3,870 – $17,097 · median $9,268 | 15 plans |
| 895 | Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy | $8,978 – $39,665 · median $20,968 | 15 plans |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc | $11,043 – $48,785 · median $25,790 | 15 plans |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | $5,471 – $24,168 · median $12,822 | 15 plans |
| 901 | Wound Debridements For Injuries With Mcc | $27,472 – $121,365 · median $62,488 | 15 plans |
| 902 | Wound Debridements For Injuries With Cc | $11,766 – $51,979 · median $27,478 | 15 plans |
| 903 | Wound Debridements For Injuries Without Cc/Mcc | $7,559 – $33,395 · median $17,654 | 15 plans |
| 904 | Skin Grafts For Injuries With Cc/Mcc | $23,941 – $105,769 · median $54,458 | 15 plans |
| 905 | Skin Grafts For Injuries Without Cc/Mcc | $10,220 – $45,150 · median $23,246 | 15 plans |
| 906 | Hand Procedures For Injuries | $13,533 – $59,787 · median $30,783 | 15 plans |
| 907 | Other O.R. Procedures For Injuries With Mcc | $24,702 – $109,128 · median $56,187 | 15 plans |
| 908 | Other O.R. Procedures For Injuries With Cc | $12,507 – $55,256 · median $29,210 | 15 plans |
| 909 | Other O.R. Procedures For Injuries Without Cc/Mcc | $7,864 – $34,742 · median $18,366 | 15 plans |
| 913 | Traumatic Injury With Mcc | $10,034 – $44,331 · median $23,435 | 15 plans |
| 914 | Traumatic Injury Without Mcc | $5,682 – $25,102 · median $13,270 | 15 plans |
| 915 | Allergic Reactions With Mcc | $10,776 – $47,607 · median $25,074 | 15 plans |
| 916 | Allergic Reactions Without Mcc | $4,117 – $18,190 · median $9,869 | 15 plans |
| 917 | Poisoning And Toxic Effects Of Drugs With Mcc | $10,167 – $44,917 · median $23,583 | 15 plans |
| 918 | Poisoning And Toxic Effects Of Drugs Without Mcc | $5,484 – $24,228 · median $12,808 | 15 plans |
| 919 | Complications Of Treatment With Mcc | $11,307 – $49,952 · median $26,406 | 15 plans |
| 920 | Complications Of Treatment With Cc | $6,299 – $27,828 · median $14,711 | 15 plans |
| 921 | Complications Of Treatment Without Cc/Mcc | $4,264 – $18,837 · median $10,180 | 15 plans |
| 922 | Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc | $10,475 – $46,276 · median $24,463 | 15 plans |
| 923 | Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc | $6,324 – $27,937 · median $14,769 | 15 plans |
| 927 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft | $147,105 – $649,886 · median $330,438 | 15 plans |
| 928 | Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc | $41,413 – $182,958 · median $96,718 | 15 plans |
| 929 | Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc | $19,720 – $87,122 · median $46,056 | 15 plans |
| 933 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft | $26,830 – $118,530 · median $61,028 | 15 plans |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $13,305 – $58,781 · median $31,074 | 15 plans |
| 935 | Non-Extensive Burns | $13,619 – $60,168 · median $30,982 | 15 plans |
| 939 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc | $19,681 – $86,946 · median $46,757 | 15 plans |
| 940 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc | $13,092 – $57,839 · median $30,908 | 15 plans |
| 941 | O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc | $12,118 – $53,535 · median $28,301 | 15 plans |
| 945 | Rehabilitation With Cc/Mcc | $9,465 – $41,816 · median $22,105 | 15 plans |
| 946 | Rehabilitation Without Cc/Mcc | $6,923 – $30,584 · median $16,187 | 15 plans |
| 947 | Signs And Symptoms With Mcc | $7,975 – $35,233 · median $18,625 | 15 plans |
| 948 | Signs And Symptoms Without Mcc | $4,927 – $21,765 · median $11,664 | 15 plans |
| 949 | Aftercare With Cc/Mcc | $6,690 – $29,556 · median $16,164 | 15 plans |
| 950 | Aftercare Without Cc/Mcc | $3,634 – $16,056 · median $8,781 | 15 plans |
| 951 | Other Factors Influencing Health Status | $3,515 – $15,530 · median $8,468 | 15 plans |
| 955 | Craniotomy For Multiple Significant Trauma | $42,340 – $187,050 · median $96,611 | 15 plans |
| 956 | Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma | $23,701 – $104,709 · median $54,464 | 15 plans |
| 957 | Other O.R. Procedures For Multiple Significant Trauma With Mcc | $46,282 – $204,468 · median $107,358 | 15 plans |
| 958 | Other O.R. Procedures For Multiple Significant Trauma With Cc | $25,483 – $112,580 · median $59,514 | 15 plans |
| 959 | Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc | $16,394 – $72,424 · median $38,602 | 15 plans |
| 963 | Other Multiple Significant Trauma With Mcc | $16,846 – $74,421 · median $39,342 | 15 plans |
| 964 | Other Multiple Significant Trauma With Cc | $9,303 – $41,098 · median $21,726 | 15 plans |
| 965 | Other Multiple Significant Trauma Without Cc/Mcc | $5,658 – $24,998 · median $13,403 | 15 plans |
| 969 | Hiv With Extensive O.R. Procedures With Mcc | $39,215 – $173,243 · median $89,199 | 15 plans |
| 970 | Hiv With Extensive O.R. Procedures Without Mcc | $16,452 – $72,684 · median $38,274 | 15 plans |
| 974 | Hiv With Major Related Condition With Mcc | $18,516 – $81,801 · median $42,379 | 15 plans |
| 975 | Hiv With Major Related Condition With Cc | $8,813 – $38,937 · median $20,116 | 15 plans |
| 976 | Hiv With Major Related Condition Without Cc/Mcc | $6,219 – $27,474 · median $14,396 | 15 plans |
| 977 | Hiv With Or Without Other Related Condition | $8,941 – $39,498 · median $20,337 | 15 plans |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $29,481 – $130,244 · median $67,593 | 15 plans |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $15,183 – $67,077 · median $35,459 | 15 plans |
| 983 | Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $10,344 – $45,698 · median $24,157 | 15 plans |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $21,722 – $95,965 · median $49,852 | 15 plans |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $10,641 – $47,010 · median $24,653 | 15 plans |
| 989 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $7,165 – $31,652 · median $16,800 | 15 plans |
| 209 | Complex Aortic Arch Procedures | $94,564 – $174,943 · median $120,569 | 14 plans |
| 213 | Endovascular Abdominal Aorta With Iliac Branch Procedures | $48,232 – $89,228 · median $61,495 | 14 plans |
| 318 | Percutaneous Coronary Atherectomy Without Intraluminal Device | $21,113 – $39,059 · median $26,919 | 14 plans |
| 359 | Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc | $29,504 – $54,583 · median $37,618 | 14 plans |
| 360 | Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc | $21,048 – $38,938 · median $26,836 | 14 plans |
| 077 | Hypertensive Encephalopathy With Mcc | $9,588 – $42,358 · median $23,165 | 8 plans |
| 078 | Hypertensive Encephalopathy With Cc | $6,187 – $27,335 · median $14,949 | 8 plans |
| 079 | Hypertensive Encephalopathy Without Cc/Mcc | $4,134 – $18,264 · median $9,989 | 8 plans |
| 294 | Deep Vein Thrombophlebitis With Cc/Mcc | $7,614 – $33,638 · median $18,396 | 8 plans |
| 295 | Deep Vein Thrombophlebitis Without Cc/Mcc | $4,898 – $21,637 · median $11,833 | 8 plans |
| 509 | Arthroscopy | $10,892 – $48,119 · median $26,316 | 8 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With Mcc | $54,950 – $160,285 · median $130,130 | 6 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With Cc | $37,927 – $110,632 · median $89,818 | 6 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc | $28,559 – $83,306 · median $67,633 | 6 plans |
| 459 | Spinal Fusion Except Cervical With Mcc | $41,127 – $119,965 · median $97,395 | 6 plans |
| 460 | Spinal Fusion Except Cervical Without Mcc | $22,683 – $66,164 · median $53,716 | 6 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc | $138,393 – $138,393 · median $138,393 | 1 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc | $94,328 – $94,328 · median $94,328 | 1 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc | $128,137 – $128,137 · median $128,137 | 1 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc | $91,418 – $91,418 · median $91,418 | 1 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc | $115,696 – $115,696 · median $115,696 | 1 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc | $90,749 – $90,749 · median $90,749 | 1 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $54,142 – $54,142 · median $54,142 | 1 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc | $34,514 – $34,514 · median $34,514 | 1 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $54,402 – $54,402 · median $54,402 | 1 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc | $32,836 – $32,836 · median $32,836 | 1 plans |
No procedures match that keyword.