University Health System, Inc — Pricing
822 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 822 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 822 procedures
Procedures with negotiated rates only
These 822 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $65,111 – $298,393 · median $132,715 | 41 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $29,296 – $123,201 · median $59,201 | 41 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $23,211 – $82,608 · median $39,613 | 41 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $20,999 – $67,171 · median $36,494 | 41 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $23,662 – $127,508 · median $47,914 | 41 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $18,990 – $66,864 · median $32,490 | 41 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,934 – $55,502 · median $28,440 | 41 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $24,369 – $93,359 · median $30,568 | 41 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $15,425 – $59,174 · median $19,236 | 41 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $23,918 – $100,527 · median $51,485 | 41 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $17,987 – $72,061 · median $37,471 | 41 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $20,543 – $90,782 · median $47,490 | 41 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,926 – $61,414 · median $32,635 | 41 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $18,860 – $75,077 · median $36,094 | 41 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $12,609 – $47,947 · median $25,224 | 41 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $17,162 – $81,965 · median $30,897 | 41 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $9,852 – $35,140 · median $17,864 | 41 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,458 – $29,027 · median $9,350 | 41 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $13,689 – $58,825 · median $20,807 | 41 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $9,638 – $48,060 · median $13,950 | 41 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,904 – $31,758 · median $11,176 | 41 plans |
| 245 | AICD GENERATOR PROCEDURES | $16,285 – $53,346 · median $29,976 | 41 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $4,862 – $26,396 · median $13,447 | 41 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,341 – $14,771 · median $6,748 | 41 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $40,883 – $184,978 · median $87,500 | 40 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $20,300 – $90,388 · median $35,329 | 40 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $14,154 – $64,178 · median $23,542 | 40 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,743 – $38,590 · median $15,210 | 40 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $7,956 – $34,086 · median $14,300 | 40 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $4,642 – $21,980 · median $8,569 | 40 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,490 – $17,110 · median $6,552 | 40 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,225 – $12,137 · median $4,748 | 40 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $9,258 – $56,149 · median $14,321 | 40 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $6,143 – $30,093 · median $9,676 | 40 plans |
| 263 | VEIN LIGATION AND STRIPPING | $8,633 – $31,317 · median $16,296 | 40 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $14,598 – $66,533 · median $27,177 | 40 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,381 – $30,867 · median $11,695 | 40 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,609 – $19,811 · median $7,514 | 40 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $10,958 – $54,315 · median $23,572 | 40 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $5,401 – $24,053 · median $10,110 | 40 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,444 – $26,482 · median $13,388 | 40 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $13,868 – $64,342 · median $24,553 | 40 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,483 – $33,637 · median $12,432 | 40 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,198 – $21,955 · median $7,817 | 40 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,961 – $27,107 · median $10,559 | 40 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,603 – $9,433 · median $4,015 | 40 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $5,179 – $23,770 · median $10,058 | 40 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,915 – $11,592 · median $5,349 | 40 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $6,418 – $29,762 · median $11,239 | 40 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,692 – $16,884 · median $6,261 | 40 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,573 – $11,762 · median $4,238 | 40 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,334 – $26,757 · median $10,264 | 40 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,322 – $13,718 · median $6,167 | 40 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $62,574 – $292,186 · median $143,439 | 40 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $21,070 – $99,253 · median $40,969 | 40 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $8,804 – $41,676 · median $19,323 | 40 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $12,028 – $48,477 · median $26,542 | 40 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $6,440 – $28,249 · median $13,225 | 40 plans |
| 935 | NON-EXTENSIVE BURNS | $4,445 – $25,587 · median $13,280 | 40 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $15,909 – $72,609 · median $27,433 | 39 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $11,072 – $50,628 · median $18,762 | 39 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,325 – $14,312 · median $5,865 | 39 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $7,565 – $34,402 · median $13,900 | 39 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,368 – $19,255 · median $8,045 | 39 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,074 – $13,381 · median $5,423 | 39 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,584 – $24,882 · median $9,644 | 39 plans |
| 265 | AICD LEAD PROCEDURES | $8,701 – $39,176 · median $21,673 | 39 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,097 – $22,918 · median $9,927 | 39 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,548 – $12,365 · median $5,568 | 39 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $30,632 – $100,306 · median $42,284 | 39 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $18,981 – $136,261 · median $23,670 | 39 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $37,065 – $110,698 · median $46,222 | 39 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $20,408 – $68,789 · median $25,450 | 39 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,129 – $46,002 · median $16,372 | 39 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,490 – $58,395 · median $16,823 | 39 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,258 – $27,229 · median $9,289 | 39 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,532 – $20,808 · median $5,651 | 39 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $94,015 – $308,625 · median $172,787 | 38 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $54,720 – $221,670 · median $68,240 | 38 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $24,112 – $75,984 · median $40,900 | 38 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $18,254 – $56,056 · median $31,486 | 38 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $12,376 – $47,495 · median $21,329 | 38 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $18,075 – $75,583 · median $37,285 | 38 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $12,058 – $42,404 · median $17,567 | 38 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $11,515 – $44,430 · median $16,725 | 38 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $6,781 – $23,424 · median $9,889 | 38 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $5,847 – $20,038 · median $9,052 | 38 plans |
| 652 | KIDNEY TRANSPLANT | $12,264 – $76,000 · median $19,020 | 38 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $18,701 – $125,000 · median $33,376 | 37 plans |
| 010 | PANCREAS TRANSPLANT | $16,152 – $110,000 · median $46,578 | 37 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $18,173 – $63,515 · median $33,099 | 37 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $13,017 – $44,394 · median $25,172 | 37 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $8,899 – $31,363 · median $16,255 | 37 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $36,940 – $108,089 · median $49,447 | 37 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $27,447 – $81,822 · median $34,228 | 37 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,531 – $65,732 · median $21,862 | 37 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $15,847 – $71,789 · median $36,582 | 37 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $12,094 – $38,002 · median $20,590 | 37 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $7,881 – $25,706 · median $13,651 | 37 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $15,051 – $85,459 · median $25,950 | 37 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $7,860 – $37,049 · median $13,225 | 37 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $6,277 – $27,288 · median $9,880 | 37 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $13,014 – $44,494 · median $23,670 | 37 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $8,230 – $27,277 · median $13,954 | 37 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $6,515 – $21,037 · median $11,244 | 37 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $11,556 – $39,208 · median $20,371 | 37 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $5,792 – $20,089 · median $9,884 | 37 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,114 – $13,099 · median $6,982 | 37 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $14,067 – $54,402 · median $23,359 | 37 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $8,612 – $27,679 · median $13,852 | 37 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,058 – $22,171 · median $10,781 | 37 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $5,575 – $23,478 · median $12,345 | 37 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,448 – $10,905 · median $5,652 | 37 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $4,858 – $19,523 · median $9,196 | 37 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,692 – $17,260 · median $6,756 | 37 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,470 – $26,537 · median $14,629 | 37 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,081 – $15,111 · median $8,107 | 37 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,502 – $19,351 · median $11,215 | 37 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $3,962 – $13,160 · median $7,434 | 37 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,121 – $9,948 · median $5,474 | 37 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $10,336 – $36,614 · median $16,583 | 37 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $7,138 – $24,795 · median $11,028 | 37 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,973 – $21,848 · median $8,699 | 37 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,533 – $23,586 · median $12,202 | 37 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,809 – $14,599 · median $6,238 | 37 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,758 – $10,303 · median $4,222 | 37 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,221 – $20,919 · median $9,009 | 37 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,310 – $11,314 · median $5,407 | 37 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,779 – $9,339 · median $4,908 | 37 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $4,797 – $22,919 · median $10,564 | 37 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $3,656 – $13,446 · median $6,465 | 37 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,808 – $9,199 · median $4,602 | 37 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,186 – $16,772 · median $9,481 | 37 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,309 – $11,375 · median $6,333 | 37 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,728 – $21,859 · median $10,364 | 37 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,338 – $11,124 · median $5,517 | 37 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $4,306 – $24,483 · median $11,613 | 37 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,432 – $10,082 · median $5,497 | 37 plans |
| 088 | CONCUSSION WITH MCC | $5,188 – $20,563 · median $8,653 | 37 plans |
| 089 | CONCUSSION WITH CC | $3,719 – $12,747 · median $6,576 | 37 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,650 – $10,362 · median $5,209 | 37 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,689 – $20,641 · median $11,182 | 37 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $3,461 – $11,754 · median $6,494 | 37 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,693 – $10,543 · median $4,842 | 37 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $12,609 – $47,786 · median $22,381 | 37 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $8,687 – $30,205 · median $14,705 | 37 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,465 – $24,239 · median $14,565 | 37 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $11,372 – $40,853 · median $21,779 | 37 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $6,922 – $23,883 · median $13,180 | 37 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,591 – $15,634 · median $8,384 | 37 plans |
| 100 | SEIZURES WITH MCC | $4,965 – $21,976 · median $11,946 | 37 plans |
| 101 | SEIZURES WITHOUT MCC | $2,679 – $10,083 · median $5,600 | 37 plans |
| 102 | HEADACHES WITH MCC | $3,911 – $13,375 · median $7,112 | 37 plans |
| 103 | HEADACHES WITHOUT MCC | $2,551 – $9,338 · median $5,166 | 37 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $7,234 – $27,793 · median $13,710 | 37 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,733 – $13,655 · median $7,251 | 37 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,522 – $17,341 · median $9,391 | 37 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $5,542 – $43,462 · median $10,333 | 37 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,695 – $13,284 · median $6,616 | 37 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,458 – $14,202 · median $6,999 | 37 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,948 – $8,253 · median $4,121 | 37 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,716 – $9,070 · median $4,927 | 37 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $3,986 – $14,875 · median $7,922 | 37 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,350 – $8,840 · median $5,017 | 37 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $5,918 – $29,399 · median $14,508 | 37 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,401 – $12,856 · median $6,000 | 37 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,038 – $17,315 · median $8,579 | 37 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,198 – $14,800 · median $5,038 | 37 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,123 – $13,166 · median $8,422 | 37 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $7,103 – $36,494 · median $14,206 | 37 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $4,620 – $15,594 · median $7,636 | 37 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,008 – $9,862 · median $4,912 | 37 plans |
| 149 | DYSEQUILIBRIUM | $2,244 – $8,255 · median $4,542 | 37 plans |
| 150 | EPISTAXIS WITH MCC | $4,887 – $16,656 · median $8,479 | 37 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,246 – $8,543 · median $4,605 | 37 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,883 – $13,171 · median $6,961 | 37 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,694 – $8,145 · median $4,282 | 37 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $5,367 – $18,095 · median $9,976 | 37 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $3,316 – $11,421 · median $5,727 | 37 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,459 – $7,871 · median $4,125 | 37 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,718 – $20,455 · median $10,045 | 37 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,282 – $11,403 · median $5,770 | 37 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,487 – $8,424 · median $4,046 | 37 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $18,258 – $64,714 · median $28,273 | 37 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,523 – $33,086 · median $15,439 | 37 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $6,837 – $22,695 · median $11,434 | 37 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,104 – $47,441 · median $23,618 | 37 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $6,833 – $26,154 · median $11,208 | 37 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,767 – $17,478 · median $8,305 | 37 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,423 – $20,608 · median $8,644 | 37 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,307 – $13,328 · median $4,996 | 37 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,837 – $26,253 · median $9,916 | 37 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,785 – $18,626 · median $6,086 | 37 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,436 – $12,743 · median $4,721 | 37 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $6,241 – $22,122 · median $10,721 | 37 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,271 – $15,555 · median $6,811 | 37 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,121 – $12,546 · median $5,186 | 37 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,904 – $14,139 · median $6,159 | 37 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,953 – $9,787 · median $4,504 | 37 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,506 – $16,136 · median $7,590 | 37 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,258 – $14,852 · median $6,889 | 37 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,321 – $12,239 · median $5,270 | 37 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,471 – $9,001 · median $3,970 | 37 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,073 – $19,001 · median $8,083 | 37 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,133 – $12,744 · median $5,030 | 37 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,200 – $8,945 · median $3,820 | 37 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,898 – $21,064 · median $11,557 | 37 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,860 – $13,910 · median $6,073 | 37 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,890 – $10,290 · median $4,337 | 37 plans |
| 199 | PNEUMOTHORAX WITH MCC | $6,256 – $23,065 · median $10,829 | 37 plans |
| 200 | PNEUMOTHORAX WITH CC | $3,830 – $12,574 · median $6,794 | 37 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,808 – $9,052 · median $4,153 | 37 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,536 – $10,829 · median $5,817 | 37 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,717 – $7,796 · median $4,192 | 37 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $2,405 – $9,122 · median $4,927 | 37 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,987 – $20,067 · median $11,359 | 37 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,147 – $10,126 · median $5,556 | 37 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $20,262 – $76,575 · median $39,670 | 37 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $8,747 – $30,082 · median $16,463 | 37 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $47,606 – $174,946 · median $65,608 | 37 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $11,945 – $51,782 · median $21,243 | 37 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $9,365 – $31,056 · median $15,809 | 37 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $6,697 – $21,096 · median $10,833 | 37 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $9,292 – $53,989 · median $16,203 | 37 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $6,440 – $33,129 · median $10,488 | 37 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,159 – $24,102 · median $5,523 | 37 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $9,028 – $37,771 · median $17,209 | 37 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,710 – $23,794 · median $10,885 | 37 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $13,253 – $65,501 · median $21,093 | 37 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,160 – $42,647 · median $11,751 | 37 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,099 – $34,921 · median $9,399 | 37 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $11,887 – $36,636 · median $21,439 | 37 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $6,124 – $23,002 · median $10,164 | 37 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $3,638 – $17,434 · median $5,708 | 37 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $2,803 – $16,856 · median $4,490 | 37 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $6,492 – $21,853 · median $11,995 | 37 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $2,908 – $10,678 · median $4,545 | 37 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $2,044 – $7,137 · median $3,444 | 37 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $10,005 – $36,423 · median $16,755 | 37 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,260 – $23,519 · median $9,672 | 37 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,029 – $14,162 · median $6,005 | 37 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,413 – $19,080 · median $8,004 | 37 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,472 – $12,983 · median $5,283 | 37 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,489 – $8,588 · median $3,366 | 37 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $4,897 – $17,771 · median $9,954 | 37 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $2,427 – $8,546 · median $4,321 | 37 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $1,792 – $8,447 · median $2,735 | 37 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,213 – $18,978 · median $9,922 | 37 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,762 – $12,326 · median $6,567 | 37 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,679 – $11,865 · median $4,418 | 37 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,963 – $23,254 · median $7,204 | 37 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,449 – $14,957 · median $4,164 | 37 plans |
| 304 | HYPERTENSION WITH MCC | $3,873 – $12,737 · median $7,206 | 37 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,124 – $8,353 · median $4,561 | 37 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $5,032 – $40,664 · median $9,273 | 37 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,391 – $16,281 · median $7,446 | 37 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,852 – $10,366 · median $4,535 | 37 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,078 – $7,129 · median $3,432 | 37 plans |
| 311 | ANGINA PECTORIS | $1,831 – $7,738 · median $4,202 | 37 plans |
| 312 | SYNCOPE AND COLLAPSE | $2,612 – $9,572 · median $5,294 | 37 plans |
| 313 | CHEST PAIN | $2,188 – $8,021 · median $4,334 | 37 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $7,128 – $23,371 · median $13,084 | 37 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $3,568 – $12,218 · median $5,903 | 37 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,734 – $9,613 · median $4,228 | 37 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $16,801 – $72,205 · median $31,155 | 37 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $7,818 – $34,918 · median $14,894 | 37 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $5,558 – $17,706 · median $9,775 | 37 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,151 – $67,644 · median $28,167 | 37 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,121 – $32,936 · median $14,499 | 37 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,191 – $20,661 · median $10,127 | 37 plans |
| 332 | RECTAL RESECTION WITH MCC | $14,118 – $61,893 · median $21,277 | 37 plans |
| 333 | RECTAL RESECTION WITH CC | $7,361 – $31,471 · median $13,037 | 37 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $4,791 – $20,387 · median $10,174 | 37 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $15,124 – $54,501 · median $22,226 | 37 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $8,644 – $29,734 · median $12,957 | 37 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,978 – $19,011 · median $9,416 | 37 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,170 – $43,966 · median $16,686 | 37 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,768 – $21,592 · median $9,132 | 37 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,066 – $14,846 · median $7,639 | 37 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $9,715 – $32,198 · median $14,518 | 37 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,218 – $17,835 · median $7,722 | 37 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,749 – $10,817 · median $5,404 | 37 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $9,091 – $32,042 · median $14,837 | 37 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $5,502 – $17,589 · median $9,229 | 37 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,833 – $12,293 · median $6,763 | 37 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $11,120 – $36,142 · median $17,991 | 37 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $6,368 – $19,945 · median $10,435 | 37 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,879 – $15,104 · median $8,178 | 37 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $14,061 – $50,373 · median $26,166 | 37 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $7,758 – $27,759 · median $13,814 | 37 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,203 – $16,604 · median $8,312 | 37 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $6,400 – $23,549 · median $10,244 | 37 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,739 – $13,833 · median $6,242 | 37 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,488 – $9,494 · median $4,282 | 37 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $6,371 – $25,885 · median $10,722 | 37 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $3,912 – $16,285 · median $6,314 | 37 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,816 – $10,725 · median $4,450 | 37 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $7,394 – $26,632 · median $12,952 | 37 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,561 – $16,335 · median $7,537 | 37 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,473 – $14,018 · median $5,468 | 37 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $5,816 – $22,423 · median $11,047 | 37 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,494 – $13,014 · median $6,048 | 37 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,381 – $8,983 · median $3,906 | 37 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $7,007 – $23,967 · median $11,804 | 37 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,983 – $14,378 · median $6,681 | 37 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,967 – $10,198 · median $4,596 | 37 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,968 – $15,901 · median $7,755 | 37 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,496 – $10,772 · median $5,283 | 37 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,708 – $23,548 · median $9,967 | 37 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $3,554 – $13,472 · median $6,088 | 37 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,715 – $9,848 · median $4,112 | 37 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,630 – $21,105 · median $9,016 | 37 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,153 – $11,879 · median $4,917 | 37 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,204 – $8,134 · median $3,357 | 37 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $3,741 – $15,055 · median $7,804 | 37 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,328 – $9,204 · median $4,741 | 37 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $6,062 – $21,292 · median $10,158 | 37 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,484 – $12,582 · median $5,774 | 37 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,492 – $8,444 · median $3,904 | 37 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $15,451 – $72,667 · median $32,983 | 37 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $10,329 – $33,783 · median $17,227 | 37 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,457 – $23,844 · median $13,101 | 37 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $14,581 – $95,470 · median $21,682 | 37 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $8,610 – $30,190 · median $12,983 | 37 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,385 – $19,376 · median $9,515 | 37 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $12,185 – $45,533 · median $16,945 | 37 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $8,771 – $30,920 · median $13,200 | 37 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $6,231 – $22,751 · median $10,295 | 37 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $13,103 – $64,304 · median $21,697 | 37 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,466 – $26,540 · median $12,138 | 37 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $5,181 – $21,325 · median $8,485 | 37 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $8,834 – $32,184 · median $14,578 | 37 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $6,156 – $21,626 · median $10,173 | 37 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,822 – $15,017 · median $8,082 | 37 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $7,356 – $48,441 · median $21,238 | 37 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,417 – $24,255 · median $10,045 | 37 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,794 – $15,666 · median $8,928 | 37 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $13,990 – $53,378 · median $24,950 | 37 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,345 – $31,030 · median $13,873 | 37 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,962 – $21,640 · median $9,392 | 37 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $5,586 – $21,275 · median $11,903 | 37 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $3,472 – $11,979 · median $6,500 | 37 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,321 – $7,734 · median $4,247 | 37 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $6,170 – $22,817 · median $11,192 | 37 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,195 – $15,209 · median $6,917 | 37 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,359 – $11,833 · median $4,816 | 37 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $6,130 – $22,602 · median $10,205 | 37 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,229 – $12,539 · median $5,277 | 37 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,357 – $8,608 · median $3,773 | 37 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $5,626 – $23,990 · median $11,485 | 37 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $3,374 – $12,198 · median $5,927 | 37 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,373 – $8,317 · median $4,310 | 37 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $5,910 – $20,444 · median $10,332 | 37 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,909 – $13,573 · median $6,652 | 37 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,924 – $9,180 · median $4,891 | 37 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $42,055 – $144,906 · median $52,446 | 37 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $28,500 – $90,829 · median $35,541 | 37 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $19,823 – $76,157 · median $26,739 | 37 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $18,535 – $64,114 · median $33,130 | 37 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,506 – $37,699 · median $18,087 | 37 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,951 – $26,236 · median $10,751 | 37 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $18,114 – $63,318 · median $31,251 | 37 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $12,848 – $41,232 · median $21,010 | 37 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $10,407 – $32,668 · median $16,092 | 37 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $11,826 – $43,750 · median $20,050 | 37 plans |
| 470 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $7,589 – $31,337 · median $11,676 | 37 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $18,171 – $71,225 · median $30,079 | 37 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $10,541 – $43,159 · median $17,941 | 37 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $8,466 – $28,624 · median $14,522 | 37 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $14,271 – $62,061 · median $27,772 | 37 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,952 – $37,544 · median $13,359 | 37 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,315 – $19,688 · median $7,203 | 37 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,945 – $49,797 · median $21,296 | 37 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,270 – $37,197 · median $14,482 | 37 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,527 – $21,389 · median $10,893 | 37 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $11,157 – $38,842 · median $18,040 | 37 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $7,574 – $28,671 · median $12,849 | 37 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $6,167 – $21,668 · median $9,824 | 37 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $8,965 – $30,523 · median $15,631 | 37 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $12,019 – $39,946 · median $19,747 | 37 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $7,451 – $26,238 · median $13,010 | 37 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,878 – $18,972 · median $9,693 | 37 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,376 – $23,352 · median $12,056 | 37 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,757 – $16,344 · median $7,596 | 37 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $12,194 – $38,767 · median $21,783 | 37 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $8,141 – $26,623 · median $14,728 | 37 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $6,488 – $20,720 · median $11,565 | 37 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $11,128 – $48,574 · median $21,801 | 37 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,295 – $25,623 · median $12,103 | 37 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,126 – $23,097 · median $8,314 | 37 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $8,974 – $28,943 · median $15,488 | 37 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,588 – $21,040 · median $7,188 | 37 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $10,932 – $40,290 · median $19,437 | 37 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $6,241 – $19,962 · median $10,948 | 37 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,669 – $15,327 · median $8,571 | 37 plans |
| 503 | FOOT PROCEDURES WITH MCC | $9,190 – $29,729 · median $16,234 | 37 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,369 – $19,648 · median $10,765 | 37 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $4,694 – $18,908 · median $10,560 | 37 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $5,096 – $18,032 · median $9,196 | 37 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $6,935 – $23,808 · median $11,889 | 37 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,665 – $15,896 · median $7,917 | 37 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $7,854 – $30,158 · median $17,365 | 37 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $5,914 – $22,101 · median $11,916 | 37 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $5,256 – $17,889 · median $9,768 | 37 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $5,825 – $17,969 · median $9,235 | 37 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,765 – $11,545 · median $6,254 | 37 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $10,786 – $55,034 · median $19,150 | 37 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $6,953 – $25,247 · median $12,340 | 37 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $5,305 – $19,774 · median $9,156 | 37 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,312 – $30,202 · median $9,443 | 37 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,811 – $14,407 · median $5,041 | 37 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,643 – $23,547 · median $8,235 | 37 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,787 – $14,541 · median $5,022 | 37 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $3,576 – $10,719 · median $5,637 | 37 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $2,238 – $7,970 · median $4,080 | 37 plans |
| 539 | OSTEOMYELITIS WITH MCC | $6,963 – $25,299 · median $12,406 | 37 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,771 – $16,999 · median $7,938 | 37 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,279 – $11,194 · median $5,367 | 37 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $6,688 – $25,955 · median $11,550 | 37 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $3,989 – $14,896 · median $6,508 | 37 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,866 – $10,248 · median $4,680 | 37 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $8,731 – $31,444 · median $15,500 | 37 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,163 – $15,062 · median $7,101 | 37 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,012 – $10,125 · median $4,621 | 37 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $7,126 – $23,975 · median $12,358 | 37 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,275 – $15,762 · median $7,392 | 37 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,327 – $10,459 · median $5,288 | 37 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,738 – $21,293 · median $10,467 | 37 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,302 – $11,496 · median $5,912 | 37 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,762 – $28,114 · median $8,087 | 37 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,777 – $20,766 · median $5,168 | 37 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,699 – $15,508 · median $8,260 | 37 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,327 – $9,138 · median $4,961 | 37 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $5,332 – $19,498 · median $9,506 | 37 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $3,165 – $11,414 · median $5,299 | 37 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,211 – $27,533 · median $11,495 | 37 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,980 – $24,592 · median $7,051 | 37 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,812 – $19,424 · median $5,063 | 37 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $5,105 – $18,472 · median $8,977 | 37 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $3,042 – $9,928 · median $5,483 | 37 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,405 – $22,745 · median $9,717 | 37 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,520 – $13,148 · median $6,255 | 37 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,870 – $11,375 · median $4,633 | 37 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $15,012 – $68,928 · median $37,775 | 37 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,920 – $37,753 · median $20,242 | 37 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $6,435 – $22,680 · median $12,131 | 37 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,670 – $62,997 · median $31,519 | 37 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,023 – $29,365 · median $16,334 | 37 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,770 – $17,852 · median $10,172 | 37 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $9,829 – $37,048 · median $19,993 | 37 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $5,664 – $19,361 · median $10,772 | 37 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,522 – $14,928 · median $8,828 | 37 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $5,475 – $19,302 · median $10,742 | 37 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $5,006 – $16,870 · median $10,076 | 37 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $6,856 – $21,711 · median $12,559 | 37 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $5,882 – $18,667 · median $12,061 | 37 plans |
| 592 | SKIN ULCERS WITH MCC | $5,425 – $23,169 · median $12,428 | 37 plans |
| 593 | SKIN ULCERS WITH CC | $3,481 – $13,412 · median $7,429 | 37 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,802 – $8,874 · median $5,206 | 37 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,323 – $24,960 · median $12,974 | 37 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,483 – $11,344 · median $6,505 | 37 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,538 – $21,088 · median $10,673 | 37 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,518 – $14,783 · median $6,555 | 37 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,943 – $8,641 · median $5,244 | 37 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,535 – $12,442 · median $5,868 | 37 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,324 – $7,736 · median $3,677 | 37 plans |
| 602 | CELLULITIS WITH MCC | $4,618 – $18,555 · median $8,926 | 37 plans |
| 603 | CELLULITIS WITHOUT MCC | $2,389 – $10,734 · median $5,351 | 37 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,538 – $17,579 · median $9,690 | 37 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,321 – $9,904 · median $5,251 | 37 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $8,678 – $31,245 · median $13,980 | 37 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $5,449 – $19,340 · median $8,845 | 37 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $14,936 – $55,845 · median $23,708 | 37 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,751 – $25,867 · median $11,849 | 37 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,354 – $20,573 · median $7,710 | 37 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $13,342 – $63,616 · median $23,172 | 37 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,008 – $23,569 · median $11,733 | 37 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,393 – $18,818 · median $6,212 | 37 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $9,931 – $38,265 · median $17,587 | 37 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $5,609 – $16,538 · median $9,258 | 37 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,716 – $13,701 · median $7,623 | 37 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $13,212 – $67,728 · median $24,434 | 37 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $8,555 – $28,063 · median $13,796 | 37 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,899 – $16,688 · median $8,596 | 37 plans |
| 637 | DIABETES WITH MCC | $4,445 – $18,302 · median $8,848 | 37 plans |
| 638 | DIABETES WITH CC | $2,998 – $10,381 · median $5,573 | 37 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,074 – $6,995 · median $3,807 | 37 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $3,753 – $14,579 · median $8,068 | 37 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,322 – $8,883 · median $4,748 | 37 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $3,057 – $14,447 · median $7,468 | 37 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $5,879 – $21,682 · median $10,166 | 37 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,703 – $13,452 · median $6,339 | 37 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,729 – $9,218 · median $4,777 | 37 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $20,430 – $75,314 · median $34,195 | 37 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,243 – $38,856 · median $17,311 | 37 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,572 – $25,339 · median $12,742 | 37 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $12,024 – $50,129 · median $20,175 | 37 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,308 – $25,584 · median $11,214 | 37 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $5,774 – $20,509 · median $9,314 | 37 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $12,608 – $44,025 · median $16,003 | 37 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,624 – $23,962 · median $8,220 | 37 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,057 – $16,550 · median $6,297 | 37 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $10,424 – $37,795 · median $18,959 | 37 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $6,578 – $18,801 · median $9,369 | 37 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,754 – $14,324 · median $6,624 | 37 plans |
| 665 | PROSTATECTOMY WITH MCC | $10,944 – $42,933 · median $20,861 | 37 plans |
| 666 | PROSTATECTOMY WITH CC | $6,426 – $20,216 · median $10,105 | 37 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,020 – $11,635 · median $6,245 | 37 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,735 – $32,429 · median $17,889 | 37 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,109 – $17,011 · median $9,492 | 37 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,634 – $10,670 · median $5,862 | 37 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $5,669 – $18,976 · median $10,573 | 37 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,778 – $10,732 · median $6,713 | 37 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $13,020 – $40,992 · median $25,699 | 37 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $8,558 – $27,124 · median $14,160 | 37 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $6,061 – $17,586 · median $9,602 | 37 plans |
| 682 | RENAL FAILURE WITH MCC | $5,484 – $20,859 · median $9,213 | 37 plans |
| 683 | RENAL FAILURE WITH CC | $3,433 – $12,944 · median $5,453 | 37 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,322 – $8,147 · median $3,726 | 37 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $6,382 – $22,620 · median $11,567 | 37 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,059 – $13,294 · median $6,457 | 37 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,145 – $11,508 · median $4,485 | 37 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $3,662 – $15,250 · median $7,110 | 37 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,198 – $10,004 · median $4,876 | 37 plans |
| 693 | URINARY STONES WITH MCC | $5,273 – $17,167 · median $9,020 | 37 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,008 – $9,012 · median $4,793 | 37 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,323 – $16,597 · median $6,984 | 37 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,547 – $8,198 · median $4,244 | 37 plans |
| 697 | URETHRAL STRICTURE | $2,867 – $12,339 · median $6,065 | 37 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,684 – $20,422 · median $10,311 | 37 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,866 – $12,709 · median $6,256 | 37 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,869 – $9,199 · median $4,258 | 37 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $6,000 – $23,197 · median $11,790 | 37 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $5,115 – $16,216 · median $9,094 | 37 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $8,254 – $24,532 · median $13,784 | 37 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $5,569 – $16,067 · median $9,210 | 37 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,462 – $24,124 · median $11,720 | 37 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,435 – $13,173 · median $6,561 | 37 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $5,039 – $16,081 · median $8,870 | 37 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,156 – $10,625 · median $5,740 | 37 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $6,910 – $24,470 · median $13,721 | 37 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $5,270 – $15,765 · median $8,706 | 37 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,127 – $20,781 · median $11,382 | 37 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,143 – $13,034 · median $7,200 | 37 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $6,416 – $20,782 · median $10,605 | 37 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $4,145 – $16,941 · median $6,954 | 37 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,800 – $12,231 · median $4,512 | 37 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,705 – $15,835 · median $7,745 | 37 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,585 – $9,253 · median $4,566 | 37 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $3,126 – $18,106 · median $8,842 | 37 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,247 – $9,976 · median $4,964 | 37 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,805 – $13,859 · median $6,753 | 37 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,358 – $8,710 · median $3,758 | 37 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,837 – $31,293 · median $12,899 | 37 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,833 – $15,518 · median $7,446 | 37 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $12,075 – $57,552 · median $23,924 | 37 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,240 – $25,704 · median $12,258 | 37 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,722 – $15,470 · median $9,216 | 37 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $7,631 – $42,802 · median $23,954 | 37 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $4,929 – $19,809 · median $11,047 | 37 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $4,063 – $14,403 · median $8,346 | 37 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $4,638 – $19,752 · median $10,992 | 37 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,627 – $12,881 · median $7,283 | 37 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $5,183 – $20,866 · median $11,872 | 37 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,667 – $11,483 · median $6,286 | 37 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $5,204 – $18,580 · median $10,174 | 37 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,407 – $11,489 · median $5,859 | 37 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,317 – $15,573 · median $8,277 | 37 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $5,879 – $32,138 · median $15,576 | 37 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,703 – $15,076 · median $7,835 | 37 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,615 – $26,074 · median $11,098 | 37 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,055 – $14,694 · median $6,809 | 37 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,346 – $10,971 · median $5,858 | 37 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,414 – $19,811 · median $8,682 | 37 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,515 – $13,547 · median $6,252 | 37 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,334 – $9,310 · median $3,926 | 37 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,172 – $11,034 · median $6,046 | 37 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,374 – $7,053 · median $3,888 | 37 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $6,046 – $19,396 · median $8,523 | 37 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,910 – $8,854 · median $6,600 | 37 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,924 – $8,181 · median $4,335 | 37 plans |
| 779 | ABORTION WITHOUT D&C | $2,101 – $10,965 · median $5,461 | 37 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $18,017 – $63,812 · median $29,166 | 37 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $9,926 – $32,367 · median $17,873 | 37 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $6,291 – $27,251 · median $10,166 | 37 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $12,021 – $44,078 · median $21,989 | 37 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $6,328 – $21,961 · median $10,919 | 37 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,428 – $13,417 · median $6,782 | 37 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $7,422 – $26,576 · median $13,915 | 37 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,420 – $15,399 · median $7,597 | 37 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,340 – $11,135 · median $5,838 | 37 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,032 – $15,559 · median $8,548 | 37 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $20,014 – $77,180 · median $35,714 | 37 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $8,628 – $30,083 · median $13,694 | 37 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,581 – $18,739 · median $7,082 | 37 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $15,932 – $65,375 · median $28,978 | 37 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $8,073 – $29,482 · median $13,491 | 37 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,751 – $16,222 · median $7,550 | 37 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $19,266 – $82,007 · median $29,572 | 37 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $8,749 – $29,672 · median $14,476 | 37 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,987 – $18,184 · median $9,832 | 37 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $11,434 – $36,304 · median $18,916 | 37 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,725 – $17,528 · median $8,971 | 37 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $20,296 – $68,141 · median $33,905 | 37 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $7,809 – $41,512 · median $13,227 | 37 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,457 – $15,651 · median $7,795 | 37 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $21,071 – $82,694 · median $31,007 | 37 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $8,689 – $41,552 · median $12,441 | 37 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,787 – $16,046 · median $8,326 | 37 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $11,321 – $38,579 · median $19,562 | 37 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,987 – $20,773 · median $9,618 | 37 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,154 – $12,880 · median $6,452 | 37 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $6,609 – $24,023 · median $11,614 | 37 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,459 – $14,936 · median $7,331 | 37 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,333 – $10,126 · median $5,133 | 37 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $8,794 – $29,049 · median $15,665 | 37 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,660 – $13,442 · median $7,795 | 37 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,443 – $10,665 · median $5,023 | 37 plans |
| 849 | RADIOTHERAPY | $4,548 – $29,834 · median $15,605 | 37 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $18,944 – $69,491 · median $30,678 | 37 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $8,834 – $46,539 · median $12,373 | 37 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,320 – $39,452 · median $10,067 | 37 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $16,445 – $63,033 · median $27,675 | 37 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,345 – $26,346 · median $13,366 | 37 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,983 – $16,794 · median $7,903 | 37 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,319 – $10,597 · median $5,403 | 37 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,623 – $20,095 · median $8,881 | 37 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,821 – $10,173 · median $5,324 | 37 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,822 – $32,443 · median $13,153 | 37 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,830 – $13,749 · median $6,441 | 37 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,155 – $8,547 · median $4,372 | 37 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $22,497 – $87,899 · median $42,672 | 37 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $6,734 – $24,266 · median $12,036 | 37 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $3,597 – $14,413 · median $6,324 | 37 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $12,601 – $41,364 · median $23,875 | 37 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,521 – $10,582 · median $5,768 | 37 plans |
| 881 | DEPRESSIVE NEUROSES | $2,286 – $10,049 · median $5,340 | 37 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,540 – $10,412 · median $5,789 | 37 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $4,348 – $20,789 · median $10,830 | 37 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $3,515 – $19,475 · median $9,757 | 37 plans |
| 885 | PSYCHOSES | $3,583 – $15,147 · median $8,235 | 37 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $3,074 – $18,642 · median $10,495 | 37 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,968 – $14,362 · median $7,296 | 37 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $1,129 – $6,368 · median $3,646 | 37 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $3,866 – $17,834 · median $8,712 | 37 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $5,042 – $19,710 · median $10,820 | 37 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $2,537 – $9,484 · median $5,360 | 37 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $11,087 – $38,968 · median $19,470 | 37 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $8,146 – $24,017 · median $12,952 | 37 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,979 – $20,574 · median $11,417 | 37 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,632 – $22,084 · median $9,453 | 37 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,174 – $16,384 · median $6,851 | 37 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,293 – $14,375 · median $7,739 | 37 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,321 – $8,879 · median $4,827 | 37 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,197 – $12,082 · median $6,556 | 37 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,780 – $7,079 · median $3,595 | 37 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,816 – $9,209 · median $3,478 | 37 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $20,112 – $82,232 · median $39,163 | 37 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $9,492 – $58,958 · median $16,431 | 37 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $10,246 – $34,435 · median $18,318 | 37 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,022 – $18,062 · median $8,802 | 37 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,689 – $13,715 · median $6,211 | 37 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,801 – $15,697 · median $8,845 | 37 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $15,922 – $64,412 · median $29,161 | 37 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,176 – $37,310 · median $15,018 | 37 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,619 – $22,123 · median $10,221 | 37 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $11,956 – $43,268 · median $21,486 | 37 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $6,319 – $23,601 · median $10,526 | 37 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,084 – $13,452 · median $7,088 | 37 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $42,985 – $169,851 · median $80,750 | 36 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $23,807 – $99,275 · median $37,377 | 36 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $16,728 – $99,275 · median $37,025 | 36 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,632 – $17,205 · median $9,692 | 36 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $1,897 – $46,098 · median $25,522 | 36 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,057 – $33,465 · median $5,737 | 36 plans |
| 509 | ARTHROSCOPY | $6,493 – $17,778 · median $10,776 | 36 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $9,586 – $32,393 · median $18,465 | 36 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,017 – $19,610 · median $10,270 | 36 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,343 – $12,632 · median $7,008 | 36 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,141 – $17,013 · median $9,113 | 36 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,503 – $10,074 · median $5,585 | 36 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,800 – $9,984 · median $5,607 | 36 plans |
| 813 | COAGULATION DISORDERS | $4,320 – $17,293 · median $9,360 | 36 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $6,484 – $23,590 · median $12,701 | 36 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,701 – $11,021 · median $6,233 | 36 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,594 – $7,873 · median $4,045 | 36 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $6,771 – $20,419 · median $11,279 | 36 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,358 – $11,146 · median $6,107 | 36 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $139,324 – $597,264 · median $233,537 | 35 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,524 – $35,320 · median $13,305 | 35 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $11,360 – $36,039 · median $18,823 | 35 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $39,791 – $172,331 · median $67,461 | 35 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $28,640 – $105,386 · median $36,748 | 35 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $22,560 – $79,130 · median $28,859 | 35 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $8,864 – $27,042 · median $15,349 | 35 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $13,222 – $43,198 · median $23,986 | 35 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $9,529 – $35,924 · median $19,144 | 35 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $25,993 – $82,460 · median $43,350 | 35 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $22,943 – $72,784 · median $37,997 | 35 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $17,668 – $56,050 · median $28,535 | 35 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $16,478 – $52,276 · median $30,691 | 35 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $11,824 – $37,511 · median $19,656 | 35 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $10,620 – $33,691 · median $17,463 | 35 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $6,736 – $21,370 · median $11,098 | 35 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $15,295 – $48,521 · median $26,128 | 35 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,967 – $34,792 · median $19,599 | 35 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $9,769 – $30,991 · median $17,556 | 35 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $8,300 – $26,330 · median $15,199 | 35 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $5,591 – $17,736 · median $9,282 | 35 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,112 – $13,046 · median $6,893 | 35 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $14,696 – $49,005 · median $22,194 | 35 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $9,163 – $26,349 · median $12,096 | 35 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,790 – $15,868 · median $8,791 | 35 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,761 – $8,424 · median $4,585 | 35 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,001 – $63,690 · median $26,189 | 34 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,808 – $25,741 · median $9,737 | 34 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $16,396 – $47,421 · median $20,447 | 34 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,723 – $28,008 · median $10,878 | 34 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,883 – $19,416 · median $7,337 | 34 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $16,149 – $48,352 · median $27,074 | 34 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,245 – $27,515 · median $14,267 | 34 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $14,473 – $35,903 · median $17,879 | 34 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,468 – $25,656 · median $12,931 | 34 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $22,878 – $72,210 · median $28,531 | 34 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,243 – $59,098 · median $21,503 | 34 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,589 – $31,224 · median $15,551 | 34 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,396 – $15,922 · median $7,901 | 34 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,054 – $10,056 · median $5,008 | 34 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,260 – $12,049 · median $7,060 | 34 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,457 – $5,673 · median $3,189 | 34 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $38,565 – $133,233 · median $64,702 | 33 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $16,631 – $64,903 · median $29,462 | 33 plans |
| 007 | LUNG TRANSPLANT | $36,175 – $135,973 · median $79,402 | 33 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,188 – $23,109 · median $6,725 | 32 plans |
| 795 | NORMAL NEWBORN | $594 – $2,105 · median $1,185 | 32 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $19,026 – $60,359 · median $31,290 | 31 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $11,401 – $36,168 · median $18,750 | 31 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,301 – $20,457 · median $11,084 | 31 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,301 – $12,917 · median $6,517 | 31 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,301 – $9,909 · median $5,256 | 31 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,301 – $18,222 · median $9,723 | 31 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,301 – $12,670 · median $6,389 | 31 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,268 – $10,556 · median $5,444 | 31 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,191 – $17,207 · median $7,682 | 31 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,191 – $9,926 · median $5,826 | 31 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,191 – $9,926 · median $5,826 | 31 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,301 – $11,992 · median $6,005 | 31 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,301 – $8,291 · median $4,354 | 31 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,268 – $7,196 · median $3,835 | 31 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $34,082 – $88,608 · median $48,164 | 30 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,678 – $21,084 · median $9,485 | 30 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,955 – $12,966 · median $6,121 | 30 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,311 – $9,175 · median $4,090 | 30 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,098 – $12,605 · median $7,533 | 30 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,627 – $8,888 · median $4,845 | 30 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $30,720 – $72,505 · median $37,586 | 30 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $19,427 – $45,851 · median $23,769 | 30 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $35,270 – $83,244 · median $43,154 | 30 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $27,332 – $64,508 · median $33,441 | 30 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $41,417 – $97,752 · median $50,675 | 30 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,277 – $47,859 · median $24,810 | 30 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,018 – $122,772 · median $63,645 | 29 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $27,165 – $64,114 · median $33,237 | 29 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,293 – $78,579 · median $40,736 | 29 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,356 – $25,795 · median $14,418 | 29 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,476 – $15,542 · median $8,624 | 29 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $45,743 – $107,963 · median $55,968 | 29 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,305 – $12,448 · median $10,571 | 28 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $29,520 – $41,047 · median $35,381 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $20,160 – $28,034 · median $24,163 | 28 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,795 – $28,797 · median $24,364 | 28 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $41,815 – $132,656 · median $105,321 | 13 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $21,083 – $66,885 · median $53,103 | 13 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $8,948 – $28,388 · median $22,539 | 13 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $12,703 – $40,300 · median $31,996 | 13 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,919 – $28,296 · median $22,465 | 13 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $49,482 – $138,799 · median $83,244 | 8 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $33,002 – $93,134 · median $57,457 | 8 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $18,761 – $71,755 · median $43,265 | 8 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $30,672 – $82,522 · median $62,304 | 8 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $14,832 – $49,041 · median $34,362 | 8 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $8,469 – $36,951 · median $30,512 | 6 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $5,312 – $31,335 · median $21,477 | 6 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $9,499 – $28,674 · median $17,709 | 6 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $5,747 – $15,805 · median $14,063 | 6 plans |
| 133 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W CC/MCC | $7,336 – $21,916 · median $14,187 | 6 plans |
| 134 | OTHER EAR- NOSE- MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $4,288 – $11,087 · median $7,651 | 6 plans |
| 765 | CESAREAN SECTION W CC/MCC | $3,600 – $15,578 · median $4,348 | 5 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $3,093 – $10,801 · median $4,000 | 5 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $2,400 – $10,864 · median $3,440 | 5 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $2,400 – $9,414 · median $3,068 | 5 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $2,384 – $6,715 · median $2,600 | 5 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC | $31,347 – $110,344 · median $75,658 | 3 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC | $23,799 – $80,475 · median $55,007 | 3 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC | $27,121 – $98,073 · median $69,581 | 3 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC | $20,914 – $75,647 · median $51,630 | 3 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $25,112 – $86,304 · median $58,727 | 3 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $19,968 – $65,464 · median $43,716 | 3 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $25,873 – $46,528 · median $35,501 | 3 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $11,860 – $40,329 · median $27,535 | 3 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $7,816 – $25,204 · median $16,736 | 3 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $11,259 – $37,366 · median $24,540 | 3 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $7,229 – $23,048 · median $14,346 | 3 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $10,211 – $41,489 · median $27,790 | 3 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $6,299 – $23,496 · median $16,244 | 3 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,432 – $15,645 · median $10,727 | 3 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $9,192 – $29,961 · median $18,898 | 3 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $5,498 – $17,131 · median $11,461 | 3 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,900 – $12,186 · median $7,912 | 3 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $3,898 – $11,319 · median $7,506 | 3 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $5,904 – $19,434 · median $12,717 | 3 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $4,396 – $13,859 · median $10,118 | 3 plans |
| 777 | ECTOPIC PREGNANCY | $3,244 – $10,338 · median $6,719 | 3 plans |
| 778 | THREATENED ABORTION | $2,248 – $5,906 · median $3,840 | 3 plans |
| 780 | FALSE LABOR | $1,731 – $2,475 · median $1,802 | 3 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $3,183 – $8,484 · median $5,399 | 3 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS | $2,259 – $4,036 · median $3,451 | 3 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC | $26,542 – $44,398 · median $35,470 | 2 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | $25,265 – $26,542 · median $25,903 | 2 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $29,030 – $44,864 · median $36,947 | 2 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $19,281 – $26,999 · median $23,140 | 2 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $11,178 – $13,957 · median $12,568 | 2 plans |
No procedures match that keyword.