CHRISTUS Good Shepherd Medical Center - Longview (Acute Care) — Pricing
765 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 765 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 765 procedures
Procedures with negotiated rates only
These 765 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 | $4,328 – $9,046 · median $5,501 | 11 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,411 – $13,516 · median $8,397 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,411 – $13,516 · median $8,397 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,411 – $13,516 · median $8,397 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,411 – $13,516 · median $8,397 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,411 – $13,516 · median $8,397 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,411 – $13,516 · median $8,397 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,328 – $9,046 · median $5,501 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,328 – $9,046 · median $5,501 | 11 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,328 – $9,046 · median $5,501 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,328 – $9,046 · median $5,501 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,328 – $9,046 · median $5,501 | 11 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,328 – $9,046 · median $5,501 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $17,941 – $162,482 · median $105,090 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $58,476 – $148,009 · median $95,729 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,128 – $99,038 · median $65,922 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,882 – $118,662 · median $76,748 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,093 – $81,230 · median $52,538 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,194 – $76,424 · median $49,429 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,821 – $47,638 · median $33,136 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $41,390 – $129,956 · median $84,053 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,013 – $93,683 · median $60,592 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $47,360 – $119,872 · median $77,531 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $32,235 – $81,591 · median $52,771 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,652 – $90,240 · median $58,365 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,915 – $63,063 · median $40,788 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,552 – $52,020 · median $34,666 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,650 – $34,549 · median $22,346 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,935 – $27,677 · median $18,256 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,012 – $35,466 · median $22,939 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,468 – $23,964 · median $15,717 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,785 – $52,609 · median $34,026 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,469 – $39,153 · median $25,323 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $8,587 – $43,025 · median $27,828 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,587 – $26,956 · median $17,435 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $10,585 – $52,237 · median $33,786 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,585 – $29,102 · median $18,822 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,196 – $23,277 · median $15,055 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $36,298 – $91,875 · median $64,483 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $28,506 – $72,151 · median $50,187 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $30,911 – $102,254 · median $66,136 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $19,213 – $63,809 · median $41,270 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $23,302 – $78,720 · median $50,914 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $15,467 – $52,823 · median $34,165 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $11,077 – $38,374 · median $24,819 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $19,500 – $59,968 · median $38,786 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $13,292 – $47,864 · median $30,957 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $24,383 – $108,380 · median $70,098 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $12,934 – $94,997 · median $61,442 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $12,934 – $71,342 · median $46,142 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $24,063 – $76,731 · median $49,628 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $19,056 – $49,143 · median $31,784 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,410 – $33,943 · median $21,954 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,602 – $16,712 · median $11,348 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $28,166 – $94,875 · median $61,363 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $26,166 – $67,368 · median $43,572 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,025 – $35,500 · median $22,961 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,249 – $43,659 · median $28,426 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,962 – $27,746 · median $17,945 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $129,854 – $328,675 · median $228,622 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $85,614 – $216,698 · median $150,732 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $32,694 – $82,752 · median $57,561 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $24,864 – $62,934 · median $43,776 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,056 – $40,640 · median $28,269 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $228,502 – $578,364 · median $402,301 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $48,842 – $123,625 · median $85,992 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,490 – $81,908 · median $56,974 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,663 – $42,767 · median $29,464 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $34,567 – $87,493 · median $60,859 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,035 – $58,303 · median $40,555 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,098 – $68,587 · median $47,708 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,532 – $46,907 · median $32,628 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,952 – $37,846 · median $26,325 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $36,836 – $93,235 · median $64,853 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,338 – $51,478 · median $35,808 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,484 – $34,129 · median $23,739 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,391 – $64,267 · median $44,703 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,940 – $32,752 · median $22,782 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,667 – $24,469 · median $17,020 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,562 – $59,637 · median $41,483 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,783 – $34,886 · median $24,266 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,107 – $28,112 · median $19,555 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,121 – $50,929 · median $35,426 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,763 – $24,711 · median $17,189 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,896 – $17,455 · median $12,142 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $22,855 – $57,849 · median $40,239 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,682 – $34,632 · median $24,089 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,649 – $26,955 · median $18,749 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,194 – $30,864 · median $21,468 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,583 – $14,131 · median $9,829 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,083 – $22,990 · median $15,992 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,610 – $16,732 · median $11,638 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,172 – $38,403 · median $26,712 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,085 – $20,464 · median $14,235 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,184 – $28,309 · median $19,691 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,414 – $18,765 · median $13,053 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,407 – $13,686 · median $9,520 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,380 – $41,459 · median $28,839 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,790 – $27,312 · median $18,998 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,512 – $21,544 · median $14,986 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,053 – $30,506 · median $21,220 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,161 – $15,595 · median $10,848 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,170 – $10,556 · median $7,342 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,815 – $22,312 · median $15,520 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,341 – $13,519 · median $9,403 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,848 – $12,270 · median $8,535 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,535 – $26,666 · median $18,549 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,386 – $16,163 · median $11,242 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,545 – $11,505 · median $8,003 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,365 – $23,703 · median $16,488 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,316 – $15,986 · median $11,120 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,436 – $25,492 · median $17,732 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,556 – $14,062 · median $9,781 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,369 – $23,714 · median $16,495 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,046 – $15,304 · median $10,645 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,040 – $10,146 · median $7,058 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,044 – $30,197 · median $21,004 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,482 – $13,876 · median $9,652 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,058 – $35,583 · median $24,751 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,424 – $21,323 · median $14,832 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,793 – $14,663 · median $10,199 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,730 – $34,751 · median $24,173 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,947 – $20,115 · median $13,991 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,356 – $13,557 · median $9,430 | 8 plans |
| 088 | CONCUSSION WITH MCC | $8,547 – $21,635 · median $15,049 | 8 plans |
| 089 | CONCUSSION WITH CC | $6,496 – $16,442 · median $11,437 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,194 – $13,148 · median $9,145 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,045 – $27,956 · median $19,446 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,415 – $16,236 · median $11,294 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,782 – $12,105 · median $8,420 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,107 – $55,956 · median $38,923 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,525 – $36,763 · median $25,572 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,525 – $36,763 · median $25,572 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $21,719 – $54,973 · median $38,239 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,144 – $33,268 · median $23,141 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,442 – $21,368 · median $14,863 | 8 plans |
| 100 | SEIZURES WITH MCC | $12,029 – $30,447 · median $21,178 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $5,585 – $14,135 · median $9,832 | 8 plans |
| 102 | HEADACHES WITH MCC | $7,025 – $17,782 · median $12,369 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $5,151 – $13,039 · median $9,070 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,673 – $34,310 · median $23,865 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,162 – $18,129 · median $12,610 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,276 – $23,479 · median $16,332 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,110 – $25,590 · median $17,800 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,535 – $15,523 · median $10,798 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,048 – $17,839 · median $12,408 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,110 – $10,402 · median $7,236 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,867 – $12,318 · median $8,568 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,900 – $19,997 · median $13,909 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,003 – $12,663 · median $8,808 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,609 – $36,977 · median $25,720 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,927 – $15,002 · median $10,435 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,474 – $21,449 · median $14,920 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,929 – $12,476 · median $8,678 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,319 – $21,056 · median $14,646 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $25,625 – $64,859 · median $45,115 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,018 – $32,949 · median $22,919 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,527 – $24,114 · median $16,774 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,006 – $50,638 · median $35,223 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,644 – $26,941 · median $18,740 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,179 – $18,170 · median $12,639 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,900 – $35,182 · median $24,472 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,542 – $19,090 · median $13,279 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,851 – $11,706 · median $8,143 | 8 plans |
| 149 | DYSEQUILIBRIUM | $4,529 – $11,464 · median $7,974 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $8,375 – $21,197 · median $14,745 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,593 – $11,625 · median $8,086 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,876 – $17,403 · median $12,105 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,312 – $10,915 · median $7,592 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,854 – $24,941 · median $17,349 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,657 – $14,318 · median $9,959 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,074 – $10,312 · median $7,173 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,922 – $25,113 · median $17,468 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,699 – $14,425 · median $10,034 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,997 – $10,116 · median $7,036 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $27,927 – $70,687 · median $49,169 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,251 – $38,601 · median $26,850 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,294 – $28,586 · median $19,884 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,329 – $59,048 · median $41,073 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,071 – $28,022 · median $19,492 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,203 – $20,763 · median $14,443 | 8 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,593 – $47,060 · median $32,734 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,538 – $21,610 · median $15,032 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,935 – $12,491 · median $8,689 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,794 – $24,791 · median $17,244 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,011 – $15,215 · median $10,583 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,664 – $11,804 · median $8,211 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,590 – $26,804 · median $18,645 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,727 – $17,028 · median $11,844 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,074 – $12,844 · median $8,934 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,617 – $24,343 · median $16,933 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,472 – $16,380 · median $11,394 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,712 – $11,927 · median $8,296 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,573 – $24,231 · median $16,855 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,083 – $15,397 · median $10,710 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,449 – $11,260 · median $7,832 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,497 – $18,977 · median $13,200 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,804 – $17,222 · median $11,980 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,205 – $13,175 · median $9,164 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,921 – $9,925 · median $6,904 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,984 – $20,208 · median $14,057 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,968 – $12,576 · median $8,747 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,773 – $9,550 · median $6,643 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,416 – $28,895 · median $20,099 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,998 – $15,183 · median $10,561 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,244 – $10,321 · median $7,179 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,696 – $27,073 · median $18,831 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,710 – $16,985 · median $11,814 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,103 – $10,384 · median $7,223 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,857 – $14,825 · median $10,312 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,221 – $10,683 · median $7,431 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,914 – $12,438 · median $8,651 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,438 – $28,951 · median $20,138 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,488 – $13,891 · median $9,663 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $39,185 – $99,181 · median $68,989 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,261 – $41,159 · median $28,629 | 8 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $66,006 – $167,069 · median $116,211 | 8 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,047 – $91,238 · median $63,464 | 8 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $27,827 – $70,432 · median $48,992 | 8 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,519 – $77,246 · median $53,731 | 8 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,645 – $44,662 · median $31,066 | 8 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,148 – $23,156 · median $16,107 | 8 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,609 – $74,944 · median $52,130 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,600 – $26,829 · median $18,662 | 8 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,853 – $40,127 · median $27,912 | 8 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,262 – $25,975 · median $18,068 | 8 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,356 – $12,155 · median $8,455 | 8 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,251 – $41,133 · median $28,611 | 8 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,177 – $53,601 · median $37,284 | 8 plans |
| 265 | AICD LEAD PROCEDURES | $21,614 – $54,707 · median $38,053 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,945 – $25,173 · median $17,510 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,585 – $14,137 · median $9,833 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,393 – $11,120 · median $7,735 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,848 – $29,988 · median $20,859 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,490 – $11,364 · median $7,905 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,402 – $8,610 · median $5,989 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,550 – $41,890 · median $29,138 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,553 – $24,180 · median $16,819 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,932 – $15,014 · median $10,443 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,906 – $20,010 · median $13,919 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,218 – $13,207 · median $9,187 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,325 – $8,415 · median $5,853 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,440 – $18,833 · median $13,100 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,785 – $12,112 · median $8,425 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,927 – $25,127 · median $17,478 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,268 – $10,803 · median $7,514 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,676 – $6,774 · median $4,712 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,801 – $24,808 · median $17,256 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,487 – $16,419 · median $11,421 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,322 – $10,941 · median $7,610 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,048 – $17,840 · median $12,410 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,074 – $10,312 · median $7,173 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $7,118 – $18,017 · median $12,532 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,548 – $11,513 · median $8,008 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,073 – $22,964 · median $15,974 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,613 – $14,207 · median $9,882 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,307 – $18,494 · median $12,864 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,479 – $11,338 · median $7,886 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,390 – $8,580 · median $5,968 | 8 plans |
| 311 | ANGINA PECTORIS | $4,231 – $10,709 · median $7,449 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,279 – $13,362 · median $9,295 | 8 plans |
| 313 | CHEST PAIN | $4,322 – $10,941 · median $7,610 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,048 – $33,026 · median $22,972 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,831 – $14,758 · median $10,265 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,136 – $10,470 · median $7,283 | 8 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $25,808 – $65,322 · median $45,437 | 8 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,359 – $49,000 · median $34,084 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,341 – $43,893 · median $30,531 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $30,774 – $77,892 · median $54,180 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,712 – $37,237 · median $25,902 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,655 – $24,438 · median $16,999 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,822 – $70,421 · median $48,984 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,322 – $36,250 · median $25,215 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,003 – $25,320 · median $17,612 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,017 – $53,196 · median $37,002 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $12,877 – $32,594 · median $22,672 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,049 – $25,436 · median $17,693 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $21,954 – $55,568 · median $38,653 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,798 – $32,394 · median $22,533 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,301 – $23,542 · median $16,376 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,326 – $41,323 · median $28,744 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,020 – $22,831 · median $15,881 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,545 – $19,098 · median $13,284 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,340 – $36,297 · median $25,248 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,628 – $19,306 · median $13,429 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,337 – $13,509 · median $9,397 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,655 – $37,093 · median $25,801 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,116 – $23,073 · median $16,049 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,681 – $16,909 · median $11,762 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,771 – $44,980 · median $31,288 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,307 – $26,088 · median $18,146 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,078 – $20,446 · median $14,222 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $25,846 – $65,419 · median $45,504 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,645 – $34,537 · median $24,023 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,211 – $20,782 · median $14,456 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,119 – $25,611 · median $17,815 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,166 – $15,606 · median $10,855 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,229 – $10,705 · median $7,446 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,591 – $26,807 · median $18,647 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,237 – $15,785 · median $10,980 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,395 – $11,125 · median $7,738 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $12,793 – $32,380 · median $22,523 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,445 – $18,843 · median $13,107 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,350 – $13,542 · median $9,419 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,016 – $27,884 · median $19,396 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,974 – $15,120 · median $10,517 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,858 – $9,764 · median $6,792 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,659 – $29,511 · median $20,527 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,599 – $16,702 · median $11,618 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,540 – $11,491 · median $7,993 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,660 – $19,388 · median $13,486 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,269 – $13,336 · median $9,276 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,845 – $24,918 · median $17,333 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,014 – $15,221 · median $10,587 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,061 – $10,280 · median $7,150 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,906 – $22,542 · median $15,680 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,857 – $12,293 · median $8,551 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,315 – $8,392 · median $5,837 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,783 – $19,699 · median $13,702 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,728 – $11,967 · median $8,324 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,034 – $25,396 · median $17,665 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,703 – $14,436 · median $10,041 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,856 – $9,760 · median $6,789 | 8 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,013 – $38,000 · median $26,432 | 8 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,168 – $23,206 · median $16,142 | 8 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,809 – $17,235 · median $11,988 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,704 – $59,998 · median $41,733 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $32,892 – $83,255 · median $57,911 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,016 – $43,070 · median $29,959 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,941 – $32,755 · median $22,784 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,214 – $53,696 · median $37,350 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,703 – $32,152 · median $22,364 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,398 – $23,788 · median $16,546 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $16,580 – $41,613 · median $28,945 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,915 – $32,690 · median $22,739 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,073 – $25,496 · median $17,735 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,230 – $53,734 · median $37,377 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,985 – $30,336 · median $21,101 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,302 – $21,013 · median $14,617 | 8 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,399 – $36,446 · median $25,351 | 8 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,048 – $25,433 · median $17,691 | 8 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,983 – $20,207 · median $14,056 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,385 – $54,128 · median $37,651 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,922 – $25,114 · median $17,469 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,903 – $22,535 · median $15,675 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $24,644 – $62,378 · median $43,389 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,835 – $35,017 · median $24,357 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,366 – $23,706 · median $16,490 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $63,470 – $160,651 · median $111,746 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $43,035 – $108,927 · median $75,768 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $33,349 – $84,411 · median $58,715 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $50,536 – $127,911 · median $88,973 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $33,146 – $83,896 · median $58,357 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,870 – $30,045 · median $20,899 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,482 – $16,406 · median $11,412 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,220 – $10,682 · median $7,430 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,055 – $27,982 · median $19,464 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,833 – $17,294 · median $12,030 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,758 – $12,042 · median $8,376 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,080 – $25,515 · median $17,748 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,212 – $13,192 · median $9,176 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,727 – $9,433 · median $6,562 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,454 – $28,991 · median $20,166 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,854 – $14,818 · median $10,307 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,258 – $10,777 · median $7,496 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,206 – $25,832 · median $17,968 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,571 – $16,632 · median $11,569 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,831 – $12,227 · median $8,505 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,624 – $102,823 · median $71,522 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,742 – $62,625 · median $43,561 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,204 – $78,982 · median $54,939 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,698 – $47,327 · median $32,920 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $51,315 – $129,884 · median $90,345 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $34,775 – $88,019 · median $61,225 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,163 – $66,221 · median $46,062 | 8 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $37,182 – $91,875 · median $63,907 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,352 – $43,919 · median $30,550 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,725 – $82,830 · median $57,615 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,866 – $45,220 · median $31,454 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,519 – $26,625 · median $18,520 | 8 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $30,868 – $78,131 · median $54,347 | 8 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,753 – $52,529 · median $36,538 | 8 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,895 – $40,231 · median $27,984 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,805 – $50,129 · median $34,869 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,424 – $28,916 · median $20,114 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,430 – $74,492 · median $51,815 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,554 – $44,431 · median $30,906 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,344 – $36,306 · median $25,254 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,173 – $68,777 · median $47,841 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,071 – $33,084 · median $23,013 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,047 – $17,837 · median $12,407 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,837 – $52,741 · median $36,686 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,170 – $35,865 · median $24,947 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,760 – $27,234 · median $18,943 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,820 – $45,103 · median $31,373 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,572 – $31,821 · median $22,134 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,612 – $24,329 · median $16,923 | 8 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,440 – $39,079 · median $27,183 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,506 – $49,371 · median $34,342 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,851 – $32,526 · median $22,625 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,574 – $24,234 · median $16,857 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,908 – $30,141 · median $20,966 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,503 – $18,992 · median $13,211 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,517 – $54,461 · median $37,882 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,548 – $36,822 · median $25,613 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,424 – $28,914 · median $20,113 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $21,331 – $53,992 · median $37,556 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,954 – $30,258 · median $21,047 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,135 – $20,590 · median $14,322 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,298 – $38,722 · median $26,934 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,033 – $16,850 · median $11,720 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,199 – $48,595 · median $33,802 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,814 – $27,370 · median $19,038 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,466 – $21,427 · median $14,905 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,036 – $40,588 · median $28,233 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,634 – $26,915 · median $18,721 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,634 – $26,915 · median $18,721 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,083 – $22,990 · median $15,992 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,744 – $29,724 · median $20,676 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,820 – $19,040 · median $13,244 | 8 plans |
| 509 | ARTHROSCOPY | $10,644 – $26,941 · median $18,740 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,317 – $43,832 · median $30,489 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,883 – $30,077 · median $20,921 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,742 – $24,657 · median $17,151 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,122 – $23,090 · median $16,061 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,178 – $15,637 · median $10,877 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,737 – $47,425 · median $32,988 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,189 – $30,851 · median $21,460 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,044 – $22,892 · median $15,923 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,715 – $54,964 · median $38,232 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,948 – $30,241 · median $21,035 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,684 – $21,980 · median $15,289 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,660 – $44,700 · median $31,093 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,773 – $32,330 · median $22,488 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,239 – $23,386 · median $16,267 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,932 – $12,484 · median $8,683 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,058 – $20,395 · median $14,187 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,913 – $12,436 · median $8,650 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,568 – $14,094 · median $9,803 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,069 – $10,298 · median $7,163 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,254 – $31,016 · median $21,574 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,841 – $19,846 · median $13,805 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,301 – $13,417 · median $9,333 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,301 – $28,603 · median $19,896 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,428 – $16,270 · median $11,317 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,579 – $11,589 · median $8,061 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,310 – $38,753 · median $26,956 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,015 – $17,754 · median $12,350 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,521 – $11,444 · median $7,960 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,206 – $30,896 · median $21,491 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,302 – $18,481 · median $12,855 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,223 – $13,221 · median $9,196 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,339 – $26,169 · median $18,203 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,840 – $14,781 · median $10,281 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,913 – $20,029 · median $13,932 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,057 – $12,799 · median $8,903 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,159 – $20,651 · median $14,365 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,947 – $12,522 · median $8,710 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,390 – $23,766 · median $16,531 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,234 – $13,247 · median $9,215 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,247 – $28,468 · median $19,802 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,899 – $17,463 · median $12,147 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,954 – $12,539 · median $8,722 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,867 – $22,444 · median $15,612 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,416 – $13,707 · median $9,535 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,508 – $24,065 · median $16,739 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,178 – $15,638 · median $10,878 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,533 – $11,473 · median $7,980 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,239 – $46,164 · median $32,111 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,145 – $25,677 · median $17,861 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,922 – $17,520 · median $12,187 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,313 – $94,442 · median $65,693 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,994 – $53,138 · median $36,962 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,098 – $30,621 · median $21,300 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,690 – $82,742 · median $57,554 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,134 – $40,837 · median $28,405 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,242 – $25,924 · median $18,032 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,749 – $49,986 · median $34,770 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,743 – $27,191 · median $18,913 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,720 – $22,072 · median $15,353 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,611 – $26,856 · median $18,681 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,953 – $25,192 · median $17,524 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,405 – $31,399 · median $21,841 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,028 – $30,443 · median $21,176 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $12,459 – $31,535 · median $21,936 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $7,408 – $18,751 · median $13,043 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,142 – $13,016 · median $9,054 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,815 – $32,437 · median $22,563 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,550 – $16,580 · median $11,533 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,644 – $26,941 · median $18,740 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,537 – $16,268 · median $11,316 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,180 – $13,111 · median $9,120 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,796 – $14,670 · median $10,205 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,632 – $9,194 · median $6,395 | 8 plans |
| 602 | CELLULITIS WITH MCC | $8,902 – $22,532 · median $15,673 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,337 – $13,508 · median $9,396 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,002 – $22,785 · median $15,849 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,597 – $14,166 · median $9,854 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,757 – $24,696 · median $17,178 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,236 – $13,253 · median $9,219 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,808 – $34,951 · median $24,311 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,683 – $21,976 · median $15,287 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,418 – $59,274 · median $41,230 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,704 – $29,623 · median $20,605 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,544 – $19,095 · median $13,282 | 8 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,520 – $41,814 · median $27,044 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,676 – $24,810 · median $17,036 | 8 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,857 – $24,810 · median $15,594 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,673 – $57,387 · median $39,918 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,590 – $29,335 · median $20,405 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,078 – $15,273 · median $10,624 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,372 – $43,970 · median $30,585 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,145 – $23,147 · median $16,100 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,676 – $19,429 · median $13,515 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,907 – $60,511 · median $42,091 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,627 – $34,492 · median $23,992 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,490 – $21,490 · median $14,948 | 8 plans |
| 637 | DIABETES WITH MCC | $8,824 – $22,334 · median $15,535 | 8 plans |
| 638 | DIABETES WITH CC | $5,557 – $14,066 · median $9,784 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,797 – $9,610 · median $6,684 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,046 – $20,366 · median $14,166 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,735 – $11,984 · median $8,336 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,520 – $19,034 · median $13,239 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,042 – $25,416 · median $17,679 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,261 – $15,848 · median $11,024 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,718 – $11,942 · median $8,307 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,777 – $85,492 · median $59,467 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,099 – $43,280 · median $30,105 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,586 – $31,857 · median $22,160 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,740 – $49,965 · median $34,755 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,076 – $28,036 · median $19,501 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,113 – $23,065 · median $16,044 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,658 – $39,633 · median $27,568 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,119 – $20,550 · median $14,294 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,220 – $15,744 · median $10,951 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,902 – $47,842 · median $33,278 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,255 – $23,424 · median $16,294 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,543 – $16,560 · median $11,519 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,804 – $52,658 · median $36,628 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $9,981 – $25,263 · median $17,573 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,227 – $15,762 · median $10,964 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,670 – $44,724 · median $31,110 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,376 – $23,732 · median $16,508 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,791 – $14,657 · median $10,195 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,444 – $26,435 · median $18,388 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,631 – $16,784 · median $11,675 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,385 – $64,252 · median $44,693 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,987 – $35,402 · median $24,625 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,484 – $24,005 · median $16,698 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $9,100 – $23,033 · median $16,022 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $5,386 – $13,632 · median $9,482 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,680 – $9,315 · median $6,479 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,425 – $28,919 · median $20,116 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,378 – $16,144 · median $11,230 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,388 – $11,106 · median $7,725 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,091 – $17,948 · median $12,484 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,863 – $12,309 · median $8,562 | 8 plans |
| 693 | URINARY STONES WITH MCC | $8,909 – $22,550 · median $15,685 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,735 – $11,984 · median $8,336 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,833 – $17,296 · median $12,031 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,192 – $10,609 · median $7,380 | 8 plans |
| 697 | URETHRAL STRICTURE | $6,070 – $14,919 · median $10,377 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,185 – $25,778 · median $17,931 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,180 – $15,641 · median $10,880 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,206 – $10,646 · median $7,405 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,758 – $29,761 · median $20,701 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,982 – $22,736 · median $15,815 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,615 – $34,462 · median $23,971 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,097 – $23,025 · median $16,016 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,576 – $29,255 · median $20,349 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,987 – $13,589 · median $9,452 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,761 – $22,176 · median $15,425 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,694 – $14,411 · median $10,024 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,683 – $34,633 · median $24,090 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,600 – $21,766 · median $15,140 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,242 – $28,456 · median $19,794 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,464 – $18,892 · median $13,141 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,475 – $26,514 · median $18,443 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,804 – $17,221 · median $11,979 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,415 – $10,074 · median $7,007 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,650 – $19,363 · median $13,469 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,510 – $11,416 · median $7,941 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,903 – $22,535 · median $15,675 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,951 – $12,531 · median $8,716 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,670 – $16,883 · median $11,744 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,677 – $9,307 · median $6,474 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,741 – $32,249 · median $22,432 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,355 – $18,616 · median $12,949 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,858 – $60,387 · median $42,004 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,108 – $30,647 · median $21,318 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,191 – $23,263 · median $16,182 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,120 – $61,051 · median $42,466 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,017 – $27,885 · median $19,397 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,323 – $21,066 · median $14,653 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,068 – $28,014 · median $19,486 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,263 – $18,383 · median $12,787 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,839 – $29,967 · median $20,844 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,788 – $14,649 · median $10,190 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,254 – $20,892 · median $14,532 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,684 – $39,699 · median $27,614 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,813 – $19,776 · median $13,756 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,963 – $27,747 · median $19,301 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,726 – $17,024 · median $11,842 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,786 – $14,646 · median $10,187 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,575 – $21,705 · median $15,098 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,176 – $15,632 · median $10,873 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,878 – $9,815 · median $6,827 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,972 – $15,115 · median $10,514 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,841 – $9,721 · median $6,762 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,419 – $21,107 · median $14,682 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,519 – $16,502 · median $11,478 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,323 – $10,942 · median $7,611 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $5,664 – $14,336 · median $9,972 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $28,809 – $72,920 · median $50,722 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,655 – $44,686 · median $31,083 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,947 – $25,177 · median $17,513 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $21,720 – $54,976 · median $38,241 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,785 – $27,298 · median $18,988 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,699 – $16,955 · median $11,794 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,877 – $35,124 · median $24,432 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,504 – $18,994 · median $13,212 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,767 – $14,597 · median $10,153 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,524 – $21,576 · median $15,008 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,592 – $14,154 · median $9,845 | 8 plans |
| 813 | COAGULATION DISORDERS | $9,379 – $23,740 · median $16,513 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,666 – $32,060 · median $22,300 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,157 – $15,583 · median $10,839 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,995 – $10,113 · median $7,034 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,770 – $33,523 · median $23,318 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,685 – $15,603 · median $10,554 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,564 – $10,358 · median $7,205 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $35,277 – $89,291 · median $62,109 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,526 – $34,236 · median $23,814 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,930 – $17,540 · median $12,200 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,353 – $71,765 · median $49,919 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,326 – $33,730 · median $23,462 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,457 – $18,876 · median $13,130 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $28,935 – $73,237 · median $50,943 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,299 – $36,191 · median $25,174 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,712 – $24,582 · median $17,099 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,685 – $47,293 · median $32,896 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,861 – $22,429 · median $15,601 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,974 – $17,652 · median $12,278 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,529 – $11,462 · median $7,973 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,149 – $7,972 · median $5,545 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $33,490 – $84,767 · median $58,962 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $12,941 – $32,756 · median $22,785 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,699 – $19,053 · median $13,253 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,339 – $76,790 · median $53,414 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,289 – $31,104 · median $21,636 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,303 – $21,016 · median $14,619 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,322 – $48,907 · median $34,019 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,501 – $24,047 · median $16,727 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,373 – $16,132 · median $11,221 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,472 – $29,036 · median $20,197 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,242 – $18,330 · median $12,750 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,070 – $12,833 · median $8,927 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,473 – $39,165 · median $27,243 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,699 – $19,487 · median $13,555 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,962 – $12,559 · median $8,736 | 8 plans |
| 849 | RADIOTHERAPY | $16,184 – $40,964 · median $28,494 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $55,815 – $141,274 · median $98,268 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,303 – $76,700 · median $53,351 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,106 – $30,643 · median $21,315 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,850 – $24,930 · median $17,341 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,336 – $69,190 · median $48,128 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,202 – $33,416 · median $23,243 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,806 – $19,759 · median $13,744 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,141 – $28,198 · median $19,614 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,058 – $15,334 · median $10,666 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,441 – $13,772 · median $9,579 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,942 – $22,245 · median $15,473 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,361 – $13,569 · median $9,439 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,992 – $32,885 · median $22,874 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,363 – $16,104 · median $11,202 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,360 – $11,036 · median $7,676 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $42,149 – $106,685 · median $74,208 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,888 – $30,091 · median $20,931 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,247 – $15,811 · median $10,998 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,844 – $67,946 · median $47,262 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,498 – $29,102 · median $20,243 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,387 – $18,696 · median $13,005 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,394 – $59,214 · median $41,188 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,986 – $25,277 · median $17,582 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,224 – $33,471 · median $23,282 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,137 – $61,094 · median $42,496 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,222 – $30,934 · median $21,517 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,685 – $19,451 · median $13,530 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,805 – $24,818 · median $17,263 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,552 – $14,054 · median $9,776 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,530 – $26,652 · median $18,539 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,024 – $10,185 · median $7,084 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,935 – $25,146 · median $17,492 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,360 – $13,566 · median $9,436 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,049 – $27,967 · median $19,453 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,155 – $15,580 · median $10,837 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,167 – $10,547 · median $7,336 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,236 – $25,909 · median $18,022 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,180 – $15,641 · median $10,880 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,231 – $48,676 · median $33,859 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,793 – $32,380 · median $22,523 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,841 – $29,971 · median $20,847 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,793 – $19,725 · median $13,721 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,814 – $12,184 · median $8,475 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,538 – $16,548 · median $11,510 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,551 – $8,988 · median $6,252 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,435 – $8,696 · median $6,048 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $41,373 – $104,719 · median $72,841 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,160 – $58,620 · median $40,775 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,226 – $114,471 · median $79,624 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,901 – $63,028 · median $43,841 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,019 – $40,547 · median $28,204 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,460 – $41,663 · median $28,980 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,089 – $23,006 · median $16,002 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,529 – $13,996 · median $9,735 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,319 – $96,989 · median $67,464 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,076 – $40,691 · median $28,304 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,093 – $45,796 · median $31,855 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,612 – $21,799 · median $15,163 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,077 – $15,382 · median $10,700 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,736 – $22,113 · median $15,381 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,804 – $72,906 · median $50,712 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,834 – $37,547 · median $26,117 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,108 – $25,584 · median $17,796 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,223 – $53,717 · median $37,365 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,397 – $26,317 · median $18,305 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,001 – $17,721 · median $12,326 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,209 – $15,716 · median $10,792 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,146 – $25,682 · median $17,635 | 7 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $170,672 – $341,231 · median $326,104 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $66,768 – $133,493 · median $127,575 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $64,525 – $129,007 · median $123,288 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,381 – $58,743 · median $56,139 | 3 plans |
| 007 | LUNG TRANSPLANT | $79,184 – $158,315 · median $151,298 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $32,968 – $65,913 · median $62,992 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $48,308 – $96,585 · median $92,303 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $79,384 – $158,715 · median $151,680 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $36,572 – $73,119 · median $69,878 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,572 – $73,119 · median $69,878 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $48,032 – $96,031 · median $91,774 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $27,916 – $55,813 · median $53,339 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,040 – $42,066 · median $40,201 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $18,610 – $37,207 · median $35,558 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,922 – $21,837 · median $20,869 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,809 – $47,603 · median $45,493 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,808 – $11,612 · median $11,098 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $5,539 – $11,073 · median $10,583 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,829 – $11,654 · median $11,137 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,233 – $22,458 · median $21,463 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,120 – $20,233 · median $19,336 | 3 plans |
| 885 | PSYCHOSES | $8,541 – $17,076 · median $16,319 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,885 – $21,763 · median $20,798 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,207 – $14,408 · median $13,770 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $143,736 – $287,378 · median $274,639 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $40,467 – $80,908 · median $77,322 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,270 – $38,527 · median $36,819 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,217 – $52,416 · median $50,093 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,001 – $25,994 · median $24,842 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $13,308 – $26,607 · median $25,428 | 3 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $5,529 – $15,783 · median $10,656 | 2 plans |
| 999 | UNGROUPABLE | $9,786 – $38,319 · median $24,052 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,225 – $7,225 · median $7,225 | 1 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,762 – $16,762 · median $16,762 | 1 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $20,616 – $20,616 · median $20,616 | 1 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,213 – $10,213 · median $10,213 | 1 plans |
No procedures match that keyword.