Oklahoma Surgical Hospital, Llc — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 50 with a comparable price, 721 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 771
Lowest published price $7,149
Average published price $33,940
Highest published price $160,256
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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 771 procedures
Published charges
Showing all 50 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.
| DRG | Description | Published price | vs. OK median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $160,256 | $46,591 | +244% | $90,775 | +77% | — |
| 853 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC | $108,671 | $54,752 | +98% | $93,172 | +17% | — |
| 458 | SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O CC/MCC | $88,538 | $59,237 | +49% | $83,441 | +6% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT W MCC | $87,739 | $64,196 | +37% | $96,507 | −9% | — |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC | $84,311 | $98,882 | −15% | $188,171 | −55% | — |
| 326 | STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC | $66,061 | $59,547 | +11% | $80,793 | −18% | — |
| 028 | SPINAL PROCEDURES W MCC | $65,949 | $57,312 | +15% | $113,077 | −42% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC | $60,939 | $19,655 | +210% | $28,156 | +116% | — |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $48,619 | $18,324 | +165% | $34,607 | +40% | — |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC | $48,314 | $18,771 | +157% | $30,784 | +57% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT W CC | $46,039 | $46,844 | −2% | $70,847 | −35% | — |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $45,415 | $35,631 | +27% | $58,707 | −23% | — |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC | $45,187 | $27,813 | +62% | $54,583 | −17% | — |
| 654 | MAJOR BLADDER PROCEDURES W CC | $44,671 | $35,863 | +25% | $58,274 | −23% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC | $43,881 | $19,796 | +122% | $30,083 | +46% | — |
| 471 | CERVICAL SPINAL FUSION W MCC | $40,364 | $55,551 | −27% | $92,515 | −56% | — |
| 621 | O.R. PROCEDURES FOR OBESITY W/O CC/MCC | $38,326 | $22,079 | +74% | $32,451 | +18% | — |
| 327 | STOMACH, ESOPHAGEAL & DUODENAL PROC W CC | $37,863 | $31,373 | +21% | $59,421 | −36% | — |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC | $34,701 | $24,168 | +44% | $43,298 | −20% | — |
| 391 | ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC | $34,649 | $15,403 | +125% | $28,050 | +24% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY W CC/MCC | $29,635 | $18,424 | +61% | $32,100 | −8% | — |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC | $28,695 | $58,250 | −51% | $88,050 | −67% | ≈137% of Medicare |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC | $27,682 | $27,682 | +0% | $52,751 | −48% | — |
| 518 | BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM | $25,792 | $41,839 | −38% | $71,092 | −64% | — |
| 615 | ADRENAL & PITUITARY PROCEDURES W/O CC/MCC | $24,661 | $19,109 | +29% | $32,833 | −25% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,177 | $31,049 | −35% | $54,929 | −63% | ≈136% of Medicare |
| 655 | MAJOR BLADDER PROCEDURES W/O CC/MCC | $19,715 | $21,374 | −8% | $43,174 | −54% | — |
| 464 | WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC | $17,049 | $40,853 | −58% | $58,228 | −71% | — |
| 030 | SPINAL PROCEDURES W/O CC/MCC | $16,461 | $28,401 | −42% | $45,866 | −64% | — |
| 465 | WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC | $16,255 | $18,905 | −14% | $32,443 | −50% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,632 | $32,885 | −52% | $50,624 | −69% | — |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC | $15,138 | $20,895 | −28% | $40,552 | −63% | — |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES W CC | $15,095 | $30,993 | −51% | $59,500 | −75% | ≈150% of Medicare |
| 486 | KNEE PROCEDURES W PDX OF INFECTION W CC | $14,463 | $21,541 | −33% | $49,351 | −71% | — |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $13,671 | $27,666 | −51% | $50,607 | −73% | ≈140% of Medicare |
| 489 | KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC | $13,620 | $13,997 | −3% | $28,320 | −52% | — |
| 333 | RECTAL RESECTION W CC | $13,215 | $20,258 | −35% | $37,154 | −64% | — |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC | $12,861 | $20,076 | −36% | $29,805 | −57% | — |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC | $12,847 | $12,373 | +4% | $25,970 | −51% | — |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC | $12,305 | $18,936 | −35% | $44,117 | −72% | ≈163% of Medicare |
| 828 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC | $12,072 | $14,897 | −19% | $35,584 | −66% | — |
| 328 | STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC | $11,984 | $18,442 | −35% | $39,006 | −69% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC | $11,593 | $19,743 | −41% | $43,477 | −73% | — |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC | $11,363 | $15,821 | −28% | $36,253 | −69% | ≈151% of Medicare |
| 580 | OTHER SKIN, SUBCUT TISS & BREAST PROC W CC | $11,035 | $22,110 | −50% | $38,101 | −71% | — |
| 520 | BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC | $10,199 | $17,345 | −41% | $35,465 | −71% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC | $9,703 | $14,931 | −35% | $25,748 | −62% | — |
| 292 | HEART FAILURE & SHOCK W CC | $9,297 | $9,549 | −3% | $16,371 | −43% | — |
| 694 | URINARY STONES W/O ESW LITHOTRIPSY W/O MCC | $7,151 | $11,436 | −37% | $17,345 | −59% | — |
| 386 | INFLAMMATORY BOWEL DISEASE W CC | $7,149 | $12,812 | −44% | $22,033 | −68% | — |
Procedures with negotiated rates only
These 721 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 |
|---|---|---|---|
| 334 | RECTAL RESECTION W/O CC/MCC | $8,970 – $17,672 · median $13,513 | 9 plans |
| 407 | PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC | $11,025 – $22,757 · median $16,678 | 9 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $10,500 – $34,828 · median $25,774 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $9,975 – $30,870 · median $22,844 | 9 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES W CC/MCC | $12,325 – $24,283 · median $16,939 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY W MCC | $11,550 – $29,051 · median $18,734 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY W CC | $8,637 – $17,016 · median $11,550 | 9 plans |
| 800 | SPLENECTOMY W CC | $15,435 – $31,047 · median $22,975 | 9 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC | $152,334 – $300,133 · median $225,121 | 8 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC | $50,860 – $107,837 · median $87,962 | 8 plans |
| 003 | ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. | $115,902 – $228,354 · median $174,239 | 8 plans |
| 004 | TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. | $76,415 – $150,555 · median $117,585 | 8 plans |
| 005 | LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT | $57,592 – $113,469 · median $85,552 | 8 plans |
| 006 | LIVER TRANSPLANT W/O MCC | $26,224 – $51,668 · median $39,478 | 8 plans |
| 007 | LUNG TRANSPLANT | $70,676 – $139,248 · median $103,157 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $29,425 – $57,975 · median $43,600 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $40,524 – $84,952 · median $48,951 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC | $29,181 – $57,493 · median $42,978 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC | $22,193 – $43,725 · median $33,037 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC | $14,331 – $28,236 · median $21,753 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $70,855 – $139,600 · median $98,713 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC | $32,642 – $64,313 · median $49,798 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC | $32,642 – $64,313 · median $49,798 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $203,951 – $401,830 · median $303,767 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $42,871 – $84,465 · median $64,901 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC | $43,594 – $85,891 · median $67,360 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC | $28,884 – $56,907 · median $46,908 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC | $14,937 – $30,620 · median $26,764 | 8 plans |
| 023 | CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT | $30,853 – $60,788 · median $46,354 | 8 plans |
| 024 | CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC | $20,560 – $40,507 · median $30,937 | 8 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC | $24,186 – $47,652 · median $36,221 | 8 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC | $16,541 – $32,589 · median $24,489 | 8 plans |
| 029 | SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS | $18,153 – $35,766 · median $27,664 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES W MCC | $22,663 – $44,651 · median $33,850 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES W CC | $11,549 – $22,755 · median $17,486 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES W/O CC/MCC | $8,628 – $17,000 · median $13,122 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURE W MCC | $21,030 – $41,434 · median $31,754 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE W CC | $12,302 – $24,238 · median $18,648 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE W/O CC/MCC | $9,913 – $19,532 · median $14,838 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES W MCC | $17,959 – $35,384 · median $27,302 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES W CC | $8,714 – $17,168 · median $13,087 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES W/O CC/MCC | $6,155 – $12,128 · median $9,290 | 8 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC | $20,400 – $40,192 · median $31,080 | 8 plans |
| 041 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM | $12,212 – $24,061 · median $18,293 | 8 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC | $9,505 – $18,727 · median $14,253 | 8 plans |
| 052 | SPINAL DISORDERS & INJURIES W CC/MCC | $10,884 – $21,443 · median $16,119 | 8 plans |
| 053 | SPINAL DISORDERS & INJURIES W/O CC/MCC | $4,983 – $9,818 · median $7,774 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS W MCC | $8,107 – $15,973 · median $12,113 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS W/O MCC | $5,900 – $11,625 · median $8,819 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC | $13,542 – $26,681 · median $19,950 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC | $7,216 – $14,218 · median $10,999 | 8 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC | $9,983 – $19,668 · median $14,551 | 8 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC | $6,617 – $13,037 · median $9,821 | 8 plans |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC | $4,826 – $9,509 · median $7,296 | 8 plans |
| 061 | ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC | $14,620 – $28,805 · median $22,456 | 8 plans |
| 062 | ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC | $9,631 – $18,975 · median $14,900 | 8 plans |
| 063 | ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC | $7,597 – $14,968 · median $11,797 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC | $10,758 – $21,195 · median $16,274 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS | $5,499 – $10,835 · median $8,288 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC | $3,722 – $7,334 · median $5,608 | 8 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC | $7,868 – $15,502 · median $11,700 | 8 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC | $4,767 – $9,392 · median $7,142 | 8 plans |
| 069 | TRANSIENT ISCHEMIA | $4,327 – $8,525 · median $6,516 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC | $9,403 – $18,527 · median $14,388 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS W CC | $5,699 – $11,229 · median $8,625 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC | $4,057 – $7,993 · median $6,254 | 8 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS W MCC | $8,359 – $16,468 · median $12,462 | 8 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC | $5,637 – $11,107 · median $8,429 | 8 plans |
| 075 | VIRAL MENINGITIS W CC/MCC | $8,989 – $17,711 · median $14,609 | 8 plans |
| 076 | VIRAL MENINGITIS W/O CC/MCC | $4,959 – $9,770 · median $7,498 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY W MCC | $8,362 – $16,476 · median $12,456 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY W CC | $5,397 – $10,633 · median $8,215 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC | $3,578 – $7,049 · median $5,727 | 8 plans |
| 080 | NONTRAUMATIC STUPOR & COMA W MCC | $10,648 – $20,980 · median $17,060 | 8 plans |
| 081 | NONTRAUMATIC STUPOR & COMA W/O MCC | $4,893 – $9,641 · median $7,396 | 8 plans |
| 082 | TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC | $12,548 – $24,722 · median $18,738 | 8 plans |
| 083 | TRAUMATIC STUPOR & COMA, COMA >1 HR W CC | $7,519 – $14,815 · median $11,191 | 8 plans |
| 084 | TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC | $5,171 – $10,187 · median $7,641 | 8 plans |
| 085 | TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC | $12,255 – $24,144 · median $18,501 | 8 plans |
| 086 | TRAUMATIC STUPOR & COMA, COMA <1 HR W CC | $7,093 – $13,975 · median $10,715 | 8 plans |
| 087 | TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC | $4,781 – $9,419 · median $7,216 | 8 plans |
| 088 | CONCUSSION W MCC | $7,629 – $15,031 · median $12,018 | 8 plans |
| 089 | CONCUSSION W CC | $5,798 – $11,423 · median $9,067 | 8 plans |
| 090 | CONCUSSION W/O CC/MCC | $4,636 – $9,135 · median $7,315 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM W MCC | $9,858 – $19,423 · median $14,718 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM W CC | $5,725 – $11,280 · median $8,493 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC | $4,269 – $8,410 · median $6,372 | 8 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC | $19,732 – $38,877 · median $29,634 | 8 plans |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC | $12,964 – $25,542 · median $19,487 | 8 plans |
| 096 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC | $12,964 – $25,542 · median $18,626 | 8 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC | $19,386 – $38,194 · median $29,441 | 8 plans |
| 098 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC | $11,732 – $23,114 · median $17,622 | 8 plans |
| 099 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC | $7,535 – $14,846 · median $11,050 | 8 plans |
| 100 | SEIZURES W MCC | $10,737 – $21,153 · median $16,172 | 8 plans |
| 101 | SEIZURES W/O MCC | $4,985 – $9,821 · median $7,463 | 8 plans |
| 102 | HEADACHES W MCC | $6,271 – $12,354 · median $9,650 | 8 plans |
| 103 | HEADACHES W/O MCC | $4,598 – $9,059 · median $6,898 | 8 plans |
| 113 | ORBITAL PROCEDURES W CC/MCC | $12,099 – $23,837 · median $19,374 | 8 plans |
| 114 | ORBITAL PROCEDURES W/O CC/MCC | $6,393 – $12,595 · median $9,846 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,280 – $16,313 · median $12,621 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES W CC/MCC | $9,024 – $17,779 · median $14,285 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES W/O CC/MCC | $5,474 – $10,785 · median $9,035 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS W CC/MCC | $6,291 – $12,394 · median $9,979 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS W/O CC/MCC | $3,668 – $7,227 · median $5,808 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,344 – $8,558 · median $6,551 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE W MCC | $7,051 – $13,893 · median $10,705 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE W/O MCC | $4,465 – $8,798 · median $6,612 | 8 plans |
| 135 | SINUS & MASTOID PROCEDURES W CC/MCC | $13,039 – $25,690 · median $20,669 | 8 plans |
| 136 | SINUS & MASTOID PROCEDURES W/O CC/MCC | $5,290 – $10,423 · median $7,810 | 8 plans |
| 137 | MOUTH PROCEDURES W CC/MCC | $7,564 – $14,902 · median $11,848 | 8 plans |
| 138 | MOUTH PROCEDURES W/O CC/MCC | $4,399 – $8,668 · median $6,851 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,425 – $14,629 · median $10,230 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,872 – $45,062 · median $32,541 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,619 – $22,892 · median $17,191 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,504 – $16,754 · median $12,703 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,857 – $35,182 · median $27,016 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,500 – $18,718 · median $14,210 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,407 – $12,624 · median $9,811 | 8 plans |
| 146 | EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC | $12,406 – $24,444 · median $17,930 | 8 plans |
| 147 | EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC | $6,732 – $13,263 · median $10,110 | 8 plans |
| 148 | EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC | $4,128 – $8,133 · median $6,754 | 8 plans |
| 149 | DYSEQUILIBRIUM | $4,042 – $7,965 · median $6,082 | 8 plans |
| 150 | EPISTAXIS W MCC | $7,475 – $14,727 · median $10,983 | 8 plans |
| 151 | EPISTAXIS W/O MCC | $4,099 – $8,076 · median $6,233 | 8 plans |
| 152 | OTITIS MEDIA & URI W MCC | $6,137 – $12,091 · median $9,476 | 8 plans |
| 153 | OTITIS MEDIA & URI W/O MCC | $3,849 – $7,583 · median $5,899 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC | $8,795 – $17,328 · median $12,887 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC | $5,049 – $9,948 · median $7,665 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC | $3,636 – $7,164 · median $5,410 | 8 plans |
| 157 | DENTAL & ORAL DISEASES W MCC | $8,856 – $17,448 · median $13,641 | 8 plans |
| 158 | DENTAL & ORAL DISEASES W CC | $5,087 – $10,022 · median $7,659 | 8 plans |
| 159 | DENTAL & ORAL DISEASES W/O CC/MCC | $3,567 – $7,028 · median $5,443 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES W MCC | $24,927 – $49,111 · median $38,013 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES W CC | $13,612 – $26,819 · median $20,659 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES W/O CC/MCC | $10,081 – $19,861 · median $15,247 | 8 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES W MCC | $20,822 – $41,025 · median $32,261 | 8 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES W CC | $9,881 – $19,469 · median $14,864 | 8 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC | $7,322 – $14,426 · median $11,044 | 8 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,595 – $32,696 · median $25,042 | 8 plans |
| 175 | PULMONARY EMBOLISM W MCC | $7,620 – $15,014 · median $11,461 | 8 plans |
| 176 | PULMONARY EMBOLISM W/O MCC | $4,405 – $8,678 · median $6,644 | 8 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC | $8,742 – $17,224 · median $13,514 | 8 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS W CC | $5,365 – $10,571 · median $8,065 | 8 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC | $4,163 – $8,201 · median $6,248 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS W MCC | $9,452 – $18,623 · median $14,207 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS W CC | $6,005 – $11,830 · median $9,012 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS W/O CC/MCC | $4,529 – $8,924 · median $6,497 | 8 plans |
| 183 | MAJOR CHEST TRAUMA W MCC | $8,584 – $16,913 · median $12,886 | 8 plans |
| 184 | MAJOR CHEST TRAUMA W CC | $5,776 – $11,381 · median $8,639 | 8 plans |
| 185 | MAJOR CHEST TRAUMA W/O CC/MCC | $4,206 – $8,286 · median $6,247 | 8 plans |
| 186 | PLEURAL EFFUSION W MCC | $8,545 – $16,835 · median $12,763 | 8 plans |
| 187 | PLEURAL EFFUSION W CC | $5,430 – $10,698 · median $8,152 | 8 plans |
| 188 | PLEURAL EFFUSION W/O CC/MCC | $3,971 – $7,823 · median $6,037 | 8 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $6,692 – $13,184 · median $10,064 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC | $6,073 – $11,966 · median $9,066 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC | $4,646 – $9,154 · median $6,961 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC | $3,500 – $6,896 · median $5,253 | 8 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY W MCC | $7,126 – $14,040 · median $10,779 | 8 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY W CC | $4,435 – $8,737 · median $6,694 | 8 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC | $3,368 – $6,635 · median $5,088 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE W MCC | $10,189 – $20,075 · median $15,406 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE W CC | $5,354 – $10,548 · median $8,102 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE W/O CC/MCC | $3,640 – $7,171 · median $5,929 | 8 plans |
| 199 | PNEUMOTHORAX W MCC | $9,547 – $18,809 · median $14,428 | 8 plans |
| 200 | PNEUMOTHORAX W CC | $5,989 – $11,800 · median $8,900 | 8 plans |
| 201 | PNEUMOTHORAX W/O CC/MCC | $3,662 – $7,215 · median $5,642 | 8 plans |
| 202 | BRONCHITIS & ASTHMA W CC/MCC | $5,228 – $10,300 · median $7,842 | 8 plans |
| 203 | BRONCHITIS & ASTHMA W/O CC/MCC | $3,767 – $7,422 · median $5,671 | 8 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $4,386 – $8,641 · median $6,661 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC | $10,209 – $20,115 · median $15,063 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC | $4,899 – $9,651 · median $7,416 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS | $34,975 – $68,908 · median $54,575 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS | $14,514 – $28,596 · median $21,962 | 8 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $58,914 – $116,075 · median $88,287 | 8 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $57,297 – $112,888 · median $84,768 | 8 plans |
| 217 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC | $34,924 – $68,809 · median $52,254 | 8 plans |
| 218 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC | $32,174 – $63,390 · median $47,435 | 8 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC | $41,844 – $82,443 · median $62,964 | 8 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC | $28,645 – $56,436 · median $42,959 | 8 plans |
| 221 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC | $24,837 – $48,934 · median $37,674 | 8 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES W MCC | $26,950 – $53,097 · median $40,856 | 8 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES W CC | $16,799 – $33,098 · median $25,631 | 8 plans |
| 231 | CORONARY BYPASS W PTCA W MCC | $45,827 – $90,289 · median $67,568 | 8 plans |
| 232 | CORONARY BYPASS W PTCA W/O MCC | $33,036 – $65,088 · median $49,123 | 8 plans |
| 233 | CORONARY BYPASS W CARDIAC CATH W MCC | $42,271 – $83,284 · median $63,648 | 8 plans |
| 234 | CORONARY BYPASS W CARDIAC CATH W/O MCC | $28,772 – $56,687 · median $42,855 | 8 plans |
| 235 | CORONARY BYPASS W/O CARDIAC CATH W MCC | $31,822 – $62,696 · median $47,952 | 8 plans |
| 236 | CORONARY BYPASS W/O CARDIAC CATH W/O MCC | $22,238 – $43,814 · median $33,223 | 8 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC | $27,240 – $53,668 · median $40,092 | 8 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC | $15,749 – $31,029 · median $23,306 | 8 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC | $8,166 – $16,088 · median $11,803 | 8 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT W MCC | $18,344 – $36,142 · median $27,917 | 8 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT W CC | $12,183 – $24,004 · median $18,469 | 8 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC | $9,760 – $19,229 · median $14,816 | 8 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,428 – $52,069 · median $38,341 | 8 plans |
| 250 | PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC | $12,507 – $24,641 · median $19,013 | 8 plans |
| 251 | PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC | $8,451 – $16,650 · median $12,840 | 8 plans |
| 252 | OTHER VASCULAR PROCEDURES W MCC | $18,552 – $36,551 · median $27,642 | 8 plans |
| 253 | OTHER VASCULAR PROCEDURES W CC | $13,807 – $27,202 · median $20,804 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES W/O CC/MCC | $9,461 – $18,640 · median $14,201 | 8 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC | $14,150 – $27,879 · median $21,880 | 8 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC | $9,160 – $18,046 · median $13,580 | 8 plans |
| 257 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC | $4,286 – $8,728 · median $7,296 | 8 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC | $15,172 – $29,893 · median $22,462 | 8 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC | $9,506 – $18,728 · median $14,787 | 8 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC | $18,421 – $36,293 · median $27,384 | 8 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC | $10,262 – $20,219 · median $15,402 | 8 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC | $8,208 – $16,172 · median $12,910 | 8 plans |
| 263 | VEIN LIGATION & STRIPPING | $14,505 – $28,578 · median $22,466 | 8 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,902 – $37,240 · median $27,527 | 8 plans |
| 265 | AICD LEAD PROCEDURES | $19,291 – $38,009 · median $28,940 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $32,398 – $63,832 · median $49,911 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $25,443 – $50,129 · median $39,091 | 8 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC | $36,058 – $71,043 · median $55,141 | 8 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC | $22,501 – $44,332 · median $33,909 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC | $27,759 – $54,692 · median $41,523 | 8 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC | $18,627 – $36,700 · median $28,128 | 8 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC | $13,532 – $26,661 · median $20,134 | 8 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $21,147 – $41,664 · median $31,820 | 8 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $16,878 – $33,254 · median $25,946 | 8 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $38,218 – $75,299 · median $57,478 | 8 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $33,499 – $66,001 · median $50,562 | 8 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $25,157 – $49,566 · median $38,471 | 8 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $27,058 – $53,310 · median $38,417 | 8 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $17,329 – $34,143 · median $26,106 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC | $8,877 – $17,489 · median $13,149 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC | $4,985 – $9,822 · median $7,477 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC | $3,921 – $7,726 · median $5,881 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC | $10,575 – $20,835 · median $16,008 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC | $4,007 – $7,895 · median $6,035 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC | $3,036 – $5,982 · median $4,209 | 8 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC | $11,970 – $23,583 · median $17,800 | 8 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC | $5,893 – $11,611 · median $8,849 | 8 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS W MCC | $14,772 – $29,104 · median $21,684 | 8 plans |
| 289 | ACUTE & SUBACUTE ENDOCARDITIS W CC | $8,527 – $16,800 · median $12,436 | 8 plans |
| 290 | ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC | $5,294 – $10,431 · median $8,175 | 8 plans |
| 291 | HEART FAILURE & SHOCK W MCC | $7,056 – $13,903 · median $10,549 | 8 plans |
| 293 | HEART FAILURE & SHOCK W/O CC/MCC | $2,967 – $5,846 · median $4,527 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS W CC/MCC | $6,641 – $13,084 · median $9,420 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC | $4,271 – $8,415 · median $5,494 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED W MCC | $8,860 – $17,457 · median $13,208 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED W CC | $3,809 – $7,505 · median $5,844 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED W/O CC/MCC | $2,389 – $4,706 · median $3,589 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS W MCC | $8,748 – $17,236 · median $13,012 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS W CC | $5,790 – $11,407 · median $8,712 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS W/O CC/MCC | $3,858 – $7,601 · median $5,800 | 8 plans |
| 302 | ATHEROSCLEROSIS W MCC | $6,291 – $12,395 · median $9,305 | 8 plans |
| 303 | ATHEROSCLEROSIS W/O MCC | $3,636 – $7,164 · median $5,421 | 8 plans |
| 304 | HYPERTENSION W MCC | $6,353 – $12,517 · median $9,468 | 8 plans |
| 305 | HYPERTENSION W/O MCC | $4,060 – $7,999 · median $6,131 | 8 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC | $8,098 – $15,955 · median $12,372 | 8 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC | $5,010 – $9,871 · median $7,620 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC | $6,522 – $12,849 · median $9,815 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC | $3,998 – $7,877 · median $6,049 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC | $3,026 – $5,961 · median $4,534 | 8 plans |
| 311 | ANGINA PECTORIS | $3,776 – $7,440 · median $5,692 | 8 plans |
| 312 | SYNCOPE & COLLAPSE | $4,712 – $9,284 · median $7,070 | 8 plans |
| 313 | CHEST PAIN | $3,858 – $7,601 · median $5,858 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC | $11,646 – $22,946 · median $17,302 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES W CC | $5,204 – $10,253 · median $7,866 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC | $3,692 – $7,274 · median $5,607 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W MCC | $23,756 – $46,805 · median $35,679 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W/O MCC | $12,518 – $24,664 · median $18,496 | 8 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $15,395 – $30,333 · median $23,324 | 8 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,784 – $19,277 · median $14,808 | 8 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $23,035 – $45,384 · median $34,219 | 8 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,279 – $34,044 · median $25,093 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $15,478 – $30,496 · median $22,415 | 8 plans |
| 332 | RECTAL RESECTION W MCC | $18,759 – $36,959 · median $28,945 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS W MCC | $19,595 – $38,607 · median $29,334 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS W CC | $11,423 – $22,507 · median $17,190 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS W/O CC/MCC | $8,302 – $16,356 · median $12,351 | 8 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES W MCC | $14,572 – $28,710 · median $22,158 | 8 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES W CC | $8,051 – $15,862 · median $12,354 | 8 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC | $6,735 – $13,269 · median $10,330 | 8 plans |
| 347 | ANAL & STOMAL PROCEDURES W MCC | $12,800 – $25,218 · median $20,061 | 8 plans |
| 348 | ANAL & STOMAL PROCEDURES W CC | $6,808 – $13,414 · median $10,441 | 8 plans |
| 349 | ANAL & STOMAL PROCEDURES W/O CC/MCC | $4,764 – $9,386 · median $7,580 | 8 plans |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES W MCC | $13,080 – $25,771 · median $19,638 | 8 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES W CC | $8,136 – $16,030 · median $12,059 | 8 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC | $5,963 – $11,748 · median $9,015 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC | $15,862 – $31,251 · median $23,873 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC | $7,210 – $14,205 · median $10,992 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC | $23,069 – $45,451 · median $34,828 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC | $12,179 – $23,995 · median $18,126 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS W MCC | $9,031 – $17,794 · median $13,538 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS W CC | $5,503 – $10,843 · median $8,172 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC | $3,775 – $7,437 · median $5,882 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC | $9,453 – $18,625 · median $14,248 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC | $5,566 – $10,967 · median $8,445 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC | $3,923 – $7,729 · median $5,876 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY W MCC | $11,418 – $22,497 · median $17,160 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY W CC | $6,645 – $13,092 · median $9,888 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY W/O CC/MCC | $4,775 – $9,408 · median $7,233 | 8 plans |
| 377 | G.I. HEMORRHAGE W MCC | $9,833 – $19,373 · median $14,704 | 8 plans |
| 378 | G.I. HEMORRHAGE W CC | $5,332 – $10,505 · median $8,028 | 8 plans |
| 379 | G.I. HEMORRHAGE W/O CC/MCC | $3,443 – $6,784 · median $5,176 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER W MCC | $10,407 – $20,503 · median $15,789 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER W CC | $5,890 – $11,604 · median $8,810 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER W/O CC/MCC | $4,052 – $7,984 · median $6,141 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER W MCC | $6,837 – $13,470 · median $10,870 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER W/O MCC | $4,703 – $9,266 · median $7,115 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE W MCC | $8,787 – $17,312 · median $13,001 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE W/O CC/MCC | $3,625 – $7,142 · median $5,522 | 8 plans |
| 388 | G.I. OBSTRUCTION W MCC | $7,949 – $15,662 · median $11,913 | 8 plans |
| 389 | G.I. OBSTRUCTION W CC | $4,335 – $8,541 · median $6,513 | 8 plans |
| 390 | G.I. OBSTRUCTION W/O CC/MCC | $2,959 – $5,830 · median $4,510 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC | $4,220 – $8,314 · median $6,383 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC | $8,956 – $17,645 · median $13,346 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES W CC | $5,091 – $10,030 · median $7,655 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC | $3,442 – $6,781 · median $5,235 | 8 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $13,400 – $26,401 · median $19,225 | 8 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,183 – $16,123 · median $12,336 | 8 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,078 – $11,974 · median $9,116 | 8 plans |
| 405 | PANCREAS, LIVER & SHUNT PROCEDURES W MCC | $29,358 – $57,843 · median $44,576 | 8 plans |
| 406 | PANCREAS, LIVER & SHUNT PROCEDURES W CC | $15,188 – $29,924 · median $23,226 | 8 plans |
| 408 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC | $18,935 – $37,306 · median $29,472 | 8 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC | $11,338 – $22,338 · median $16,504 | 8 plans |
| 410 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC | $8,388 – $16,527 · median $12,704 | 8 plans |
| 411 | CHOLECYSTECTOMY W C.D.E. W MCC | $14,674 – $28,911 · median $22,823 | 8 plans |
| 412 | CHOLECYSTECTOMY W C.D.E. W CC | $11,528 – $22,712 · median $17,014 | 8 plans |
| 413 | CHOLECYSTECTOMY W C.D.E. W/O CC/MCC | $8,991 – $17,714 · median $12,909 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC | $18,949 – $37,333 · median $28,653 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC | $10,698 – $21,077 · median $16,116 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC | $7,410 – $14,599 · median $11,039 | 8 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC | $12,852 – $25,322 · median $19,126 | 8 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC | $8,969 – $17,670 · median $13,419 | 8 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC | $7,126 – $14,039 · median $10,722 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC | $19,088 – $37,607 · median $27,388 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC | $8,856 – $17,449 · median $13,653 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC | $7,947 – $15,656 · median $11,733 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC | $21,996 – $43,338 · median $32,498 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC | $12,348 – $24,329 · median $17,788 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC | $8,360 – $16,470 · median $12,837 | 8 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC | $10,595 – $20,874 · median $15,789 | 8 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS W CC | $5,785 – $11,399 · median $8,558 | 8 plans |
| 434 | CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC | $3,767 – $7,421 · median $5,564 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC | $9,867 – $19,441 · median $14,602 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC | $6,099 – $12,016 · median $9,079 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC | $4,246 – $8,366 · median $6,594 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC | $8,997 – $17,727 · median $13,584 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC | $4,652 – $9,165 · median $6,991 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC | $3,326 – $6,554 · median $5,016 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC | $10,223 – $20,142 · median $15,148 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC | $5,225 – $10,295 · median $7,814 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC | $3,800 – $7,487 · median $5,779 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT W MCC | $9,109 – $17,947 · median $13,515 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT W CC | $5,865 – $11,555 · median $8,850 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT W/O CC/MCC | $4,312 – $8,495 · median $6,517 | 8 plans |
| 456 | SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W MCC | $45,801 – $90,239 · median $68,872 | 8 plans |
| 457 | SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W CC | $31,039 – $61,153 · median $48,201 | 8 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $32,398 – $63,832 · median $52,320 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $15,487 – $30,514 · median $23,272 | 8 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC | $29,209 – $57,548 · median $45,134 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC | $24,253 – $47,784 · median $35,793 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC | $11,667 – $22,986 · median $17,533 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC | $6,290 – $12,393 · median $9,540 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC | $18,598 – $36,643 · median $27,740 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC | $12,647 – $24,918 · median $19,254 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC | $9,604 – $18,921 · median $14,847 | 8 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC | $15,905 – $31,336 · median $24,008 | 8 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC | $8,579 – $16,903 · median $12,941 | 8 plans |
| 485 | KNEE PROCEDURES W PDX OF INFECTION W MCC | $17,410 – $34,302 · median $26,558 | 8 plans |
| 487 | KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC | $8,546 – $16,837 · median $12,733 | 8 plans |
| 488 | KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC | $10,629 – $20,941 · median $16,616 | 8 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC | $19,205 – $37,838 · median $28,574 | 8 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC | $12,985 – $25,583 · median $19,576 | 8 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC | $10,196 – $20,089 · median $15,301 | 8 plans |
| 495 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC | $19,039 – $37,512 · median $28,955 | 8 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC | $10,670 – $21,022 · median $16,145 | 8 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC | $13,655 – $26,903 · median $20,945 | 8 plans |
| 499 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC | $5,942 – $11,707 · median $9,761 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES W MCC | $17,136 – $33,762 · median $26,143 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES W CC | $9,652 – $19,016 · median $14,342 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES W/O CC/MCC | $7,556 – $14,887 · median $11,329 | 8 plans |
| 503 | FOOT PROCEDURES W MCC | $14,313 – $28,200 · median $21,723 | 8 plans |
| 504 | FOOT PROCEDURES W CC | $9,491 – $18,700 · median $14,189 | 8 plans |
| 505 | FOOT PROCEDURES W/O CC/MCC | $9,491 – $18,700 · median $14,099 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,107 – $15,973 · median $12,067 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC | $10,482 – $20,652 · median $16,614 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC | $6,714 – $13,228 · median $10,931 | 8 plans |
| 509 | ARTHROSCOPY | $9,500 – $18,718 · median $11,875 | 8 plans |
| 510 | SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC | $15,457 – $30,453 · median $22,720 | 8 plans |
| 511 | SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC | $10,606 – $20,897 · median $16,125 | 8 plans |
| 512 | SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC | $8,695 – $17,131 · median $13,132 | 8 plans |
| 513 | HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC | $8,142 – $16,042 · median $12,759 | 8 plans |
| 514 | HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC | $5,514 – $10,864 · median $8,404 | 8 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC | $16,724 – $32,950 · median $25,500 | 8 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC | $10,879 – $21,435 · median $16,522 | 8 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC | $8,073 – $15,905 · median $12,175 | 8 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION W CC | $10,664 – $21,011 · median $16,061 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,763 – $31,056 · median $24,095 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $11,401 – $22,462 · median $17,202 | 8 plans |
| 533 | FRACTURES OF FEMUR W MCC | $8,247 – $16,248 · median $12,879 | 8 plans |
| 534 | FRACTURES OF FEMUR W/O MCC | $4,402 – $8,673 · median $6,619 | 8 plans |
| 535 | FRACTURES OF HIP & PELVIS W MCC | $7,192 – $14,170 · median $10,701 | 8 plans |
| 536 | FRACTURES OF HIP & PELVIS W/O MCC | $4,385 – $8,640 · median $6,510 | 8 plans |
| 537 | SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC | $4,970 – $9,792 · median $7,694 | 8 plans |
| 538 | SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC | $3,631 – $7,155 · median $5,632 | 8 plans |
| 539 | OSTEOMYELITIS W MCC | $10,937 – $21,549 · median $16,326 | 8 plans |
| 540 | OSTEOMYELITIS W CC | $6,998 – $13,789 · median $10,567 | 8 plans |
| 541 | OSTEOMYELITIS W/O CC/MCC | $4,731 – $9,322 · median $7,061 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC | $10,086 – $19,873 · median $15,030 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC | $5,737 – $11,304 · median $8,774 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC | $4,087 – $8,052 · median $6,210 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS W MCC | $13,665 – $26,924 · median $20,457 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS W CC | $6,261 – $12,335 · median $9,613 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS W/O CC/MCC | $4,035 – $7,951 · median $6,366 | 8 plans |
| 548 | SEPTIC ARTHRITIS W MCC | $10,895 – $21,466 · median $16,150 | 8 plans |
| 549 | SEPTIC ARTHRITIS W CC | $6,517 – $12,840 · median $9,828 | 8 plans |
| 550 | SEPTIC ARTHRITIS W/O CC/MCC | $4,662 – $9,186 · median $7,275 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS W MCC | $9,228 – $18,182 · median $13,891 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS W/O MCC | $5,212 – $10,269 · median $7,867 | 8 plans |
| 553 | BONE DISEASES & ARTHROPATHIES W MCC | $7,063 – $13,915 · median $10,838 | 8 plans |
| 554 | BONE DISEASES & ARTHROPATHIES W/O MCC | $4,514 – $8,893 · median $6,750 | 8 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC | $7,282 – $14,348 · median $11,198 | 8 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC | $4,416 – $8,700 · median $6,689 | 8 plans |
| 557 | TENDONITIS, MYOSITIS & BURSITIS W MCC | $8,381 – $16,512 · median $12,663 | 8 plans |
| 558 | TENDONITIS, MYOSITIS & BURSITIS W/O MCC | $4,671 – $9,204 · median $7,103 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC | $10,039 – $19,779 · median $15,108 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC | $6,158 – $12,133 · median $9,255 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC | $4,422 – $8,712 · median $6,508 | 8 plans |
| 562 | FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC | $7,915 – $15,594 · median $12,171 | 8 plans |
| 563 | FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC | $4,834 – $9,523 · median $7,294 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC | $8,486 – $16,720 · median $12,761 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC | $5,515 – $10,865 · median $8,227 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC | $4,046 – $7,971 · median $6,109 | 8 plans |
| 570 | SKIN DEBRIDEMENT W MCC | $16,279 – $32,074 · median $24,168 | 8 plans |
| 571 | SKIN DEBRIDEMENT W CC | $9,055 – $17,840 · median $13,723 | 8 plans |
| 572 | SKIN DEBRIDEMENT W/O CC/MCC | $6,178 – $12,172 · median $9,301 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC | $33,304 – $65,616 · median $50,453 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC | $18,738 – $36,919 · median $27,997 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC | $10,798 – $21,275 · median $16,484 | 8 plans |
| 576 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC | $29,178 – $57,487 · median $45,193 | 8 plans |
| 577 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC | $14,400 – $28,372 · median $21,649 | 8 plans |
| 578 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC | $9,142 – $18,011 · median $13,444 | 8 plans |
| 579 | OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC | $17,627 – $34,729 · median $26,919 | 8 plans |
| 581 | OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC | $7,783 – $15,335 · median $11,343 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY W CC/MCC | $9,470 – $24,155 · median $14,359 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY W/O CC/MCC | $8,884 – $32,497 · median $13,108 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC | $11,072 – $21,815 · median $16,316 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC | $10,735 – $21,151 · median $14,504 | 8 plans |
| 592 | SKIN ULCERS W MCC | $11,120 – $21,910 · median $16,905 | 8 plans |
| 593 | SKIN ULCERS W CC | $6,612 – $13,028 · median $9,913 | 8 plans |
| 594 | SKIN ULCERS W/O CC/MCC | $4,590 – $9,043 · median $6,660 | 8 plans |
| 595 | MAJOR SKIN DISORDERS W MCC | $11,438 – $22,536 · median $17,494 | 8 plans |
| 596 | MAJOR SKIN DISORDERS W/O MCC | $5,847 – $11,519 · median $8,509 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS W MCC | $9,500 – $18,718 · median $13,663 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS W CC | $5,737 – $11,303 · median $9,228 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS W/O CC/MCC | $4,623 – $9,109 · median $5,674 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS W CC/MCC | $5,173 – $10,193 · median $8,088 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS W/O CC/MCC | $3,242 – $6,388 · median $4,984 | 8 plans |
| 602 | CELLULITIS W MCC | $7,945 – $15,654 · median $12,054 | 8 plans |
| 603 | CELLULITIS W/O MCC | $4,763 – $9,385 · median $7,197 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC | $8,035 – $15,830 · median $12,198 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC | $4,995 – $9,842 · median $7,467 | 8 plans |
| 606 | MINOR SKIN DISORDERS W MCC | $8,709 – $17,158 · median $13,024 | 8 plans |
| 607 | MINOR SKIN DISORDERS W/O MCC | $4,674 – $9,208 · median $7,168 | 8 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC | $20,902 – $41,182 · median $31,897 | 8 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC | $10,446 – $20,581 · median $15,969 | 8 plans |
| 618 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC | $6,734 – $13,267 · median $9,798 | 8 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC | $20,237 – $39,871 · median $30,856 | 8 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC | $10,344 – $20,381 · median $15,377 | 8 plans |
| 624 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC | $5,386 – $10,611 · median $8,618 | 8 plans |
| 625 | THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC | $15,505 – $30,549 · median $23,600 | 8 plans |
| 626 | THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC | $8,162 – $16,082 · median $12,230 | 8 plans |
| 627 | THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC | $6,851 – $13,499 · median $10,198 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC | $21,338 – $42,041 · median $32,454 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC | $12,163 – $23,964 · median $18,392 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC | $7,578 – $14,931 · median $11,402 | 8 plans |
| 637 | DIABETES W MCC | $7,876 – $15,517 · median $11,842 | 8 plans |
| 638 | DIABETES W CC | $4,960 – $9,773 · median $7,402 | 8 plans |
| 639 | DIABETES W/O CC/MCC | $3,389 – $6,676 · median $5,091 | 8 plans |
| 640 | MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC | $7,182 – $14,150 · median $10,772 | 8 plans |
| 641 | MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC | $4,226 – $8,326 · median $6,370 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,712 – $13,224 · median $10,379 | 8 plans |
| 643 | ENDOCRINE DISORDERS W MCC | $8,963 – $17,659 · median $13,459 | 8 plans |
| 644 | ENDOCRINE DISORDERS W CC | $5,589 – $11,011 · median $8,543 | 8 plans |
| 645 | ENDOCRINE DISORDERS W/O CC/MCC | $4,211 – $8,297 · median $6,273 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $24,916 – $49,091 · median $37,096 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $18,779 – $36,999 · median $28,248 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $16,610 – $32,726 · median $24,756 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES W MCC | $30,147 – $59,397 · median $44,766 | 8 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC | $17,619 – $34,714 · median $27,024 | 8 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC | $13,976 – $30,252 · median $22,298 | 8 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC | $7,247 – $17,168 · median $11,592 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES W MCC | $16,871 – $33,239 · median $24,913 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES W CC | $8,260 – $16,274 · median $12,163 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES W/O CC/MCC | $5,840 – $11,505 · median $8,726 | 8 plans |
| 665 | PROSTATECTOMY W MCC | $18,569 – $36,585 · median $26,540 | 8 plans |
| 666 | PROSTATECTOMY W CC | $8,909 – $17,552 · median $13,724 | 8 plans |
| 667 | PROSTATECTOMY W/O CC/MCC | $5,558 – $10,951 · median $8,470 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES W MCC | $15,771 – $31,073 · median $23,360 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES W CC | $8,369 – $16,489 · median $12,561 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES W/O CC/MCC | $5,168 – $10,183 · median $7,820 | 8 plans |
| 671 | URETHRAL PROCEDURES W CC/MCC | $9,322 – $18,366 · median $14,002 | 8 plans |
| 672 | URETHRAL PROCEDURES W/O CC/MCC | $5,919 – $11,661 · median $7,947 | 8 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC | $22,657 – $44,640 · median $31,851 | 8 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES W CC | $12,484 – $24,596 · median $19,128 | 8 plans |
| 675 | OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC | $8,465 – $16,678 · median $12,616 | 8 plans |
| 682 | RENAL FAILURE W MCC | $8,122 – $16,003 · median $12,239 | 8 plans |
| 683 | RENAL FAILURE W CC | $4,807 – $9,471 · median $7,296 | 8 plans |
| 684 | RENAL FAILURE W/O CC/MCC | $3,285 – $6,472 · median $4,956 | 8 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS W MCC | $10,198 – $20,092 · median $15,177 | 8 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS W CC | $5,693 – $11,217 · median $8,550 | 8 plans |
| 688 | KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC | $3,916 – $7,716 · median $6,142 | 8 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS W MCC | $6,329 – $12,470 · median $9,557 | 8 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS W/O MCC | $4,340 – $8,552 · median $6,561 | 8 plans |
| 693 | URINARY STONES W/O ESW LITHOTRIPSY W MCC | $7,952 – $15,667 · median $11,759 | 8 plans |
| 695 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC | $6,099 – $12,017 · median $9,481 | 8 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC | $3,741 – $7,371 · median $5,641 | 8 plans |
| 697 | URETHRAL STRICTURE | $5,261 – $10,365 · median $8,521 | 8 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC | $9,090 – $17,910 · median $13,591 | 8 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC | $5,516 – $10,867 · median $8,318 | 8 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC | $3,754 – $7,397 · median $5,718 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES W CC/MCC | $10,495 – $20,677 · median $15,909 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES W/O CC/MCC | $8,017 – $15,796 · median $11,479 | 8 plans |
| 709 | PENIS PROCEDURES W CC/MCC | $12,152 – $23,943 · median $17,783 | 8 plans |
| 710 | PENIS PROCEDURES W/O CC/MCC | $8,120 – $15,997 · median $10,631 | 8 plans |
| 711 | TESTES PROCEDURES W CC/MCC | $10,316 – $20,325 · median $16,457 | 8 plans |
| 712 | TESTES PROCEDURES W/O CC/MCC | $4,792 – $10,467 · median $8,395 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY W/O CC/MCC | $5,082 – $10,013 · median $7,739 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC | $12,213 – $24,062 · median $18,196 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC | $7,676 – $15,123 · median $11,582 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC | $10,035 – $19,770 · median $14,950 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC | $6,662 – $13,126 · median $9,806 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC | $9,350 – $18,421 · median $14,708 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC | $6,073 – $11,964 · median $9,118 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC | $3,553 – $7,130 · median $5,997 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY W MCC | $6,828 – $13,453 · median $10,201 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY W/O MCC | $4,026 – $7,932 · median $6,011 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC | $7,947 – $15,656 · median $12,616 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC | $4,419 – $8,706 · median $6,589 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC | $5,954 – $11,730 · median $8,566 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC | $3,282 – $6,467 · median $5,009 | 8 plans |
| 734 | PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC | $11,372 – $22,405 · median $17,440 | 8 plans |
| 735 | PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC | $6,565 – $12,934 · median $10,090 | 8 plans |
| 736 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC | $21,295 – $41,955 · median $31,887 | 8 plans |
| 737 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC | $10,807 – $21,293 · median $16,187 | 8 plans |
| 738 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC | $8,203 – $16,163 · median $11,724 | 8 plans |
| 739 | UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $21,529 – $42,416 · median $30,917 | 8 plans |
| 740 | UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $9,833 – $19,374 · median $14,691 | 8 plans |
| 741 | UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $7,428 – $14,636 · median $10,885 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC | $10,567 – $20,820 · median $15,627 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC | $5,542 – $10,919 · median $8,401 | 8 plans |
| 746 | VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC | $9,056 – $17,843 · median $13,657 | 8 plans |
| 747 | VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC | $5,166 – $10,178 · median $7,500 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,367 – $14,515 · median $11,285 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC | $13,999 – $27,582 · median $20,801 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC | $6,974 – $13,740 · median $10,809 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC | $9,785 – $19,278 · median $14,931 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC | $6,003 – $11,828 · median $8,942 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC | $5,165 – $10,176 · median $7,931 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC | $7,654 – $15,080 · median $11,859 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC | $5,512 – $10,861 · median $8,197 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC | $3,461 – $6,819 · median $5,243 | 8 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC | $5,330 – $10,502 · median $8,076 | 8 plans |
| 761 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC | $3,428 – $6,754 · median $5,048 | 8 plans |
| 768 | VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C | $5,469 – $10,774 · median $9,114 | 8 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE | $7,443 – $14,664 · median $11,925 | 8 plans |
| 770 | ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,819 – $11,465 · median $7,214 | 8 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE | $3,859 – $7,602 · median $5,830 | 8 plans |
| 779 | ABORTION W/O D&C | $5,055 – $9,960 · median $7,849 | 8 plans |
| 783 | CESAREAN SECTION W STERILIZATION W MCC | $9,962 – $19,628 · median $14,721 | 8 plans |
| 784 | CESAREAN SECTION W STERILIZATION W CC | $5,857 – $11,539 · median $8,581 | 8 plans |
| 785 | CESAREAN SECTION W STERILIZATION W/O CC/MCC | $4,724 – $9,307 · median $7,090 | 8 plans |
| 786 | CESAREAN SECTION W/O STERILIZATION W MCC | $8,739 – $17,217 · median $13,735 | 8 plans |
| 787 | CESAREAN SECTION W/O STERILIZATION W CC | $5,742 – $11,313 · median $8,611 | 8 plans |
| 788 | CESAREAN SECTION W/O STERILIZATION W/O CC/MCC | $4,893 – $9,640 · median $7,166 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,748 – $19,207 · median $14,765 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $32,149 – $63,342 · median $48,694 | 8 plans |
| 791 | PREMATURITY W MAJOR PROBLEMS | $21,956 – $43,258 · median $33,255 | 8 plans |
| 792 | PREMATURITY W/O MAJOR PROBLEMS | $13,248 – $26,102 · median $20,066 | 8 plans |
| 793 | FULL TERM NEONATE W MAJOR PROBLEMS | $22,554 – $44,437 · median $34,161 | 8 plans |
| 794 | NEONATE W OTHER SIGNIFICANT PROBLEMS | $7,983 – $15,729 · median $12,091 | 8 plans |
| 795 | NORMAL NEWBORN | $1,081 – $2,129 · median $1,637 | 8 plans |
| 796 | VAGINAL DELIVERY W STERILIZATION/D&C W MCC | $5,738 – $12,492 · median $10,038 | 8 plans |
| 797 | VAGINAL DELIVERY W STERILIZATION/D&C W CC | $5,236 – $10,316 · median $8,009 | 8 plans |
| 798 | VAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCC | $5,236 – $10,316 · median $6,987 | 8 plans |
| 799 | SPLENECTOMY W MCC | $25,714 – $50,662 · median $39,602 | 8 plans |
| 801 | SPLENECTOMY W/O CC/MCC | $8,878 – $17,492 · median $14,006 | 8 plans |
| 802 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC | $19,387 – $38,196 · median $28,404 | 8 plans |
| 803 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC | $9,626 – $18,966 · median $14,839 | 8 plans |
| 804 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC | $5,979 – $11,780 · median $9,454 | 8 plans |
| 805 | VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC | $5,397 – $10,634 · median $8,179 | 8 plans |
| 806 | VAGINAL DELIVERY W/O STERILIZATION/D&C W CC | $3,913 – $7,710 · median $5,996 | 8 plans |
| 807 | VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC | $3,447 – $6,790 · median $5,267 | 8 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC | $12,386 – $24,403 · median $18,248 | 8 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC | $6,698 – $13,196 · median $9,953 | 8 plans |
| 810 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC | $5,147 – $10,141 · median $7,981 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS W MCC | $7,609 – $14,991 · median $11,455 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS W/O MCC | $4,991 – $9,833 · median $7,430 | 8 plans |
| 813 | COAGULATION DISORDERS | $8,372 – $16,494 · median $12,670 | 8 plans |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC | $11,305 – $22,274 · median $17,200 | 8 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $5,495 – $10,827 · median $8,191 | 8 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC | $3,566 – $7,026 · median $5,589 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC | $11,821 – $23,291 · median $18,202 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC | $5,351 – $10,542 · median $9,363 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC | $3,653 – $7,990 · median $6,403 | 8 plans |
| 820 | LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC | $31,487 – $62,037 · median $48,407 | 8 plans |
| 821 | LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC | $12,073 – $23,786 · median $18,197 | 8 plans |
| 822 | LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC | $6,185 – $12,186 · median $9,724 | 8 plans |
| 823 | LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC | $25,307 – $49,860 · median $37,399 | 8 plans |
| 824 | LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC | $11,894 – $23,435 · median $18,070 | 8 plans |
| 825 | LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC | $6,656 – $13,114 · median $10,288 | 8 plans |
| 826 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC | $25,826 – $50,883 · median $37,301 | 8 plans |
| 827 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC | $12,762 – $25,145 · median $19,058 | 8 plans |
| 829 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC | $16,677 – $32,858 · median $25,433 | 8 plans |
| 830 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC | $7,909 – $15,583 · median $12,422 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC | $6,225 – $12,264 · median $8,697 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC | $4,042 – $7,964 · median $6,052 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC | $2,811 – $5,538 · median $4,204 | 8 plans |
| 834 | ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC | $29,892 – $58,893 · median $45,360 | 8 plans |
| 835 | ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC | $11,551 – $22,758 · median $17,831 | 8 plans |
| 836 | ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC | $6,719 – $13,238 · median $9,938 | 8 plans |
| 837 | CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC | $27,079 – $53,352 · median $39,763 | 8 plans |
| 838 | CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT | $10,969 – $21,610 · median $16,215 | 8 plans |
| 839 | CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC | $7,411 – $14,602 · median $10,888 | 8 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA W MCC | $17,246 – $33,979 · median $25,728 | 8 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA W CC | $8,480 – $16,707 · median $12,805 | 8 plans |
| 842 | LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC | $5,689 – $11,208 · median $8,636 | 8 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC | $10,239 – $20,173 · median $15,296 | 8 plans |
| 844 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC | $6,464 – $12,735 · median $9,583 | 8 plans |
| 845 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC | $4,525 – $8,916 · median $6,940 | 8 plans |
| 846 | CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC | $13,811 – $27,211 · median $20,356 | 8 plans |
| 847 | CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC | $6,872 – $13,539 · median $10,114 | 8 plans |
| 848 | CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC | $4,429 – $8,725 · median $6,426 | 8 plans |
| 849 | RADIOTHERAPY | $14,445 – $28,461 · median $21,860 | 8 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC | $10,806 – $21,290 · median $16,457 | 8 plans |
| 855 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC | $8,791 – $17,321 · median $13,572 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC | $24,399 – $48,071 · median $36,428 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC | $11,783 – $23,216 · median $17,580 | 8 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC | $9,944 – $19,591 · median $15,003 | 8 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC | $5,407 – $10,654 · median $8,175 | 8 plans |
| 864 | FEVER | $4,856 – $9,568 · median $7,256 | 8 plans |
| 865 | VIRAL ILLNESS W MCC | $7,844 – $15,455 · median $12,622 | 8 plans |
| 866 | VIRAL ILLNESS W/O MCC | $4,785 – $9,428 · median $7,351 | 8 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC | $11,596 – $22,848 · median $17,261 | 8 plans |
| 868 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC | $5,679 – $11,189 · median $8,709 | 8 plans |
| 869 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC | $3,892 – $7,667 · median $5,744 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS | $37,621 – $74,122 · median $56,744 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC | $10,611 – $20,906 · median $16,081 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC | $5,576 – $10,985 · median $8,400 | 8 plans |
| 876 | O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | $21,251 – $41,870 · median $31,200 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $5,184 – $10,214 · median $7,798 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $4,943 – $9,740 · median $7,420 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,202 – $10,250 · median $7,747 | 8 plans |
| 883 | DISORDERS OF PERSONALITY & IMPULSE CONTROL | $10,026 – $19,753 · median $15,203 | 8 plans |
| 884 | ORGANIC DISTURBANCES & MENTAL RETARDATION | $9,032 – $17,796 · median $13,980 | 8 plans |
| 885 | PSYCHOSES | $7,623 – $15,019 · median $11,309 | 8 plans |
| 886 | BEHAVIORAL & DEVELOPMENTAL DISORDERS | $9,715 – $19,142 · median $14,162 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,432 – $12,673 · median $10,143 | 8 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,375 – $6,650 · median $4,879 | 8 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $7,589 – $14,952 · median $12,305 | 8 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $9,631 – $18,974 · median $14,505 | 8 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $4,771 – $9,400 · median $7,080 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES W MCC | $23,960 – $47,207 · median $35,685 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES W CC | $10,262 – $20,219 · median $15,415 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC | $6,593 – $12,990 · median $10,032 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES W CC/MCC | $20,881 – $41,140 · median $28,046 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES W/O CC/MCC | $8,913 – $17,562 · median $13,164 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,803 – $23,255 · median $16,206 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES W MCC | $21,544 – $42,446 · median $31,362 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES W CC | $10,908 – $21,492 · median $16,388 | 8 plans |
| 913 | TRAUMATIC INJURY W MCC | $8,752 – $17,243 · median $12,671 | 8 plans |
| 914 | TRAUMATIC INJURY W/O MCC | $4,956 – $9,764 · median $7,434 | 8 plans |
| 915 | ALLERGIC REACTIONS W MCC | $9,399 – $18,517 · median $14,319 | 8 plans |
| 916 | ALLERGIC REACTIONS W/O MCC | $3,591 – $7,076 · median $5,391 | 8 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS W MCC | $8,867 – $17,471 · median $13,182 | 8 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS W/O MCC | $4,784 – $9,425 · median $7,111 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT W MCC | $9,862 – $19,430 · median $14,870 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT W CC | $5,494 – $10,824 · median $8,357 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT W/O CC/MCC | $3,719 – $7,327 · median $5,649 | 8 plans |
| 922 | OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC | $9,136 – $18,001 · median $14,005 | 8 plans |
| 923 | OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC | $5,516 – $10,867 · median $8,278 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT | $108,767 – $232,149 · median $188,651 | 8 plans |
| 928 | FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC | $36,119 – $71,164 · median $55,459 | 8 plans |
| 929 | FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC | $17,200 – $33,887 · median $26,074 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT | $23,400 – $46,103 · median $28,217 | 8 plans |
| 934 | FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ | $11,604 – $22,863 · median $17,268 | 8 plans |
| 935 | NON-EXTENSIVE BURNS | $11,878 – $23,403 · median $17,251 | 8 plans |
| 939 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC | $17,165 – $33,819 · median $26,048 | 8 plans |
| 940 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC | $11,418 – $22,497 · median $17,444 | 8 plans |
| 941 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC | $10,569 – $20,823 · median $15,517 | 8 plans |
| 945 | REHABILITATION W CC/MCC | $8,255 – $16,265 · median $12,372 | 8 plans |
| 946 | REHABILITATION W/O CC/MCC | $6,038 – $11,896 · median $8,665 | 8 plans |
| 947 | SIGNS & SYMPTOMS W MCC | $6,956 – $13,704 · median $10,339 | 8 plans |
| 948 | SIGNS & SYMPTOMS W/O MCC | $4,297 – $8,465 · median $6,504 | 8 plans |
| 949 | AFTERCARE W CC/MCC | $5,835 – $11,497 · median $8,615 | 8 plans |
| 950 | AFTERCARE W/O CC/MCC | $3,170 – $6,245 · median $4,955 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,066 – $6,041 · median $4,719 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,927 – $72,756 · median $52,455 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $20,672 – $40,728 · median $31,395 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC | $40,366 – $79,531 · median $59,872 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC | $22,226 – $43,790 · median $33,229 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC | $14,298 – $28,171 · median $21,083 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC | $14,692 – $28,946 · median $22,220 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA W CC | $8,113 – $15,984 · median $12,232 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC | $4,935 – $9,724 · median $7,622 | 8 plans |
| 969 | HIV W EXTENSIVE O.R. PROCEDURE W MCC | $34,202 – $67,385 · median $53,863 | 8 plans |
| 970 | HIV W EXTENSIVE O.R. PROCEDURE W/O MCC | $14,349 – $28,271 · median $20,582 | 8 plans |
| 974 | HIV W MAJOR RELATED CONDITION W MCC | $16,149 – $31,818 · median $24,050 | 8 plans |
| 975 | HIV W MAJOR RELATED CONDITION W CC | $7,687 – $15,145 · median $11,343 | 8 plans |
| 976 | HIV W MAJOR RELATED CONDITION W/O CC/MCC | $5,424 – $10,687 · median $7,281 | 8 plans |
| 977 | HIV W OR W/O OTHER RELATED CONDITION | $7,798 – $15,363 · median $11,646 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $13,240 – $26,087 · median $20,117 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $18,943 – $37,321 · median $28,023 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $9,280 – $18,284 · median $13,909 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | — | 8 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $33,456 – $65,916 · median $48,780 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $21,157 – $41,684 · median $30,848 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $56,651 – $111,615 · median $82,599 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $38,411 – $75,679 · median $56,005 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $29,766 – $58,646 · median $43,400 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $45,106 – $88,869 · median $65,766 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $29,584 – $58,288 · median $43,135 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,259 – $71,439 · median $52,867 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,084 – $43,510 · median $32,198 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,852 – $54,874 · median $40,609 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $16,689 – $32,881 · median $24,333 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $49,818 – $98,153 · median $72,636 | 3 plans |
No procedures match that keyword.