Methodist Medical Center of Oak Ridge — Pricing
792 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 792 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 792 procedures
Procedures with negotiated rates only
These 792 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,384 – $21,057 · median $6,825 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,502 – $23,152 · median $9,134 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,502 – $14,618 · median $9,134 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,502 – $11,215 · median $8,568 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,502 – $20,623 · median $9,134 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,502 – $14,340 · median $9,134 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,502 – $11,947 · median $8,568 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,384 – $19,474 · median $6,350 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,384 – $11,233 · median $6,168 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,502 – $13,572 · median $6,350 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,502 – $9,383 · median $6,350 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,502 – $8,144 · median $6,168 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $9,892 – $42,010 · median $22,865 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $5,794 – $26,509 · median $20,787 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $5,303 – $22,865 · median $19,845 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,384 – $11,233 · median $6,259 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $77,754 – $330,218 · median $209,389 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $50,532 – $217,715 · median $134,990 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $19,497 – $83,140 · median $52,083 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $14,888 – $63,230 · median $40,770 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $9,614 – $40,831 · median $30,332 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $136,822 – $581,079 · median $427,200 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $29,246 – $124,205 · median $89,704 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $20,053 – $88,897 · median $65,725 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $12,808 – $74,391 · median $41,980 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $20,698 – $95,647 · median $67,839 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $13,793 – $59,291 · median $45,206 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $16,226 – $68,909 · median $52,635 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $11,097 – $47,127 · median $35,654 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,953 – $38,024 · median $27,901 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $14,559 – $93,673 · median $38,892 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $12,178 – $51,720 · median $36,394 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $8,074 – $34,289 · median $23,045 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $15,204 – $96,717 · median $49,830 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $7,748 – $41,930 · median $25,394 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $5,788 – $30,883 · median $18,972 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $11,956 – $59,917 · median $31,939 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $8,253 – $35,050 · median $23,683 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $6,650 – $28,244 · median $20,073 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $10,617 – $51,168 · median $28,362 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $5,846 – $24,827 · median $18,551 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,129 – $17,537 · median $12,829 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $13,685 – $61,569 · median $44,854 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $8,193 – $34,794 · median $22,139 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $6,377 – $27,081 · median $19,850 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $7,301 – $31,009 · median $22,863 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,343 – $14,197 · median $10,245 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,439 – $23,098 · median $17,826 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,958 – $19,534 · median $12,973 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,025 – $38,583 · median $13,767 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $3,749 – $20,560 · median $10,016 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,054 – $28,442 · median $13,502 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,664 – $18,853 · median $9,787 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,981 – $13,750 · median $7,963 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $9,808 – $41,654 · median $29,902 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $6,461 – $27,703 · median $21,177 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,097 – $24,727 · median $16,704 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $7,217 – $30,650 · median $19,597 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,689 – $15,668 · median $10,896 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,497 – $10,605 · median $7,944 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,278 – $23,675 · median $17,300 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,198 – $13,582 · median $9,953 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,557 – $12,328 · median $6,831 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $4,407 – $26,791 · median $11,773 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $3,824 – $16,238 · median $10,692 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,722 – $11,559 · median $8,201 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,607 – $23,815 · median $16,251 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,040 – $16,061 · median $8,121 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,425 – $26,539 · median $9,730 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,148 – $14,128 · median $5,779 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $5,610 – $23,825 · median $15,678 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,523 – $15,376 · median $9,412 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,419 – $10,273 · median $7,644 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,956 – $30,628 · median $11,417 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,234 – $13,941 · median $5,969 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $8,418 – $35,750 · median $26,780 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,044 – $21,423 · median $14,874 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,469 – $14,732 · median $10,158 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $8,221 – $34,915 · median $22,009 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,758 – $20,209 · median $13,839 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,848 – $13,621 · median $7,609 | 8 plans |
| 088 | CONCUSSION WITH MCC | $5,118 – $21,736 · median $15,252 | 8 plans |
| 089 | CONCUSSION WITH CC | $3,702 – $16,519 · median $9,889 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,435 – $13,209 · median $6,504 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $6,613 – $28,087 · median $18,949 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,841 – $16,312 · median $11,262 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,864 – $12,162 · median $9,386 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $13,237 – $56,219 · median $43,387 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $8,697 – $36,936 · median $25,205 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,939 – $36,936 · median $15,866 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $10,448 – $55,232 · median $27,910 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $6,378 – $33,425 · median $17,038 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,299 – $21,468 · median $8,814 | 8 plans |
| 100 | SEIZURES WITH MCC | $4,562 – $30,590 · median $12,186 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $2,461 – $14,202 · median $6,574 | 8 plans |
| 102 | HEADACHES WITH MCC | $3,593 – $17,866 · median $9,597 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $2,344 – $13,100 · median $6,261 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $6,646 – $34,770 · median $17,755 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,289 – $18,214 · median $12,556 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,452 – $23,590 · median $14,563 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,054 – $49,188 · median $19,841 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,913 – $16,619 · median $10,473 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,258 – $17,923 · median $7,047 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,789 – $10,451 · median $4,877 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,495 – $12,376 · median $6,666 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $3,662 – $20,090 · median $9,782 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,159 – $12,722 · median $5,768 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $5,436 – $37,150 · median $14,628 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,549 – $15,072 · median $10,441 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,074 – $21,550 · median $16,394 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $2,951 – $16,750 · median $9,673 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,981 – $21,155 · median $13,639 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $15,344 – $65,164 · median $46,690 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $7,795 – $33,104 · median $24,817 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $5,705 – $24,228 · median $18,122 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $11,979 – $50,876 · median $35,599 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $6,373 – $27,067 · median $19,969 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,298 – $18,255 · median $13,663 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $8,323 – $41,301 · median $27,279 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,516 – $19,180 · median $14,587 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,905 – $12,337 · median $8,938 | 8 plans |
| 149 | DYSEQUILIBRIUM | $2,062 – $11,517 · median $5,508 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $4,856 – $21,297 · median $12,971 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,064 – $11,679 · median $5,513 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,693 – $17,485 · median $9,865 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,557 – $10,966 · median $4,348 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,175 – $25,058 · median $13,824 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,387 – $14,385 · median $9,438 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,439 – $10,360 · median $7,023 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,941 – $25,231 · median $17,995 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,413 – $14,493 · median $10,036 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,393 – $10,163 · median $7,843 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $16,722 – $71,019 · median $49,230 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,132 – $38,782 · median $26,647 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $6,763 – $28,721 · median $19,774 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,969 – $59,325 · median $41,697 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $6,629 – $28,154 · median $21,504 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,912 – $20,861 · median $16,099 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,112 – $21,711 · median $15,268 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,955 – $12,550 · median $9,296 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $5,865 – $24,907 · median $18,245 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $3,599 – $15,286 · median $11,353 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,792 – $11,860 · median $8,447 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $6,341 – $26,930 · median $19,087 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,028 – $17,108 · median $12,488 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,038 – $14,199 · median $9,959 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,212 – $24,457 · median $11,251 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,206 – $16,457 · median $8,564 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,044 – $11,983 · median $5,460 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,732 – $24,345 · median $16,765 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,643 – $15,470 · median $10,076 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,664 – $11,313 · median $8,191 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,489 – $19,066 · median $14,670 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,074 – $17,303 · median $11,441 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,051 – $13,237 · median $8,150 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,271 – $9,972 · median $6,066 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,781 – $20,303 · median $13,760 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,879 – $12,635 · median $7,690 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,021 – $9,595 · median $5,400 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $6,313 – $29,030 · median $16,865 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,592 – $15,254 · median $11,484 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,541 – $11,646 · median $8,328 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,747 – $27,200 · median $15,353 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,519 – $17,064 · median $9,400 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,457 – $10,433 · median $7,140 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,330 – $14,895 · median $6,225 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,577 – $10,733 · median $4,338 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,210 – $12,496 · median $5,904 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,582 – $29,087 · median $12,239 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,069 – $13,957 · median $8,199 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $23,463 – $99,647 · median $70,813 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $9,737 – $41,352 · median $29,869 | 8 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $40,769 – $163,245 · median $125,983 | 8 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $37,137 – $148,704 · median $110,986 | 8 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $24,850 – $99,503 · median $72,633 | 8 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $22,893 – $91,667 · median $66,459 | 8 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $29,774 – $144,306 · median $92,007 | 8 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $20,382 – $81,612 · median $62,543 | 8 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $17,672 – $70,763 · median $50,622 | 8 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $19,176 – $97,130 · median $59,256 | 8 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $11,953 – $63,932 · median $36,937 | 8 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $28,546 – $130,566 · median $76,257 | 8 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $21,467 – $94,123 · median $57,347 | 8 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $24,518 – $120,435 · median $65,496 | 8 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $16,621 – $81,974 · median $44,400 | 8 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $22,510 – $90,664 · median $60,132 | 8 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $15,049 – $63,359 · median $40,201 | 8 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $18,274 – $92,763 · median $59,894 | 8 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $10,565 – $44,871 · median $33,674 | 8 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,478 – $32,774 · median $17,954 | 8 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $13,052 – $66,575 · median $40,334 | 8 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $8,669 – $54,392 · median $26,788 | 8 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $6,944 – $35,941 · median $21,460 | 8 plans |
| 245 | AICD GENERATOR PROCEDURES | $18,804 – $75,296 · median $53,600 | 8 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $8,899 – $63,547 · median $27,499 | 8 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $6,013 – $34,058 · median $18,581 | 8 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $12,445 – $58,604 · median $40,791 | 8 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $9,262 – $39,337 · median $28,953 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $6,347 – $26,955 · median $20,222 | 8 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $9,493 – $61,102 · median $31,113 | 8 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $6,145 – $37,493 · median $20,140 | 8 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,236 – $27,277 · median $10,606 | 8 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $10,775 – $43,227 · median $28,785 | 8 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $6,764 – $27,083 · median $20,901 | 8 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $13,107 – $74,130 · median $40,503 | 8 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,302 – $48,265 · median $22,564 | 8 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $5,840 – $39,521 · median $18,048 | 8 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,731 – $41,326 · median $27,761 | 8 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $12,680 – $53,853 · median $37,615 | 8 plans |
| 265 | AICD LEAD PROCEDURES | $10,384 – $54,963 · median $27,740 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $23,053 – $119,270 · median $71,237 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $18,104 – $89,555 · median $55,944 | 8 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $25,657 – $102,734 · median $73,639 | 8 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $16,010 – $64,108 · median $45,862 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $19,752 – $79,089 · median $56,096 | 8 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $13,254 – $53,071 · median $37,437 | 8 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,628 – $38,554 · median $27,006 | 8 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $15,047 – $60,250 · median $42,396 | 8 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $11,373 – $48,088 · median $30,381 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,955 – $26,032 · median $19,518 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,344 – $19,730 · median $10,961 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,631 – $19,076 · median $8,622 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $7,071 – $30,129 · median $18,889 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,688 – $11,417 · median $7,939 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,037 – $8,650 · median $6,675 | 8 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $8,030 – $34,103 · median $25,435 | 8 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,953 – $16,790 · median $12,958 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $9,910 – $42,087 · median $27,466 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,720 – $24,294 · median $15,929 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,552 – $15,084 · median $11,162 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,734 – $20,104 · median $13,285 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,124 – $13,269 · median $8,521 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,991 – $8,454 · median $5,967 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,455 – $18,921 · median $13,500 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,832 – $12,169 · median $4,894 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $4,499 – $25,244 · median $12,018 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,556 – $10,853 · median $8,169 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,602 – $9,559 · median $5,252 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,869 – $24,924 · median $18,431 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,884 – $16,496 · median $12,001 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,588 – $13,428 · median $8,483 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,220 – $26,317 · median $13,833 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,439 – $16,928 · median $7,996 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $4,262 – $18,101 · median $11,949 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,951 – $11,567 · median $5,213 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $5,433 – $46,021 · median $17,806 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,361 – $37,874 · median $12,664 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,375 – $18,581 · median $14,339 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,682 – $11,391 · median $8,791 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,030 – $8,621 · median $6,565 | 8 plans |
| 311 | ANGINA PECTORIS | $1,683 – $10,759 · median $4,495 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,400 – $13,425 · median $6,411 | 8 plans |
| 313 | CHEST PAIN | $2,010 – $10,992 · median $5,369 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $6,549 – $33,181 · median $17,495 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $3,491 – $14,827 · median $11,273 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,477 – $10,879 · median $8,118 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $15,937 – $67,684 · median $48,295 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,398 – $35,666 · median $26,556 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $18,427 – $78,257 · median $56,580 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $8,809 – $37,412 · median $26,204 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $5,781 – $24,553 · median $17,341 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,659 – $70,752 · median $45,638 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,576 – $36,420 · median $24,637 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,990 – $25,439 · median $16,954 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $12,584 – $53,446 · median $36,591 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $7,711 – $32,747 · median $23,369 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $6,017 – $25,556 · median $17,118 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $13,146 – $55,829 · median $43,086 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,663 – $32,546 · median $22,910 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,569 – $23,653 · median $15,662 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,776 – $49,759 · median $32,040 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,401 – $22,938 · median $17,702 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,518 – $19,188 · median $14,076 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,587 – $36,468 · median $25,534 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,567 – $19,397 · median $13,599 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,196 – $13,573 · median $9,948 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $8,775 – $37,267 · median $27,369 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $5,458 – $23,181 · median $16,682 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,000 – $16,989 · median $11,459 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $10,641 – $45,192 · median $29,264 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $6,172 – $26,211 · median $17,805 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,837 – $20,542 · median $14,222 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $15,476 – $65,726 · median $41,511 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $8,170 – $34,699 · median $22,189 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,916 – $20,879 · median $14,123 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,880 – $25,731 · median $15,708 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,435 – $15,679 · median $9,176 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,286 – $10,755 · median $6,106 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $6,342 – $26,933 · median $18,273 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,734 – $15,859 · median $11,106 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,632 – $11,177 · median $8,510 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $7,660 – $32,532 · median $24,067 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,458 – $18,932 · median $14,431 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,204 – $15,865 · median $10,500 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $5,343 – $28,015 · median $14,273 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,210 – $15,191 · median $8,574 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,310 – $9,810 · median $6,656 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $6,981 – $29,650 · median $20,963 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,951 – $16,781 · median $11,316 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,718 – $11,545 · median $8,082 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,587 – $19,479 · median $14,320 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,293 – $13,399 · median $6,125 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,244 – $25,035 · median $14,008 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,469 – $15,292 · median $9,267 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,432 – $10,328 · median $6,946 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,333 – $22,648 · median $16,344 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,908 – $12,351 · median $8,530 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,985 – $8,431 · median $5,845 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,437 – $19,792 · median $9,181 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,139 – $12,023 · median $5,713 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $6,008 – $25,516 · median $16,586 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,415 – $14,504 · median $10,215 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,309 – $9,806 · median $7,567 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $14,194 – $83,645 · median $37,919 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $10,167 – $43,272 · median $27,159 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,749 – $32,908 · median $22,587 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $12,703 – $108,047 · median $41,644 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $7,606 – $34,167 · median $24,929 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $5,627 – $23,899 · median $17,022 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $9,928 – $45,267 · median $32,539 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,733 – $34,993 · median $25,347 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $6,032 – $25,748 · median $19,769 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $12,712 – $72,776 · median $41,664 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,177 – $30,479 · median $23,522 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,971 – $24,134 · median $16,293 | 8 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $8,622 – $36,617 · median $26,102 | 8 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $6,017 – $25,553 · median $19,720 | 8 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,780 – $20,302 · median $13,352 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $6,758 – $54,383 · median $19,994 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $5,896 – $25,232 · median $15,750 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,404 – $22,641 · median $11,766 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $14,270 – $62,671 · median $38,121 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $6,748 – $35,181 · median $18,027 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,559 – $23,818 · median $12,179 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $5,132 – $30,186 · median $13,709 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,190 – $16,483 · median $8,521 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,145 – $10,732 · median $5,730 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $6,013 – $28,113 · median $16,062 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,091 – $17,376 · median $11,697 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,849 – $12,098 · median $8,972 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $6,025 – $25,634 · median $16,096 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,121 – $13,254 · median $9,149 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,232 – $9,477 · median $6,141 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $5,169 – $29,127 · median $13,809 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,100 – $14,887 · median $8,280 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,180 – $10,827 · median $5,824 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,704 – $25,953 · median $15,237 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,935 – $16,710 · median $11,719 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,893 – $12,285 · median $8,755 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $30,726 – $163,996 · median $100,707 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $20,823 – $102,795 · median $68,247 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $15,666 – $86,189 · median $51,345 | 8 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $18,022 – $94,554 · median $48,144 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $10,390 – $44,125 · median $34,008 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,595 – $83,219 · median $53,151 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,698 – $45,432 · median $32,756 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,299 – $29,693 · median $20,644 | 8 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $16,642 – $78,498 · median $44,457 | 8 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $12,427 – $52,775 · median $36,838 | 8 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $9,517 – $40,420 · median $30,661 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $11,859 – $50,364 · median $36,685 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $6,841 – $35,465 · median $22,420 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,622 – $80,608 · median $57,758 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $10,511 – $48,845 · median $34,451 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $8,589 – $36,477 · median $27,404 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $16,270 – $70,237 · median $53,328 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,827 – $42,490 · median $25,652 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,220 – $22,282 · median $13,830 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,477 – $56,357 · median $40,893 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,484 – $42,097 · median $27,808 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,443 – $27,362 · median $20,208 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $10,670 – $45,315 · median $32,370 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $7,528 – $32,448 · median $24,673 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $5,755 – $24,522 · median $18,864 | 8 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $9,245 – $39,263 · median $28,262 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $11,680 – $49,603 · median $31,713 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $6,846 – $32,679 · median $18,287 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,400 – $24,348 · median $14,426 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,130 – $30,283 · median $22,458 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,493 – $19,081 · median $14,726 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $12,884 – $54,717 · median $37,998 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $8,711 – $36,995 · median $25,444 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $6,675 – $29,050 · median $17,831 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $12,773 – $54,973 · median $41,863 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,158 – $30,400 · median $23,461 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $4,871 – $26,139 · median $15,965 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $9,160 – $38,904 · median $27,641 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,211 – $23,812 · median $13,803 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $11,496 – $48,823 · median $35,290 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $6,475 – $27,499 · median $17,553 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,069 – $21,528 · median $14,086 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $8,723 – $40,779 · median $23,302 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,367 – $27,041 · median $18,402 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $4,313 – $27,041 · median $11,521 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $5,439 – $23,098 · median $17,306 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,032 – $29,864 · median $22,107 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $4,682 – $19,886 · median $14,468 | 8 plans |
| 509 | ARTHROSCOPY | $5,965 – $27,067 · median $15,934 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $7,215 – $44,038 · median $19,275 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $5,433 – $30,218 · median $14,514 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $4,829 – $24,773 · median $12,900 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $5,351 – $23,198 · median $14,296 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,699 – $15,710 · median $11,022 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $11,219 – $62,284 · median $36,772 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $7,298 – $30,996 · median $23,753 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $5,416 – $23,000 · median $17,669 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $13,003 – $55,222 · median $37,727 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $7,154 – $30,383 · median $20,530 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $5,200 – $22,083 · median $14,308 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,532 – $34,181 · median $18,133 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,953 – $16,305 · median $9,679 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,825 – $26,649 · median $15,814 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,942 – $16,457 · median $9,642 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,334 – $14,160 · median $9,317 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,056 – $10,346 · median $5,492 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $6,716 – $31,161 · median $17,941 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,606 – $19,939 · median $12,303 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,012 – $13,480 · median $8,047 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $6,767 – $28,832 · median $22,178 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,849 – $16,346 · median $12,372 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,742 – $11,644 · median $8,986 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $8,113 – $38,934 · median $21,673 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,200 – $17,838 · median $11,466 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,707 – $11,497 · median $8,873 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $6,547 – $31,041 · median $17,490 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,927 – $18,568 · median $10,491 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,128 – $13,283 · median $8,629 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $6,191 – $26,292 · median $18,513 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,497 – $14,850 · median $11,077 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,738 – $31,818 · median $15,530 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,028 – $23,501 · median $9,924 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,710 – $20,748 · median $12,582 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,138 – $12,581 · median $5,711 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $5,054 – $23,878 · median $13,502 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,935 – $13,309 · median $7,841 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,735 – $31,160 · median $22,073 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,131 – $27,832 · median $13,540 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,966 – $21,982 · median $9,722 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,310 – $22,550 · median $17,333 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,243 – $13,772 · median $9,885 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,693 – $25,741 · median $18,659 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,699 – $15,712 · median $12,125 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,714 – $12,874 · median $8,896 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,921 – $46,381 · median $31,352 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,074 – $25,798 · median $18,287 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,145 – $17,602 · median $12,090 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $21,419 – $94,886 · median $57,218 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,276 – $53,387 · median $19,773 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $6,043 – $30,765 · median $16,144 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $11,640 – $83,131 · median $31,191 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $8,834 – $41,028 · median $23,598 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,382 – $26,046 · median $11,705 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $11,825 – $50,221 · median $32,668 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $5,203 – $27,318 · median $13,900 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,509 – $22,175 · median $12,046 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $5,458 – $26,982 · median $14,581 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $5,196 – $25,311 · median $13,881 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,068 – $31,546 · median $18,881 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $5,507 – $30,586 · median $14,711 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $4,984 – $31,683 · median $13,314 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $3,198 – $18,839 · median $8,544 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,027 – $13,077 · median $8,086 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $6,728 – $32,589 · median $17,973 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,281 – $16,658 · median $6,185 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,088 – $27,067 · median $13,591 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,232 – $16,624 · median $8,634 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,704 – $13,172 · median $7,223 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,471 – $14,739 · median $9,772 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,175 – $9,237 · median $6,223 | 8 plans |
| 602 | CELLULITIS WITH MCC | $4,242 – $22,637 · median $11,333 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,194 – $13,571 · median $5,862 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,390 – $22,892 · median $16,717 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,299 – $14,232 · median $6,142 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,251 – $24,812 · median $9,140 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,132 – $13,316 · median $5,695 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $8,268 – $35,115 · median $25,472 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $5,199 – $22,080 · median $17,040 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $14,022 – $59,552 · median $39,486 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,008 – $29,762 · median $22,969 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,517 – $23,284 · median $14,805 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $13,576 – $71,997 · median $44,496 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $6,940 – $29,472 · median $20,537 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,639 – $21,297 · median $11,928 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $10,402 – $44,176 · median $34,093 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $5,476 – $23,255 · median $15,696 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,414 – $19,520 · median $9,119 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $14,315 – $76,650 · median $46,918 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $8,160 – $34,654 · median $23,003 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,084 – $21,591 · median $14,917 | 8 plans |
| 637 | DIABETES WITH MCC | $4,084 – $22,439 · median $10,909 | 8 plans |
| 638 | DIABETES WITH CC | $2,755 – $14,132 · median $7,359 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,905 – $9,655 · median $5,090 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $3,448 – $20,462 · median $9,211 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,133 – $12,040 · median $5,698 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,808 – $19,123 · median $7,665 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $5,595 – $25,536 · median $14,947 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,749 – $15,923 · median $10,660 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,825 – $11,998 · median $8,345 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $20,225 – $85,893 · median $57,391 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,239 – $43,483 · median $30,025 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,536 – $32,007 · median $20,169 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $11,820 – $56,733 · median $38,741 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $6,632 – $28,167 · median $21,738 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $5,457 – $23,211 · median $17,884 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $9,376 – $40,527 · median $30,730 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $4,862 – $20,647 · median $15,221 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,725 – $15,818 · median $11,465 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $9,576 – $48,067 · median $25,582 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $5,541 – $23,534 · median $16,239 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,918 – $16,638 · median $12,116 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $10,055 – $52,905 · median $26,860 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $5,976 – $25,382 · median $17,704 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $2,774 – $15,836 · median $7,412 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $10,580 – $44,934 · median $29,927 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,614 – $23,844 · median $16,156 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,467 – $14,725 · median $9,453 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $5,379 – $26,559 · median $14,370 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,970 – $16,863 · median $10,984 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $15,200 – $64,553 · median $43,566 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,944 – $35,568 · median $21,223 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $5,679 – $24,118 · median $16,096 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $5,449 – $23,141 · median $16,348 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $3,225 – $13,696 · median $9,783 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,204 – $9,359 · median $6,743 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $6,841 – $29,055 · median $19,591 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,819 – $16,220 · median $12,136 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,627 – $13,024 · median $8,611 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,364 – $18,032 · median $8,987 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,019 – $12,366 · median $5,394 | 8 plans |
| 693 | URINARY STONES WITH MCC | $5,043 – $22,656 · median $13,472 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,810 – $12,040 · median $7,507 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,092 – $18,783 · median $13,411 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,340 – $10,659 · median $6,250 | 8 plans |
| 697 | URETHRAL STRICTURE | $2,634 – $15,436 · median $7,036 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,222 – $25,899 · median $13,950 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,700 – $15,715 · median $10,749 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,519 – $10,696 · median $8,255 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $5,513 – $29,901 · median $14,726 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,935 – $22,842 · median $13,182 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $7,583 – $34,623 · median $20,257 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $5,447 – $23,134 · median $15,897 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $6,932 – $29,439 · median $19,948 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,380 – $16,480 · median $9,029 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,630 – $22,280 · median $12,367 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $2,899 – $14,479 · median $7,745 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $6,348 – $34,796 · median $16,959 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $5,038 – $21,869 · median $13,459 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $6,732 – $28,590 · median $19,317 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,887 – $18,981 · median $7,787 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $6,272 – $26,639 · median $19,806 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,074 – $19,173 · median $13,352 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,643 – $13,842 · median $8,664 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,581 – $19,454 · median $12,604 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,374 – $11,470 · median $6,343 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,872 – $22,641 · median $8,399 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,064 – $12,590 · median $5,514 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,495 – $16,963 · median $9,338 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,202 – $9,858 · median $7,217 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,199 – $32,400 · median $19,233 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,404 – $18,704 · median $14,032 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $11,093 – $60,671 · median $29,633 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $6,654 – $30,791 · median $17,776 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,339 – $23,372 · median $11,590 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $7,011 – $61,338 · median $21,295 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $4,528 – $28,016 · median $12,096 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,732 – $21,164 · median $9,970 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $4,261 – $28,146 · median $11,383 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,332 – $18,470 · median $8,902 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $4,762 – $30,107 · median $12,721 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,368 – $15,790 · median $8,999 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,781 – $25,802 · median $12,773 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,465 – $14,718 · median $10,351 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,966 – $20,990 · median $10,596 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $5,401 – $39,885 · median $15,515 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,402 – $19,869 · median $9,089 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,564 – $27,878 · median $20,389 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,027 – $17,104 · median $11,417 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,141 – $15,408 · median $8,392 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,135 – $21,807 · median $14,490 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,229 – $15,705 · median $8,627 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,144 – $9,861 · median $5,728 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,336 – $15,186 · median $8,912 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,828 – $15,408 · median $7,556 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $3,628 – $15,677 · median $11,891 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,448 – $15,408 · median $9,211 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,767 – $15,408 · median $4,721 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $1,930 – $15,408 · median $6,201 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $3,628 – $52,410 · median $16,990 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $3,628 – $36,631 · median $14,194 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $3,628 – $30,841 · median $12,130 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $13,006 – $55,235 · median $35,080 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $5,814 – $27,426 · median $15,531 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,011 – $17,035 · median $12,254 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,818 – $35,289 · median $18,214 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,153 – $19,083 · median $11,094 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,068 – $14,665 · median $8,196 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,705 – $21,678 · median $9,896 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,572 – $14,220 · median $6,872 | 8 plans |
| 813 | COAGULATION DISORDERS | $3,969 – $23,852 · median $10,603 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $6,057 – $32,210 · median $16,180 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,686 – $15,656 · median $10,381 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,392 – $10,160 · median $7,336 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $9,197 – $39,061 · median $28,850 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,673 – $19,846 · median $15,085 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,962 – $12,581 · median $9,432 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $21,123 – $89,710 · median $56,462 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $8,099 – $34,397 · median $25,162 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,149 – $21,208 · median $13,600 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $16,977 – $73,988 · median $55,644 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,979 – $33,888 · median $21,654 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,465 – $18,964 · median $13,133 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $17,326 – $92,811 · median $56,785 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $8,562 – $36,361 · median $27,892 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,667 – $24,697 · median $15,139 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $10,504 – $47,515 · median $28,060 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,710 – $22,534 · median $12,582 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,176 – $17,735 · median $12,380 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,712 – $11,516 · median $8,342 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,886 – $8,009 · median $5,686 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $20,053 – $85,165 · median $63,786 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $7,749 – $46,981 · median $25,398 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $4,095 – $19,579 · median $10,940 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $18,166 – $89,109 · median $59,541 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $7,358 – $31,251 · median $21,471 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,479 – $21,115 · median $9,294 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $10,401 – $49,136 · median $27,784 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,689 – $24,160 · median $16,061 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,816 – $16,208 · median $11,394 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $6,869 – $29,172 · median $20,727 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,099 – $18,416 · median $10,951 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,036 – $12,893 · median $8,855 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $9,265 – $39,349 · median $26,624 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,610 – $19,579 · median $12,682 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,971 – $12,618 · median $9,738 | 8 plans |
| 849 | RADIOTHERAPY | $4,178 – $41,156 · median $12,368 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $18,145 – $77,060 · median $58,364 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $7,249 – $52,670 · median $23,759 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,898 – $44,649 · median $19,330 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $16,368 – $69,515 · median $48,078 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,300 – $33,572 · median $19,500 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,674 – $19,852 · median $14,200 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $6,352 – $28,331 · median $16,969 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,085 – $15,406 · median $8,240 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,131 – $13,836 · median $5,691 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,329 – $22,741 · median $8,939 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,673 – $13,633 · median $4,854 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,780 – $33,039 · median $21,878 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,519 – $16,180 · median $9,400 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,980 – $11,088 · median $5,288 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $25,238 – $107,186 · median $82,439 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $6,392 – $30,232 · median $17,074 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,305 – $15,886 · median $8,829 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $11,577 – $60,547 · median $30,927 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,316 – $14,770 · median $6,186 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $2,100 – $14,084 · median $5,610 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,333 – $14,823 · median $6,233 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $4,026 – $28,565 · median $10,756 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $3,229 – $25,734 · median $8,935 | 8 plans |
| 885 | PSYCHOSES | $3,291 – $21,719 · median $8,793 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,824 – $27,680 · median $8,083 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $4,315 – $18,326 · median $12,154 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,037 – $9,616 · median $3,231 | 8 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,552 – $22,309 · median $9,966 | 8 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,632 – $27,439 · median $12,375 | 8 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,331 – $13,593 · median $6,226 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $13,411 – $68,265 · median $35,826 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $6,884 – $29,238 · median $22,182 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,423 – $18,784 · median $13,427 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $10,067 – $59,492 · median $26,894 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $5,303 – $25,395 · median $14,168 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,615 – $33,628 · median $20,344 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $12,741 – $61,381 · median $34,035 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,318 – $31,079 · median $23,501 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,601 – $19,542 · median $13,255 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,781 – $24,935 · median $12,771 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,341 – $14,120 · median $6,253 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,720 – $26,778 · median $9,012 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,473 – $10,232 · median $4,007 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,790 – $25,265 · median $12,797 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,759 – $13,630 · median $4,870 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,896 – $28,098 · median $15,751 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,452 – $15,653 · median $9,221 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,364 – $10,596 · median $6,315 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,982 – $26,030 · median $10,637 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,133 – $15,715 · median $5,699 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $40,959 – $365,521 · median $123,758 | 8 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $18,836 – $102,908 · median $50,317 | 8 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $3,848 – $19,458 · median $13,602 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,848 – $20,772 · median $12,684 | 8 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $6,917 – $33,062 · median $12,618 | 8 plans |
| 935 | NON-EXTENSIVE BURNS | $2,874 – $33,842 · median $10,617 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $10,186 – $48,905 · median $27,210 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,484 – $32,532 · median $19,992 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,574 – $30,112 · median $12,333 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,025 – $19,818 · median $8,082 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,132 – $12,242 · median $5,696 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,938 – $16,625 · median $7,847 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,126 – $9,031 · median $6,422 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,057 – $8,736 · median $6,260 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $26,275 – $105,210 · median $74,448 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $14,709 – $112,960 · median $45,452 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,722 – $115,008 · median $78,551 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,815 – $63,324 · median $47,925 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,174 – $40,737 · median $31,439 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $10,454 – $48,410 · median $32,304 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,772 – $23,114 · median $17,838 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,512 – $17,250 · median $10,852 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $24,156 – $97,445 · median $64,529 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $10,210 – $48,877 · median $31,550 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $10,115 – $46,011 · median $27,022 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,306 – $21,901 · median $14,174 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,860 – $15,454 · median $10,559 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,079 – $22,217 · median $10,897 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,247 – $73,248 · median $49,567 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,449 – $37,723 · median $22,571 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,162 – $25,704 · median $13,791 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $11,584 – $53,970 · median $30,944 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $6,226 – $26,440 · median $17,127 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,192 – $17,804 · median $11,792 | 8 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $119,153 – $434,017 · median $302,676 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $71,787 – $302,676 · median $141,636 | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $11,133 – $47,281 · median $36,430 | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $39,523 – $167,853 · median $127,600 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $25,639 – $108,888 · median $83,353 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $22,473 – $95,443 · median $73,572 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $16,877 – $71,676 · median $56,657 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $18,152 – $77,091 · median $54,681 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $11,626 – $49,373 · median $37,918 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $22,444 – $95,320 · median $73,290 | 7 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $10,328 – $43,863 · median $34,057 | 7 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $6,564 – $27,876 · median $21,602 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $15,453 – $65,629 · median $49,047 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,592 – $49,230 · median $35,169 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $10,384 – $44,099 · median $31,327 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $8,989 – $38,178 · median $27,080 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $5,490 – $23,315 · median $17,928 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,077 – $17,316 · median $13,187 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $14,193 – $60,279 · median $46,348 | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,005 – $161,405 · median $124,102 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $25,769 – $109,438 · median $84,146 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $19,969 – $84,807 · median $65,207 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $30,260 – $128,512 · median $98,811 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $19,847 – $84,289 · median $64,809 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $24,325 – $103,306 · median $79,431 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $14,815 – $62,919 · median $48,377 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $18,685 – $79,353 · median $61,013 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $11,196 – $47,549 · median $36,560 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $10,575 – $44,910 · median $36,292 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $7,648 – $32,482 · median $25,934 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $21,212 – $70,989 · median $53,467 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,360 – $53,504 · median $43,758 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $14,407 – $47,324 · median $36,316 | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $33,421 – $141,937 · median $109,133 | 7 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $28,760 – $122,144 · median $69,538 | 6 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $48,981 – $164,086 · median $116,387 | 5 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $22,390 – $74,716 · median $52,997 | 5 plans |
| 007 | LUNG TRANSPLANT | $43,207 – $201,364 · median $142,829 | 5 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $24,218 – $83,836 · median $59,466 | 5 plans |
| 010 | PANCREAS TRANSPLANT | $19,530 – $122,848 · median $87,137 | 5 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $49,894 – $201,873 · median $143,190 | 5 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $28,343 – $93,001 · median $65,966 | 5 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $20,166 – $93,001 · median $65,966 | 5 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,669 – $12,244 · median $4,460 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $14,982 – $42,282 · median $39,071 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $10,573 – $29,839 · median $27,113 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,695 – $16,638 · median $4,529 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,927 – $28,326 · median $7,820 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $745 – $10,026 · median $1,991 | 4 plans |
| 795 | NORMAL NEWBORN | $546 – $1,540 · median $1,258 | 4 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC | $43,634 – $43,634 · median $43,634 | 1 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC | $31,389 – $31,389 · median $31,389 | 1 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC | $38,675 – $38,675 · median $38,675 | 1 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC | $29,538 – $29,538 · median $29,538 | 1 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC | $34,970 – $34,970 · median $34,970 | 1 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC | $27,343 – $27,343 · median $27,343 | 1 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $16,591 – $16,591 · median $16,591 | 1 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC | $10,639 – $10,639 · median $10,639 | 1 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $16,192 – $16,192 · median $16,192 | 1 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC | $10,022 – $10,022 · median $10,022 | 1 plans |
| 338 | Appendectomy With Complicated Principal Diagnosis With MCC | $17,723 – $17,723 · median $17,723 | 1 plans |
| 339 | Appendectomy With Complicated Principal Diagnosis With CC | $10,451 – $10,451 · median $10,451 | 1 plans |
| 340 | Appendectomy With Complicated Principal Diagnosis Without CC/MCC | $7,536 – $7,536 · median $7,536 | 1 plans |
| 341 | Appendectomy Without Complicated Principal Diagnosis With MCC | $15,579 – $15,579 · median $15,579 | 1 plans |
| 342 | Appendectomy Without Complicated Principal Diagnosis With CC | $9,807 – $9,807 · median $9,807 | 1 plans |
| 343 | Appendectomy Without Complicated Principal Diagnosis Without CC/MCC | $7,013 – $7,013 · median $7,013 | 1 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With MCC | $62,227 – $62,227 · median $62,227 | 1 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With CC | $40,517 – $40,517 · median $40,517 | 1 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without CC/MCC | $29,313 – $29,313 · median $29,313 | 1 plans |
| 459 | Spinal Fusion Except Cervical With MCC | $45,326 – $45,326 · median $45,326 | 1 plans |
| 460 | Spinal Fusion Except Cervical Without MCC | $24,119 – $24,119 · median $24,119 | 1 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,856 – $8,856 · median $8,856 | 1 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,007 – $6,007 · median $6,007 | 1 plans |
No procedures match that keyword.