Clarion Hospital — Pricing
900 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 900 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 900 procedures
Procedures with negotiated rates only
These 900 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 | $179,275 – $472,943 · median $198,130 | 27 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $70,134 – $181,309 · median $80,116 | 27 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $136,399 – $419,783 · median $150,063 | 27 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $89,027 – $410,617 · median $97,930 | 27 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $66,269 – $256,636 · median $72,896 | 27 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,803 – $130,151 · median $32,784 | 27 plans |
| 007 | LUNG TRANSPLANT | $83,175 – $361,123 · median $91,558 | 27 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $34,629 – $155,815 · median $39,625 | 27 plans |
| 010 | PANCREAS TRANSPLANT | $39,552 – $127,568 · median $50,732 | 27 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $34,342 – $208,975 · median $38,561 | 27 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $26,118 – $157,648 · median $29,807 | 27 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $16,866 – $119,152 · median $20,374 | 27 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $77,243 – $471,110 · median $84,967 | 27 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $35,222 – $295,131 · median $41,923 | 27 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $29,324 – $152,148 · median $38,407 | 27 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $227,306 – $690,925 · median $305,304 | 27 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $45,856 – $185,144 · median $50,453 | 27 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,575 – $161,314 · median $55,633 | 27 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,025 – $89,822 · median $37,427 | 27 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,422 – $56,936 · median $22,469 | 27 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,310 – $130,151 · median $40,513 | 27 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,196 – $67,825 · median $27,657 | 27 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,464 – $117,319 · median $32,145 | 27 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,466 – $51,327 · median $21,982 | 27 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,706 – $40,366 · median $17,837 | 27 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,617 – $174,146 · median $42,286 | 27 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,363 – $86,156 · median $24,120 | 27 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,109 – $47,661 · median $15,520 | 27 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $21,724 – $128,318 · median $31,533 | 27 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,592 – $45,828 · median $15,066 | 27 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,154 – $27,497 · median $11,757 | 27 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,749 – $86,156 · median $27,366 | 27 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,478 – $38,248 · median $16,901 | 27 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,667 – $31,085 · median $13,736 | 27 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,136 – $86,156 · median $23,275 | 27 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,255 – $34,829 · median $11,472 | 27 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,244 – $21,997 · median $8,311 | 27 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,007 – $131,984 · median $27,299 | 27 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,132 – $69,658 · median $15,545 | 27 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,104 – $42,162 · median $12,215 | 27 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,642 – $75,158 · median $12,808 | 27 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,864 – $47,661 · median $6,923 | 27 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,541 – $73,324 · median $10,795 | 27 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,553 – $53,160 · median $7,209 | 27 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,931 – $104,487 · median $16,424 | 27 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,327 – $69,658 · median $9,160 | 27 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,987 – $84,323 · median $12,086 | 27 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,787 – $65,992 · median $8,773 | 27 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,680 – $53,160 · median $6,503 | 27 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,206 – $86,156 · median $19,493 | 27 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,294 – $54,993 · median $12,423 | 27 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,941 – $40,328 · median $9,925 | 27 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,660 – $80,657 · median $14,218 | 27 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,472 – $51,327 · median $7,143 | 27 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,381 – $34,829 · median $4,839 | 27 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,260 – $62,326 · median $10,384 | 27 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,556 – $36,662 · median $6,111 | 27 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,092 – $36,662 · median $5,648 | 27 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,700 – $82,490 · median $11,770 | 27 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,594 – $60,493 · median $7,254 | 27 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,775 – $42,162 · median $5,346 | 27 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,837 – $75,158 · median $11,342 | 27 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,625 – $51,327 · median $7,288 | 27 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,776 – $100,821 · median $13,295 | 27 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,769 – $47,661 · median $5,834 | 27 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,633 – $86,156 · median $12,797 | 27 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,756 – $51,327 · median $6,303 | 27 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,690 – $80,657 · median $16,086 | 27 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,849 – $58,660 · median $9,868 | 27 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,085 – $38,495 · median $6,758 | 27 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,422 – $84,323 · median $16,062 | 27 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,348 – $53,160 · median $9,210 | 27 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,626 – $34,829 · median $6,467 | 27 plans |
| 088 | CONCUSSION WITH MCC | $8,688 – $62,326 · median $9,557 | 27 plans |
| 089 | CONCUSSION WITH CC | $6,823 – $45,828 · median $7,767 | 27 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,291 – $34,829 · median $5,820 | 27 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,288 – $80,657 · median $12,416 | 27 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,575 – $54,993 · median $7,233 | 27 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,023 – $40,328 · median $5,630 | 27 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,620 – $144,816 · median $24,882 | 27 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,257 – $102,654 · median $18,235 | 27 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,257 – $102,654 · median $18,152 | 27 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,814 – $159,481 · median $25,420 | 27 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,965 – $108,154 · median $16,151 | 27 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,757 – $69,658 · median $9,632 | 27 plans |
| 100 | SEIZURES WITH MCC | $12,448 – $78,824 · median $13,693 | 27 plans |
| 101 | SEIZURES WITHOUT MCC | $5,801 – $47,661 · median $6,339 | 27 plans |
| 102 | HEADACHES WITH MCC | $7,204 – $53,160 · median $7,925 | 27 plans |
| 103 | HEADACHES WITHOUT MCC | $5,375 – $42,162 · median $5,913 | 27 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,794 – $86,156 · median $16,547 | 27 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,523 – $42,162 · median $9,566 | 27 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,744 – $69,658 · median $10,852 | 27 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,620 – $73,324 · median $12,783 | 27 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,865 – $34,829 · median $7,670 | 27 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,241 – $75,158 · median $8,187 | 27 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,720 – $58,660 · median $5,530 | 27 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,112 – $38,495 · median $5,646 | 27 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,299 – $58,660 · median $9,354 | 27 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,935 – $40,328 · median $5,428 | 27 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,947 – $65,992 · median $15,345 | 27 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,226 – $23,830 · median $7,178 | 27 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,901 – $62,326 · median $10,269 | 27 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,177 – $29,330 · median $6,265 | 27 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,942 – $36,662 · median $8,738 | 27 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $4,579 – $126,485 · median $30,019 | 27 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,496 – $54,993 · median $15,350 | 27 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,007 – $34,829 · median $11,287 | 27 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,015 – $113,653 · median $26,368 | 27 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,539 – $51,327 · median $12,196 | 27 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,354 – $29,330 · median $8,462 | 27 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $12,521 – $100,821 · median $14,902 | 27 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $7,922 – $64,159 · median $8,990 | 27 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,096 – $34,829 · median $5,636 | 27 plans |
| 149 | DYSEQUILIBRIUM | $4,757 – $34,829 · median $5,314 | 27 plans |
| 150 | EPISTAXIS WITH MCC | $8,558 – $62,326 · median $9,414 | 27 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,374 – $38,495 · median $5,166 | 27 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,222 – $58,660 · median $8,358 | 27 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,189 – $40,328 · median $5,077 | 27 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $10,049 – $71,491 · median $11,054 | 27 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $5,891 – $51,327 · median $6,480 | 27 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,947 – $36,662 · median $4,864 | 27 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,422 – $82,490 · median $12,138 | 27 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,848 – $51,327 · median $6,432 | 27 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,198 – $38,495 · median $5,009 | 27 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,806 – $115,486 · median $31,687 | 27 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,019 – $62,326 · median $17,845 | 27 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,863 – $36,662 · median $13,533 | 27 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,023 – $139,317 · median $26,426 | 27 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,591 – $62,326 · median $12,750 | 27 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,617 – $32,996 · median $9,661 | 27 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,829 – $69,658 · median $9,667 | 27 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,174 – $43,995 · median $5,691 | 27 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,044 – $80,657 · median $11,048 | 27 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,273 – $56,826 · median $6,900 | 27 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,853 – $43,995 · median $5,338 | 27 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,124 – $87,989 · median $12,486 | 27 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,884 – $56,826 · median $7,572 | 27 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,845 – $40,328 · median $5,330 | 27 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,833 – $76,991 · median $10,816 | 27 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,798 – $56,826 · median $7,523 | 27 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,950 – $42,162 · median $5,561 | 27 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,017 – $76,991 · median $10,969 | 27 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,357 – $54,993 · median $6,993 | 27 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,610 – $38,495 · median $5,071 | 27 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,872 – $64,159 · median $8,695 | 27 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,120 – $60,493 · median $7,831 | 27 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,418 – $47,661 · median $5,960 | 27 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,119 – $38,495 · median $4,518 | 27 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,386 – $71,491 · median $9,251 | 27 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,180 – $51,327 · median $5,698 | 27 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,963 – $40,328 · median $4,444 | 27 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,991 – $87,989 · median $13,343 | 27 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,100 – $53,160 · median $6,710 | 27 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,458 – $40,328 · median $5,064 | 27 plans |
| 199 | PNEUMOTHORAX WITH MCC | $7,345 – $87,989 · median $12,190 | 27 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,943 – $56,826 · median $7,737 | 27 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,911 – $42,162 · median $5,033 | 27 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,152 – $53,160 · median $6,835 | 27 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,153 – $40,328 · median $4,715 | 27 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,024 – $38,495 · median $5,682 | 27 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,947 – $80,657 · median $12,886 | 27 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,765 – $43,995 · median $6,623 | 27 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,160 – $229,139 · median $45,494 | 27 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,081 – $89,822 · median $19,433 | 27 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $62,231 – $169,517 · median $70,396 | 27 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,424 – $194,310 · median $69,165 | 27 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,101 – $105,205 · median $46,276 | 27 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,864 – $105,205 · median $46,488 | 27 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,245 – $150,315 · median $54,286 | 27 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,710 – $98,988 · median $37,703 | 27 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,229 – $80,643 · median $35,634 | 27 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,716 – $111,820 · median $34,978 | 27 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,770 – $50,392 · median $22,267 | 27 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,039 – $190,644 · median $59,329 | 27 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,878 – $137,483 · median $42,863 | 27 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $49,138 – $201,642 · median $54,052 | 27 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $33,860 – $150,315 · median $38,622 | 27 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,449 – $146,649 · median $41,491 | 27 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,171 – $106,321 · median $29,615 | 27 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,633 – $203,475 · median $34,762 | 27 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,306 – $133,817 · median $20,062 | 27 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,898 – $73,324 · median $9,788 | 27 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,521 – $87,989 · median $22,573 | 27 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,696 – $51,327 · median $15,066 | 27 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,486 – $38,495 · median $12,779 | 27 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,324 – $78,189 · median $32,256 | 27 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,028 – $56,826 · median $15,430 | 27 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,606 – $36,662 · median $10,566 | 27 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,832 – $97,155 · median $24,662 | 27 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,248 – $67,825 · median $18,351 | 27 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,134 – $32,996 · median $12,597 | 27 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,652 – $124,652 · median $19,071 | 27 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,779 – $91,656 · median $12,004 | 27 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,676 – $56,826 · median $7,722 | 27 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,855 – $98,988 · median $22,215 | 27 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,187 – $43,995 · median $14,296 | 27 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,907 – $100,821 · median $22,997 | 27 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,077 – $51,327 · median $13,366 | 27 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,660 – $38,495 · median $11,523 | 27 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,070 – $86,156 · median $21,616 | 27 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,187 – $122,819 · median $22,974 | 27 plans |
| 265 | AICD LEAD PROCEDURES | $22,703 – $80,657 · median $25,581 | 27 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $36,897 – $98,054 · median $43,131 | 27 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $3,555 – $76,173 · median $32,741 | 27 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $13,254 – $111,820 · median $48,406 | 27 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $6,025 – $67,571 · median $29,044 | 27 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,208 – $115,486 · median $37,134 | 27 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,023 – $67,825 · median $25,029 | 27 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,925 – $40,848 · median $18,050 | 27 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $24,887 – $67,825 · median $29,167 | 27 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $19,863 – $52,667 · median $23,272 | 27 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $10,310 – $75,158 · median $11,341 | 27 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $5,867 – $42,162 · median $6,498 | 27 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $4,615 – $31,163 · median $5,112 | 27 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $12,445 – $58,660 · median $14,004 | 27 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $4,449 – $27,497 · median $4,894 | 27 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $3,573 – $20,164 · median $4,234 | 27 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $14,086 – $98,988 · median $15,645 | 27 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,878 – $38,495 · median $7,566 | 27 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,384 – $137,483 · median $19,133 | 27 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,765 – $95,322 · median $12,013 | 27 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,975 – $53,160 · median $6,573 | 27 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,251 – $69,658 · median $9,077 | 27 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,457 – $53,160 · median $6,002 | 27 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,492 – $38,495 · median $4,002 | 27 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $10,039 – $36,662 · median $11,043 | 27 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,075 – $23,830 · median $4,483 | 27 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $2,811 – $20,164 · median $3,218 | 27 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,335 – $71,491 · median $11,228 | 27 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,814 – $56,826 · median $7,547 | 27 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,540 – $36,662 · median $5,088 | 27 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,404 – $53,160 · median $8,460 | 27 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,279 – $32,996 · median $4,738 | 27 plans |
| 304 | HYPERTENSION WITH MCC | $7,477 – $56,826 · median $8,413 | 27 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,778 – $38,495 · median $5,339 | 27 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,530 – $69,658 · median $11,141 | 27 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,869 – $40,328 · median $6,456 | 27 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,675 – $62,326 · median $8,474 | 27 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,663 – $42,162 · median $5,178 | 27 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,561 – $32,996 · median $3,984 | 27 plans |
| 311 | ANGINA PECTORIS | $4,444 – $34,829 · median $4,962 | 27 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,545 – $43,995 · median $6,162 | 27 plans |
| 313 | CHEST PAIN | $4,540 – $31,163 · median $5,090 | 27 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,402 – $87,989 · median $14,742 | 27 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,124 – $47,661 · median $6,811 | 27 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,345 – $32,996 · median $4,801 | 27 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,958 – $135,650 · median $31,553 | 27 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,732 – $38,495 · median $17,006 | 27 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,056 – $163,147 · median $35,261 | 27 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,453 – $71,491 · median $17,281 | 27 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,142 – $36,662 · median $11,328 | 27 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,225 – $172,313 · median $32,497 | 27 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,044 – $87,989 · median $16,948 | 27 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,508 – $49,494 · median $11,898 | 27 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,076 – $117,319 · median $25,599 | 27 plans |
| 333 | RECTAL RESECTION WITH CC | $13,526 – $64,159 · median $16,559 | 27 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,527 – $40,328 · median $11,580 | 27 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,951 – $157,648 · median $25,246 | 27 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,444 – $93,489 · median $14,909 | 27 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,770 – $54,993 · median $10,853 | 27 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,833 – $126,485 · median $18,178 | 27 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,475 – $73,324 · median $10,638 | 27 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,624 – $47,661 · median $8,386 | 27 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,755 – $100,821 · median $16,230 | 27 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,012 – $56,826 · median $9,253 | 27 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,596 – $31,163 · median $6,155 | 27 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,394 – $87,989 · median $17,618 | 27 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,575 – $53,160 · median $10,778 | 27 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,017 – $34,829 · median $8,256 | 27 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,652 – $104,487 · median $20,517 | 27 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,813 – $56,826 · median $11,895 | 27 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,485 – $32,996 · median $9,509 | 27 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,149 – $139,317 · median $30,916 | 27 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,333 – $80,657 · median $16,441 | 27 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,624 – $45,828 · median $9,883 | 27 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,973 – $73,324 · median $11,204 | 27 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,429 – $53,160 · median $7,039 | 27 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,442 – $38,495 · median $4,955 | 27 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,125 – $95,322 · median $12,536 | 27 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,551 – $65,992 · median $7,186 | 27 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,617 – $49,494 · median $5,119 | 27 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,438 – $100,821 · median $15,121 | 27 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,774 – $64,159 · median $8,552 | 27 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,620 – $42,162 · median $6,535 | 27 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,572 – $82,490 · median $12,924 | 27 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,275 – $53,160 · median $6,934 | 27 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,052 – $36,662 · median $4,457 | 27 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,247 – $93,489 · median $13,810 | 27 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,931 – $56,826 · median $7,660 | 27 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,769 – $43,995 · median $5,635 | 27 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,046 – $71,491 · median $9,762 | 27 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,494 – $43,995 · median $6,043 | 27 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,170 – $87,989 · median $11,136 | 27 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,275 – $60,493 · median $6,902 | 27 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,266 – $45,828 · median $4,817 | 27 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,355 – $82,490 · median $10,441 | 27 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,073 – $53,160 · median $5,559 | 27 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,483 – $40,328 · median $3,829 | 27 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,152 – $69,658 · median $8,967 | 27 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,966 – $45,828 · median $5,512 | 27 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,279 – $76,991 · median $11,307 | 27 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,991 – $53,160 · median $6,615 | 27 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,050 – $36,662 · median $4,588 | 27 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $34,550 – $153,981 · median $38,677 | 27 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $17,874 – $86,156 · median $20,505 | 27 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,593 – $58,660 · median $15,693 | 27 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,284 – $142,983 · median $25,209 | 27 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,343 – $78,824 · median $15,394 | 27 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,872 – $53,160 · median $11,225 | 27 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,416 – $108,154 · median $23,354 | 27 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,513 – $69,658 · median $14,865 | 27 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,581 – $49,494 · median $11,740 | 27 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,300 – $133,817 · median $25,188 | 27 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,589 – $84,323 · median $14,612 | 27 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,721 – $51,327 · median $9,639 | 27 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,125 – $86,156 · median $16,872 | 27 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,555 – $58,660 · median $11,960 | 27 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,386 – $40,328 · median $9,656 | 27 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,898 – $126,485 · median $24,088 | 27 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,422 – $62,326 · median $12,284 | 27 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,995 – $42,162 · median $9,895 | 27 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,887 – $148,482 · median $29,362 | 27 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,062 – $82,490 · median $15,469 | 27 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,643 – $47,661 · median $10,607 | 27 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,469 – $89,822 · median $13,915 | 27 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,789 – $60,493 · median $7,467 | 27 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,433 – $42,162 · median $5,037 | 27 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,613 – $87,989 · median $12,986 | 27 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,177 – $60,493 · median $7,961 | 27 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,997 – $43,995 · median $6,033 | 27 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,478 – $84,323 · median $11,526 | 27 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,407 – $53,160 · median $5,947 | 27 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,915 – $40,328 · median $4,393 | 27 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,535 – $84,323 · median $12,689 | 27 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,149 – $58,660 · median $6,825 | 27 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,472 – $43,995 · median $4,947 | 27 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,720 – $78,824 · median $11,763 | 27 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,902 – $54,993 · median $7,717 | 27 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,074 – $38,495 · median $5,849 | 27 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,901 – $172,313 · median $59,412 | 27 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,528 – $95,410 · median $42,159 | 27 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,819 – $69,088 · median $29,500 | 27 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $35,498 – $108,154 · median $39,056 | 27 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $17,097 – $45,821 · median $18,806 | 27 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,374 – $194,310 · median $40,296 | 27 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,766 – $100,821 · median $22,021 | 27 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,049 – $38,495 · median $12,894 | 27 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,424 – $130,151 · median $36,802 | 27 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,799 – $56,826 · median $24,933 | 27 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,696 – $43,968 · median $19,428 | 27 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $19,495 – $60,493 · median $21,445 | 27 plans |
| 470 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $12,000 – $34,829 · median $13,637 | 27 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,914 – $130,151 · median $34,139 | 27 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,439 – $47,138 · median $20,829 | 27 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,067 – $39,061 · median $17,260 | 27 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,592 – $179,645 · median $30,351 | 27 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,730 – $108,154 · median $16,089 | 27 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,402 – $49,494 · median $8,306 | 27 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,887 – $157,648 · median $24,424 | 27 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,884 – $98,988 · median $17,387 | 27 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,302 – $60,493 · median $13,143 | 27 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,718 – $111,820 · median $20,590 | 27 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,206 – $78,824 · median $14,808 | 27 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,097 – $56,826 · median $11,531 | 27 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $16,218 – $44,350 · median $19,597 | 27 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,489 – $148,482 · median $22,816 | 27 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,440 – $93,489 · median $14,784 | 27 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,057 – $64,159 · median $11,073 | 27 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,369 – $40,328 · median $12,509 | 27 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,178 – $21,997 · median $7,896 | 27 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $22,601 – $120,985 · median $25,958 | 27 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $15,281 – $76,991 · median $17,930 | 27 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $11,999 – $51,327 · median $14,186 | 27 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,648 – $131,984 · median $25,517 | 27 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,594 – $51,327 · median $12,754 | 27 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,766 – $25,664 · median $8,545 | 27 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,070 – $80,657 · median $21,232 | 27 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,388 – $32,996 · median $13,856 | 27 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,167 – $139,317 · median $22,375 | 27 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,236 – $73,324 · median $12,359 | 27 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,651 – $43,995 · median $9,516 | 27 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,844 – $130,151 · median $19,733 | 27 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,170 – $82,490 · median $13,215 | 27 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,170 – $49,494 · median $12,618 | 27 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,672 – $67,825 · median $9,541 | 27 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,610 – $93,489 · median $12,771 | 27 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,214 – $58,660 · median $10,707 | 27 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $18,190 – $97,155 · median $21,355 | 27 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $12,482 – $64,159 · median $14,701 | 27 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $10,233 – $42,162 · median $11,704 | 27 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,582 – $71,491 · median $11,130 | 27 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,489 – $38,495 · median $7,228 | 27 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,681 – $122,819 · median $22,532 | 27 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,803 – $73,324 · median $14,692 | 27 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,500 – $42,162 · median $10,865 | 27 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,810 – $97,155 · median $26,423 | 27 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,550 – $58,660 · median $14,142 | 27 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,121 – $38,495 · median $10,562 | 27 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,448 – $109,987 · median $20,292 | 27 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,417 – $73,324 · median $14,972 | 27 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,705 – $78,824 · median $11,084 | 27 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,561 – $53,160 · median $5,673 | 27 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,240 – $71,491 · median $9,064 | 27 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,161 – $53,160 · median $5,684 | 27 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $5,849 – $60,493 · median $6,747 | 27 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $4,274 – $43,995 · median $5,093 | 27 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,660 – $113,653 · median $13,926 | 27 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,949 – $78,824 · median $9,123 | 27 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,840 – $53,160 · median $5,567 | 27 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,354 – $91,656 · median $12,489 | 27 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,607 – $64,159 · median $7,268 | 27 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,810 – $49,494 · median $5,335 | 27 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,951 – $100,821 · median $17,546 | 27 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,368 – $62,326 · median $8,155 | 27 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,749 – $45,828 · median $5,912 | 27 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,410 – $108,154 · median $13,652 | 27 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,670 – $71,491 · median $8,535 | 27 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,487 – $56,826 · median $6,180 | 27 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,075 – $82,490 · median $11,796 | 27 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,134 – $53,160 · median $6,766 | 27 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,312 – $73,324 · median $9,165 | 27 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,886 – $51,327 · median $5,842 | 27 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,496 – $69,658 · median $9,345 | 27 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,197 – $49,494 · median $5,872 | 27 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $9,146 – $86,156 · median $10,465 | 27 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $4,418 – $56,826 · median $6,143 | 27 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,814 – $93,489 · median $13,185 | 27 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,238 – $69,658 · median $7,962 | 27 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,167 – $53,160 · median $5,684 | 27 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $9,158 – $75,158 · median $10,073 | 27 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $5,689 – $54,993 · median $6,331 | 27 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,921 – $87,989 · median $10,913 | 27 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,263 – $60,493 · median $6,889 | 27 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,761 – $43,995 · median $5,298 | 27 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,903 – $142,983 · median $20,794 | 27 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,656 – $91,656 · median $11,945 | 27 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,271 – $51,327 · median $8,104 | 27 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,193 – $219,973 · median $46,319 | 27 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,907 – $139,317 · median $24,431 | 27 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,550 – $73,324 · median $12,708 | 27 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,502 – $161,314 · median $34,652 | 27 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,947 – $78,824 · median $18,741 | 27 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,325 – $42,162 · median $11,357 | 27 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,744 – $137,483 · median $22,896 | 27 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,106 – $75,158 · median $12,217 | 27 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,160 – $38,495 · median $10,203 | 27 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,145 – $47,661 · median $13,621 | 27 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,455 – $31,163 · median $12,192 | 27 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,030 – $60,493 · median $15,135 | 27 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,399 – $36,662 · median $13,639 | 27 plans |
| 592 | SKIN ULCERS WITH MCC | $12,439 – $104,487 · median $13,683 | 27 plans |
| 593 | SKIN ULCERS WITH CC | $5,797 – $76,991 · median $8,158 | 27 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,401 – $58,660 · median $6,128 | 27 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,461 – $98,988 · median $14,993 | 27 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,838 – $62,326 · median $7,445 | 27 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,715 – $86,156 · median $11,786 | 27 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,867 – $62,326 · median $7,998 | 27 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,945 – $43,995 · median $5,441 | 27 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,984 – $58,660 · median $7,331 | 27 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,815 – $42,162 · median $4,277 | 27 plans |
| 602 | CELLULITIS WITH MCC | $9,135 – $82,490 · median $10,049 | 27 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,017 – $56,826 · median $5,989 | 27 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,456 – $71,491 · median $10,408 | 27 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,717 – $49,494 · median $6,447 | 27 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,461 – $82,490 · median $10,650 | 27 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,801 – $53,160 · median $6,234 | 27 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,087 – $43,995 · median $15,496 | 27 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,994 – $25,664 · median $9,893 | 27 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,567 – $161,314 · median $24,598 | 27 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,021 – $102,654 · median $13,223 | 27 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,924 – $75,158 · median $10,027 | 27 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,353 – $51,327 · median $20,414 | 27 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,164 – $27,497 · median $11,314 | 27 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,303 – $24,134 · median $10,664 | 27 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,876 – $157,648 · median $25,164 | 27 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,530 – $95,322 · median $12,683 | 27 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,384 – $56,826 · median $8,851 | 27 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,247 – $93,489 · median $21,352 | 27 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,606 – $34,829 · median $10,601 | 27 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,063 – $23,830 · median $9,391 | 27 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,953 – $152,148 · median $26,349 | 27 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,004 – $108,154 · median $15,334 | 27 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,918 – $34,829 · median $10,319 | 27 plans |
| 637 | DIABETES WITH MCC | $9,234 – $71,491 · median $10,111 | 27 plans |
| 638 | DIABETES WITH CC | $5,563 – $53,160 · median $6,307 | 27 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,988 – $38,495 · median $4,372 | 27 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $8,452 – $65,992 · median $9,443 | 27 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,973 – $47,661 · median $5,502 | 27 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,899 – $62,326 · median $10,054 | 27 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,548 – $89,822 · median $11,638 | 27 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,577 – $62,326 · median $7,214 | 27 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,524 – $49,494 · median $5,397 | 27 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $23,243 – $115,486 · median $33,088 | 27 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,100 – $118,875 · median $26,200 | 27 plans |
| 652 | KIDNEY TRANSPLANT | $19,548 – $78,824 · median $22,833 | 27 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $32,090 – $174,146 · median $36,572 | 27 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,961 – $93,489 · median $19,791 | 27 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,221 – $58,660 · median $14,964 | 27 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,463 – $91,656 · median $22,510 | 27 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,635 – $45,828 · median $12,938 | 27 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,572 – $29,330 · median $10,971 | 27 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,331 – $104,487 · median $17,964 | 27 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,495 – $51,327 · median $9,344 | 27 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,534 – $32,996 · median $7,320 | 27 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,677 – $130,151 · median $21,645 | 27 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,721 – $65,992 · median $10,748 | 27 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,729 – $38,495 · median $7,402 | 27 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,061 – $130,151 · median $22,067 | 27 plans |
| 666 | PROSTATECTOMY WITH CC | $10,484 – $65,992 · median $12,368 | 27 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,541 – $38,495 · median $7,821 | 27 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,561 – $131,984 · median $20,645 | 27 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,849 – $67,825 · median $10,923 | 27 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,082 – $36,662 · median $6,910 | 27 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,970 – $71,491 · median $12,691 | 27 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,938 – $29,330 · median $7,632 | 27 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,087 – $186,977 · median $28,895 | 27 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,692 – $100,821 · median $16,534 | 27 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,962 – $51,327 · median $11,605 | 27 plans |
| 682 | RENAL FAILURE WITH MCC | $9,519 – $78,824 · median $10,471 | 27 plans |
| 683 | RENAL FAILURE WITH CC | $5,629 – $54,993 · median $6,023 | 27 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,858 – $40,328 · median $4,225 | 27 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,593 – $93,489 · median $12,752 | 27 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,700 – $60,493 · median $7,408 | 27 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,609 – $36,662 · median $5,587 | 27 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,448 – $69,658 · median $8,203 | 27 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,108 – $51,327 · median $5,697 | 27 plans |
| 693 | URINARY STONES WITH MCC | $8,642 – $67,825 · median $9,506 | 27 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,973 – $38,495 · median $5,502 | 27 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,178 – $65,992 · median $8,087 | 27 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,021 – $42,162 · median $4,849 | 27 plans |
| 697 | URETHRAL STRICTURE | $6,376 – $47,661 · median $7,620 | 27 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,633 – $87,989 · median $11,697 | 27 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,491 – $58,660 · median $7,176 | 27 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,418 – $42,162 · median $4,878 | 27 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,351 – $40,328 · median $14,142 | 27 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,435 – $25,664 · median $10,847 | 27 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,301 – $73,324 · median $16,453 | 27 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,006 – $29,330 · median $9,907 | 27 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,160 – $87,989 · median $14,733 | 27 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,807 – $42,162 · median $7,775 | 27 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,203 – $43,995 · median $10,629 | 27 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,981 – $27,497 · median $7,476 | 27 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,373 – $91,656 · median $15,818 | 27 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,033 – $29,330 · median $10,400 | 27 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,809 – $65,992 · median $13,366 | 27 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,840 – $34,829 · median $9,496 | 27 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $11,003 – $91,656 · median $12,795 | 27 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $7,147 – $62,326 · median $8,079 | 27 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,214 – $32,996 · median $4,637 | 27 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,521 – $69,658 · median $8,273 | 27 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,422 – $45,828 · median $5,081 | 27 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,352 – $82,490 · median $10,484 | 27 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,200 – $53,160 · median $5,709 | 27 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,805 – $56,826 · median $7,485 | 27 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,095 – $32,996 · median $4,729 | 27 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,383 – $56,826 · median $15,059 | 27 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,726 – $31,163 · median $9,513 | 27 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,974 – $111,820 · median $25,272 | 27 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,719 – $67,825 · median $14,569 | 27 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,439 – $42,162 · median $10,382 | 27 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $23,028 – $93,489 · median $25,336 | 27 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $11,572 – $47,661 · median $12,794 | 27 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $8,742 – $27,497 · median $10,083 | 27 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,626 – $49,494 · median $12,972 | 27 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,629 – $27,497 · median $8,772 | 27 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,853 – $84,323 · median $14,092 | 27 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,821 – $36,662 · median $7,910 | 27 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,658 – $56,826 · median $12,281 | 27 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,526 – $23,830 · median $6,079 | 27 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,670 – $25,664 · median $9,808 | 27 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,473 – $93,489 · median $18,071 | 27 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,207 – $34,829 · median $10,434 | 27 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,515 – $93,489 · median $12,962 | 27 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,925 – $58,660 · median $7,656 | 27 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,078 – $36,662 · median $6,791 | 27 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,604 – $84,323 · median $10,078 | 27 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,292 – $65,992 · median $6,890 | 27 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,751 – $43,995 · median $4,670 | 27 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,487 – $51,327 · median $6,956 | 27 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,667 – $31,163 · median $4,033 | 27 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,049 – $49,494 · median $7,370 | 27 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,843 – $54,993 · median $11,947 | 27 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,445 – $34,829 · median $7,089 | 27 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,507 – $43,995 · median $4,541 | 27 plans |
| 779 | ABORTION WITHOUT D&C | $4,029 – $27,497 · median $5,786 | 27 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,666 – $89,822 · median $16,884 | 27 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,814 – $56,826 · median $7,495 | 27 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,559 – $47,661 · median $6,741 | 27 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,758 – $62,326 · median $7,896 | 27 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,758 – $53,160 · median $6,779 | 27 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,472 – $32,996 · median $12,742 | 27 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $6,452 – $328,127 · median $41,830 | 27 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,547 – $243,804 · median $27,915 | 27 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,990 – $157,648 · median $16,844 | 27 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $9,655 – $86,156 · median $29,345 | 27 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,640 – $62,326 · median $10,387 | 27 plans |
| 795 | NORMAL NEWBORN | $1,134 – $56,826 · median $1,406 | 27 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,501 – $64,159 · median $8,251 | 27 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,162 – $45,828 · median $7,073 | 27 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,109 – $124,652 · median $32,020 | 27 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,057 – $71,491 · median $19,863 | 27 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,448 – $43,995 · median $13,496 | 27 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,815 – $142,983 · median $28,168 | 27 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,329 – $67,825 · median $13,143 | 27 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,036 – $31,163 · median $9,587 | 27 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,075 – $54,993 · median $7,422 | 27 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,217 – $43,995 · median $5,307 | 27 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,689 – $36,662 · median $4,637 | 27 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,191 – $95,322 · median $15,539 | 27 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,882 – $60,493 · median $8,950 | 27 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,058 – $47,661 · median $7,366 | 27 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,954 – $67,825 · median $9,928 | 27 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,874 – $49,494 · median $6,462 | 27 plans |
| 813 | COAGULATION DISORDERS | $9,804 – $65,992 · median $10,784 | 27 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,305 – $86,156 · median $15,036 | 27 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,467 – $53,160 · median $7,162 | 27 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,062 – $36,662 · median $4,468 | 27 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,398 – $65,992 · median $16,058 | 27 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,451 – $49,494 · median $8,197 | 27 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,197 – $29,330 · median $6,080 | 27 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,056 – $196,143 · median $41,464 | 27 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,208 – $60,493 · median $15,827 | 27 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,279 – $27,497 · median $8,512 | 27 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,468 – $185,144 · median $32,415 | 27 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,998 – $89,822 · median $16,018 | 27 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,833 – $40,328 · median $9,540 | 27 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,066 – $153,981 · median $33,072 | 27 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,855 – $73,324 · median $16,340 | 27 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,202 – $43,995 · median $12,046 | 27 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,704 – $108,154 · median $22,341 | 27 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,308 – $38,495 · median $10,640 | 27 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,816 – $60,493 · median $8,270 | 27 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,915 – $47,661 · median $4,963 | 27 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,579 – $31,163 · median $3,596 | 27 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $35,178 – $175,979 · median $38,814 | 27 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,406 – $80,657 · median $14,747 | 27 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,838 – $53,160 · median $8,622 | 27 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,879 – $186,977 · median $33,967 | 27 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,190 – $93,489 · median $14,356 | 27 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,722 – $73,324 · median $9,930 | 27 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,296 – $124,652 · median $22,871 | 27 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,979 – $73,324 · median $11,534 | 27 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,494 – $47,661 · median $7,144 | 27 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,050 – $98,988 · median $14,039 | 27 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,607 – $67,825 · median $8,607 | 27 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,326 – $43,995 · median $6,021 | 27 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $13,698 – $106,321 · median $17,829 | 27 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,938 – $69,658 · median $8,997 | 27 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,212 – $47,661 · median $6,005 | 27 plans |
| 849 | RADIOTHERAPY | $17,000 – $130,151 · median $19,156 | 27 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,742 – $170,479 · median $34,916 | 27 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,717 – $89,822 · median $14,062 | 27 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,623 – $53,160 · median $10,585 | 27 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,714 – $166,813 · median $32,159 | 27 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,764 – $98,988 · median $15,140 | 27 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,200 – $62,326 · median $9,848 | 27 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,606 – $91,656 · median $12,542 | 27 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,124 – $60,493 · median $7,023 | 27 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,548 – $47,661 · median $6,248 | 27 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,393 – $73,324 · median $10,545 | 27 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,154 – $49,494 · median $6,120 | 27 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,454 – $98,988 · median $14,799 | 27 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,627 – $62,326 · median $7,290 | 27 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,580 – $43,995 · median $5,159 | 27 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,274 – $232,805 · median $48,867 | 27 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,485 – $87,989 · median $13,734 | 27 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,562 – $62,326 · median $7,202 | 27 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,841 – $133,817 · median $27,325 | 27 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,770 – $51,327 · median $6,758 | 27 plans |
| 881 | DEPRESSIVE NEUROSES | $4,030 – $75,158 · median $6,471 | 27 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,097 – $62,326 · median $7,385 | 27 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $10,768 – $106,321 · median $13,523 | 27 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,282 – $84,323 · median $11,323 | 27 plans |
| 885 | PSYCHOSES | $4,673 – $119,152 · median $9,606 | 27 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,784 – $108,154 · median $14,272 | 27 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,883 – $56,826 · median $7,571 | 27 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $3,389 – $36,662 · median $4,243 | 27 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $6,465 – $131,984 · median $9,963 | 27 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $10,297 – $87,989 · median $12,282 | 27 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,973 – $153,981 · median $29,670 | 27 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,077 – $86,156 · median $13,536 | 27 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,517 – $47,661 · median $8,269 | 27 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,608 – $120,985 · median $25,969 | 27 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,534 – $54,993 · median $10,490 | 27 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,625 – $51,327 · median $13,890 | 27 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,676 – $124,652 · median $27,063 | 27 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,824 – $65,992 · median $14,106 | 27 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,072 – $40,328 · median $9,281 | 27 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,300 – $71,491 · median $11,557 | 27 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,691 – $45,828 · median $6,261 | 27 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,808 – $64,159 · median $11,889 | 27 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,880 – $32,996 · median $4,689 | 27 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,081 – $67,825 · median $11,089 | 27 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,868 – $43,995 · median $5,894 | 27 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,606 – $78,824 · median $12,885 | 27 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,442 – $51,327 · median $7,086 | 27 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,377 – $38,495 · median $4,867 | 27 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,752 – $76,991 · median $12,368 | 27 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,558 – $51,327 · median $6,999 | 27 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $137,226 – $439,947 · median $150,982 | 27 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $27,393 – $227,306 · median $49,328 | 27 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,307 – $111,820 · median $22,150 | 27 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $24,724 – $69,230 · median $27,532 | 27 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,197 – $89,822 · median $15,558 | 27 plans |
| 935 | NON-EXTENSIVE BURNS | $9,534 – $71,491 · median $14,167 | 27 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,201 – $115,486 · median $25,654 | 27 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,438 – $56,826 · median $16,522 | 27 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,438 – $34,829 · median $13,945 | 27 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,715 – $102,654 · median $10,949 | 27 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,106 – $80,657 · median $8,108 | 27 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,159 – $67,825 · median $8,975 | 27 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,057 – $47,661 · median $5,660 | 27 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,867 – $78,824 · median $8,411 | 27 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,730 – $58,660 · median $4,438 | 27 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,518 – $32,996 · median $3,908 | 27 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,263 – $159,481 · median $47,589 | 27 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,186 – $108,154 · median $26,605 | 27 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,505 – $185,144 · median $53,873 | 27 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,156 – $119,152 · median $29,792 | 27 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,238 – $69,658 · median $20,720 | 27 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,290 – $100,821 · median $19,328 | 27 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,547 – $71,491 · median $10,836 | 27 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,808 – $45,828 · median $6,641 | 27 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,343 – $214,474 · median $43,278 | 27 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,887 – $137,483 · median $18,647 | 27 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,549 – $120,985 · median $20,404 | 27 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,323 – $71,491 · median $9,156 | 27 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,802 – $54,993 · median $6,384 | 27 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,341 – $65,992 · median $9,177 | 27 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,156 – $153,981 · median $33,171 | 27 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,582 – $73,324 · median $17,382 | 27 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,617 – $36,662 · median $12,063 | 27 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,035 – $142,983 · median $24,239 | 27 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,564 – $73,324 · median $11,620 | 27 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,354 – $42,162 · median $8,478 | 27 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $19,130 – $69,658 · median $21,043 | 26 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $69,333 – $229,139 · median $76,880 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,977 – $152,148 · median $50,412 | 26 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $33,094 – $113,653 · median $41,791 | 26 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $29,607 – $74,430 · median $32,653 | 26 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $28,665 – $131,984 · median $38,727 | 26 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,394 – $64,159 · median $25,497 | 26 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $39,373 – $106,984 · median $47,274 | 26 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,487 – $67,825 · median $19,236 | 26 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,331 – $36,662 · median $12,464 | 26 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,109 – $82,490 · median $30,595 | 26 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,252 – $51,122 · median $22,278 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,216 – $51,366 · median $22,698 | 26 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,393 – $87,989 · median $16,894 | 26 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,631 – $53,160 · median $10,701 | 26 plans |
| 399 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $7,152 – $32,996 · median $8,093 | 26 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $10,835 – $64,328 · median $27,973 | 26 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $17,838 – $176,339 · median $75,087 | 26 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $13,372 – $115,498 · median $49,644 | 26 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $10,160 – $89,952 · median $39,115 | 26 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $53,083 – $175,979 · median $63,698 | 26 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $34,817 – $92,274 · median $40,774 | 26 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,671 – $142,983 · median $47,239 | 26 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,989 – $67,853 · median $29,983 | 26 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,777 – $115,486 · median $37,680 | 26 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,641 – $51,686 · median $22,839 | 26 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $55,657 – $280,466 · median $61,223 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,492 – $80,657 · median $11,368 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,152 – $42,162 · median $6,767 | 25 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $5,615 – $60,493 · median $6,213 | 25 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | $4,673 – $181,101 · median $77,842 | 22 plans |
| 213 | SPLENECTOMY AGE 0-17 | $16,202 – $91,310 · median $38,881 | 22 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $15,568 – $49,494 · median $17,086 | 22 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $22,101 – $110,800 · median $24,256 | 22 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,517 – $60,317 · median $17,030 | 22 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,841 – $24,741 · median $16,748 | 7 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,351 – $15,966 · median $10,379 | 7 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,243 – $10,667 · median $7,963 | 7 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,815 – $19,648 · median $13,621 | 7 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,027 – $12,637 · median $9,643 | 7 plans |
| 509 | ARTHROSCOPY | $11,180 – $28,107 · median $17,983 | 7 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $65,721 – $100,388 · median $97,908 | 4 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $42,457 – $66,573 · median $53,596 | 4 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $34,954 – $52,240 · median $39,012 | 4 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,803 – $73,570 · median $45,014 | 4 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,114 – $42,947 · median $31,682 | 4 plans |
| 111 | MAJOR CARDIOVASCULAR PROCEDURES W/O CC | $22,469 – $70,484 · median $35,224 | 3 plans |
| 112 | NO LONGER VALID | $19,676 – $143,114 · median $77,245 | 3 plans |
| 211 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W/O CC | $13,259 – $18,124 · median $16,071 | 3 plans |
| 214 | NO LONGER VALID | $18,993 – $50,664 · median $47,054 | 3 plans |
| 222 | NO LONGER VALID | $10,378 – $13,844 · median $12,952 | 3 plans |
| 223 | MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC W CC | $8,827 – $20,322 · median $19,986 | 3 plans |
| 224 | SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC, W/O CC | $7,698 – $39,261 · median $36,769 | 3 plans |
| 401 | LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC | $8,177 – $23,404 · median $8,229 | 3 plans |
| 403 | LYMPHOMA & NON-ACUTE LEUKEMIA W CC | $15,533 – $16,899 · median $15,606 | 3 plans |
| 404 | LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC | $8,285 – $22,111 · median $21,781 | 3 plans |
| 431 | CHILDHOOD MENTAL DISORDERS | $7,133 – $8,211 · median $7,161 | 3 plans |
| 452 | COMPLICATIONS OF TREATMENT W CC | $7,645 – $9,208 · median $7,798 | 3 plans |
| 484 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $16,647 – $56,231 · median $16,868 | 3 plans |
| 491 | MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY | $7,591 – $16,237 · median $9,168 | 3 plans |
| 104 | CRANIOTOMY- VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17 | $25,893 – $25,893 · median $25,893 | 2 plans |
| 105 | TRAUMATIC STUPOR AND COMA <1 HOUR AGE 0-17 | $3,755 – $3,755 · median $3,755 | 2 plans |
| 106 | CONCUSSION AGE 0-17 | $3,433 – $3,433 · median $3,433 | 2 plans |
| 107 | SEIZURES AND HEADACHES AGE 0-17 | $4,794 – $4,794 · median $4,794 | 2 plans |
| 108 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 | $9,307 – $9,307 · median $9,307 | 2 plans |
| 109 | OTHER DISORDERS OF THE EYE AGE 0-17 | $7,207 – $7,207 · median $7,207 | 2 plans |
| 118 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES AGE 0-17 | $4,985 – $4,985 · median $4,985 | 2 plans |
| 119 | DENTAL AND ORAL DISEASES AGE 0-17 | $6,320 – $6,320 · median $6,320 | 2 plans |
| 120 | RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17 | $7,790 – $7,790 · median $7,790 | 2 plans |
| 160 | OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 | $7,884 – $7,884 · median $7,884 | 2 plans |
| 161 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $17,025 – $17,025 · median $17,025 | 2 plans |
| 162 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17 | $10,531 – $10,531 · median $10,531 | 2 plans |
| 169 | FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH AGE 0-17 | $4,020 – $4,020 · median $4,020 | 2 plans |
| 170 | CELLULITIS AGE 0-17 | $3,098 – $3,098 · median $3,098 | 2 plans |
| 171 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST AGE 0-17 | $4,804 – $4,804 · median $4,804 | 2 plans |
| 172 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES AGE 0-17 | $5,139 – $5,139 · median $5,139 | 2 plans |
| 174 | KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17 | $3,699 – $3,699 · median $3,699 | 2 plans |
| 210 | URETHRAL STRICTURE AGE 0-17 | $13,952 – $13,952 · median $13,952 | 2 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $51,890 – $61,380 · median $56,635 | 2 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,951 – $71,729 · median $65,340 | 2 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $47,505 – $56,947 · median $52,226 | 2 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $28,766 – $34,136 · median $31,451 | 2 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $21,559 – $21,717 · median $21,638 | 2 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $28,731 – $34,550 · median $31,641 | 2 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $20,472 – $21,752 · median $21,112 | 2 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $21,903 – $30,563 · median $26,233 | 2 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $14,912 – $18,546 · median $16,729 | 2 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,469 – $13,420 · median $12,445 | 2 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $18,367 – $25,375 · median $21,871 | 2 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $13,272 – $15,656 · median $14,464 | 2 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,468 – $12,113 · median $10,791 | 2 plans |
| 361 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $40,888 – $40,888 · median $40,888 | 2 plans |
| 362 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $38,136 – $38,136 · median $38,136 | 2 plans |
| 363 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $28,357 – $28,357 · median $28,357 | 2 plans |
| 364 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $31,006 – $31,006 · median $31,006 | 2 plans |
| 396 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $37,912 – $37,912 · median $37,912 | 2 plans |
| 400 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE 0-17 | $8,742 – $8,742 · median $8,742 | 2 plans |
| 523 | ALC/DRUG ABUSE OR DEPEND W/O REHABILITATION THERAPY W/O CC | $7,504 – $9,144 · median $8,324 | 2 plans |
| 524 | TRANSIENT ISCHEMIA | $15,991 – $16,329 · median $16,160 | 2 plans |
| 531 | SPINAL PROCEDURES W CC | $4,401 – $4,416 · median $4,408 | 2 plans |
| 532 | SPINAL PROCEDURES W/O CC | $5,505 – $6,001 · median $5,753 | 2 plans |
| 608 | BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD | $32,496 – $32,496 · median $32,496 | 2 plans |
| 609 | OTHER RESPIRATORY PROBLEMS AFTER BIRTH | $25,282 – $25,282 · median $25,282 | 2 plans |
| 610 | NEONATE- DIED WITHIN ONE DAY OF BIRTH | $3,194 – $3,194 · median $3,194 | 2 plans |
| 611 | NEONATE- TRANSFERRED <5 DAYS OLD | $2,065 – $2,065 · median $2,065 | 2 plans |
| 612 | NEONATE- BIRTH WEIGHT <750 GRAMS- DISCHARGED ALIVE | $273,916 – $273,916 · median $273,916 | 2 plans |
| 613 | NEONATE- BIRTH WEIGHT <750 GRAMS- DIED | $38,403 – $38,403 · median $38,403 | 2 plans |
| 631 | NEONATE- BIRTH WEIGHT 750-999 GRAMS- DISCHARGED ALIVE | $198,619 – $198,619 · median $198,619 | 2 plans |
| 632 | NEONATE- BIRTH WEIGHT 750-999 GRAMS- DIED | $97,478 – $97,478 · median $97,478 | 2 plans |
| 633 | NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE | $298,917 – $298,917 · median $298,917 | 2 plans |
| 634 | NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE | $107,141 – $107,141 · median $107,141 | 2 plans |
| 635 | NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- DIED | $59,632 – $59,632 · median $59,632 | 2 plans |
| 636 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $175,638 – $175,638 · median $175,638 | 2 plans |
| 646 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS | $55,642 – $55,642 · median $55,642 | 2 plans |
| 647 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $59,756 – $59,756 · median $59,756 | 2 plans |
| 648 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM | $41,655 – $41,655 · median $41,655 | 2 plans |
| 649 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM | $29,354 – $29,354 · median $29,354 | 2 plans |
| 676 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS | $28,366 – $28,366 · median $28,366 | 2 plans |
| 677 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $39,457 – $39,457 · median $39,457 | 2 plans |
| 678 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM | $23,650 – $23,650 · median $23,650 | 2 plans |
| 679 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM | $10,947 – $10,947 · median $10,947 | 2 plans |
| 680 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH OTHER PROBLEM | $7,379 – $7,379 · median $7,379 | 2 plans |
| 681 | NEONATE- BIRTH WEIGHT >2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $119,632 – $119,632 · median $119,632 | 2 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $46,158 – $46,158 · median $46,158 | 2 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $28,378 – $28,378 · median $28,378 | 2 plans |
| 731 | SPINE, HIP, FEMUR OR LIMB PROC FOR MULTIPLE SIGNIFICANT TRAU | $7,845 – $8,189 · median $8,017 | 2 plans |
| 732 | OTHER O.R. PROCEDURE FOR MULTIPLE SIGNIFICANT TRAUMA | $10,336 – $10,633 · median $10,485 | 2 plans |
| 733 | HEAD, CHEST AND LOWER LIMB DIAGNOSES OF MULTIPLE SIGNIFICANT | $15,904 – $16,032 · median $15,968 | 2 plans |
| 762 | VAGINAL DELIVERY WITH STERILIZATION OR D&C WITH MCC | $9,373 – $9,373 · median $9,373 | 2 plans |
| 763 | VAGINAL DELIVERY WITH STERILIZATION OR D&C WITH CC | $7,149 – $7,149 · median $7,149 | 2 plans |
| 764 | VAGINAL DELIVERY WITH STERILIZATION OR D&C WITHOUT CC/MCC | $6,261 – $6,261 · median $6,261 | 2 plans |
| 771 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,594 – $9,594 · median $9,594 | 2 plans |
| 772 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,786 – $7,786 · median $7,786 | 2 plans |
| 773 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,631 – $6,631 · median $6,631 | 2 plans |
| 898 | ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE >21 WITHOUT MCC | $7,551 – $7,551 · median $7,551 | 2 plans |
| 899 | ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE <21 WITHOUT MCC | $7,699 – $7,699 · median $7,699 | 2 plans |
| 009 | SPINAL DISORDERS & INJURIES | $12,858 – $12,858 · median $12,858 | 1 plans |
| 015 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT | $7,677 – $7,677 · median $7,677 | 1 plans |
| 043 | HYPHEMA | $4,456 – $4,456 · median $4,456 | 1 plans |
| 044 | ACUTE MAJOR EYE INFECTIONS | $6,618 – $6,618 · median $6,618 | 1 plans |
| 045 | NEUROLOGICAL EYE DISORDERS | $7,036 – $7,036 · median $7,036 | 1 plans |
| 046 | OTHER DISORDERS OF THE EYE AGE >17 W CC | $8,268 – $8,268 · median $8,268 | 1 plans |
| 047 | OTHER DISORDERS OF THE EYE AGE >17 W/O CC | $5,311 – $5,311 · median $5,311 | 1 plans |
| 048 | OTHER DISORDERS OF THE EYE AGE 0-17 | $5,178 – $5,178 · median $5,178 | 1 plans |
| 049 | MAJOR HEAD & NECK PROCEDURES | $17,037 – $17,037 · median $17,037 | 1 plans |
| 050 | SIALOADENECTOMY | $7,881 – $7,881 · median $7,881 | 1 plans |
| 051 | SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY | $7,612 – $7,612 · median $7,612 | 1 plans |
| 110 | MAJOR CARDIOVASCULAR PROCEDURES W CC | $38,781 – $38,781 · median $38,781 | 1 plans |
| 126 | ACUTE & SUBACUTE ENDOCARDITIS | $26,783 – $26,783 · median $26,783 | 1 plans |
| 127 | HEART FAILURE & SHOCK | $10,734 – $10,734 · median $10,734 | 1 plans |
| 128 | DEEP VEIN THROMBOPHLEBITIS | $8,513 – $8,513 · median $8,513 | 1 plans |
| 129 | CARDIAC ARREST, UNEXPLAINED | $11,715 – $11,715 · median $11,715 | 1 plans |
| 130 | PERIPHERAL VASCULAR DISORDERS W CC | $9,759 – $9,759 · median $9,759 | 1 plans |
| 131 | PERIPHERAL VASCULAR DISORDERS W/O CC | $6,741 – $6,741 · median $6,741 | 1 plans |
| 132 | ATHEROSCLEROSIS W CC | $8,032 – $8,032 · median $8,032 | 1 plans |
| 133 | ATHEROSCLEROSIS W/O CC | $6,244 – $6,244 · median $6,244 | 1 plans |
| 134 | HYPERTENSION | $6,623 – $6,623 · median $6,623 | 1 plans |
| 230 | LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR | $9,729 – $9,729 · median $9,729 | 1 plans |
| 237 | SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH | $6,416 – $6,416 · median $6,416 | 1 plans |
| 238 | OSTEOMYELITIS | $15,048 – $15,048 · median $15,048 | 1 plans |
| 365 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES | $17,056 – $17,056 · median $17,056 | 1 plans |
| 366 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC | $12,452 – $12,452 · median $12,452 | 1 plans |
| 367 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC | $5,453 – $5,453 · median $5,453 | 1 plans |
| 449 | POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W CC | $8,496 – $8,496 · median $8,496 | 1 plans |
| 490 | HIV W OR W/O OTHER RELATED CONDITION | $11,092 – $11,092 · median $11,092 | 1 plans |
No procedures match that keyword.