Christus Jasper Memorial Hospital — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 | $1,040 – $16,185 · median $6,749 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,040 – $27,196 · median $10,043 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,040 – $15,989 · median $7,299 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,040 – $13,516 · median $6,168 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,040 – $23,856 · median $9,974 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,040 – $15,676 · median $7,225 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,040 – $13,516 · median $6,381 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,040 – $18,847 · median $6,817 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,040 – $14,294 · median $6,175 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,040 – $14,294 · median $6,175 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,040 – $14,734 · median $6,135 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,040 – $10,683 · median $4,977 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,040 – $9,409 · median $4,667 | 28 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $58,852 – $183,907 · median $84,466 | 25 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,380 – $123,609 · median $59,632 | 25 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,279 – $123,609 · median $53,463 | 25 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,183 – $144,344 · median $67,719 | 25 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,299 – $100,251 · median $48,910 | 25 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $28,006 – $94,751 · median $41,271 | 25 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,388 – $93,006 · median $46,016 | 25 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,942 – $61,829 · median $28,684 | 25 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $51,674 – $158,474 · median $76,046 | 25 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,251 – $113,971 · median $56,408 | 25 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $47,664 – $143,722 · median $68,409 | 25 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $32,442 – $102,693 · median $49,127 | 25 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,882 – $110,324 · median $51,499 | 25 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,075 – $78,745 · median $37,971 | 25 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,684 – $60,021 · median $29,687 | 25 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,737 – $40,059 · median $20,802 | 25 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,005 – $33,979 · median $16,665 | 25 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,800 – $85,769 · median $43,915 | 25 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,102 – $41,029 · median $21,355 | 25 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,529 – $28,095 · median $14,429 | 25 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,918 – $65,577 · median $28,836 | 25 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,568 – $48,795 · median $23,060 | 25 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,668 – $33,494 · median $15,721 | 25 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $12,853 – $59,068 · median $24,554 | 25 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,718 – $38,013 · median $15,383 | 25 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $11,258 – $61,149 · median $27,972 | 25 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,258 – $35,540 · median $15,583 | 25 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,255 – $30,640 · median $12,464 | 25 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,355 – $57,476 · median $22,025 | 25 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,313 – $62,800 · median $28,702 | 25 plans |
| 265 | AICD LEAD PROCEDURES | $21,753 – $68,019 · median $29,294 | 25 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,009 – $30,155 · median $14,366 | 25 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,621 – $17,278 · median $8,068 | 25 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,422 – $13,594 · median $6,346 | 25 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,924 – $37,237 · median $17,114 | 25 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,519 – $13,013 · median $6,485 | 25 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,423 – $11,259 · median $4,913 | 25 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,978 – $41,598 · median $18,176 | 25 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,645 – $20,117 · median $9,793 | 25 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,626 – $54,280 · median $23,706 | 25 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,738 – $30,084 · median $13,546 | 25 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,914 – $28,356 · median $11,958 | 25 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $130,689 – $399,013 · median $181,783 | 24 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $86,164 – $260,392 · median $119,851 | 24 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $32,904 – $102,532 · median $45,768 | 24 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,024 – $79,257 · median $34,808 | 24 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,160 – $54,175 · median $22,477 | 24 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $229,971 – $811,793 · median $319,880 | 24 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,156 – $147,926 · median $68,374 | 24 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,705 – $99,518 · median $46,117 | 24 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,528 – $59,732 · median $25,216 | 24 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $34,789 – $107,724 · median $48,391 | 24 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,183 – $73,540 · median $32,246 | 24 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,272 – $85,473 · median $37,934 | 24 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,651 – $58,450 · median $25,943 | 24 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,049 – $47,428 · median $20,932 | 24 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,073 – $112,950 · median $51,566 | 24 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,469 – $64,135 · median $28,472 | 24 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,570 – $41,268 · median $18,876 | 24 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,554 – $84,229 · median $35,545 | 24 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,023 – $40,061 · median $18,114 | 24 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,729 – $31,261 · median $13,533 | 24 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,713 – $72,765 · median $32,984 | 24 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,872 – $44,939 · median $19,295 | 24 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,178 – $36,523 · median $15,548 | 24 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,251 – $61,888 · median $28,105 | 24 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,826 – $30,503 · median $14,291 | 24 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,941 – $22,098 · median $10,095 | 24 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,002 – $72,587 · median $31,995 | 24 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,770 – $41,333 · median $19,154 | 24 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,718 – $32,479 · median $14,908 | 24 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,272 – $34,051 · median $17,070 | 24 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,619 – $18,408 · median $7,815 | 24 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,141 – $28,704 · median $12,715 | 24 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,653 – $19,167 · median $9,254 | 24 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,270 – $43,672 · median $21,240 | 24 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,137 – $24,356 · median $11,318 | 24 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,256 – $32,137 · median $15,657 | 24 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,461 – $23,328 · median $10,379 | 24 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,442 – $17,291 · median $7,569 | 24 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,485 – $51,831 · median $22,930 | 24 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,860 – $33,034 · median $15,106 | 24 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,566 – $26,390 · median $11,916 | 24 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,130 – $37,805 · median $16,872 | 24 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,201 – $18,993 · median $8,625 | 24 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,197 – $12,866 · median $5,838 | 24 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,872 – $27,610 · median $12,340 | 24 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,375 – $16,250 · median $7,477 | 24 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,879 – $15,017 · median $6,786 | 24 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,603 – $31,297 · median $14,749 | 24 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,427 – $19,288 · median $8,939 | 24 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,575 – $14,216 · median $6,363 | 24 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,425 – $30,159 · median $13,110 | 24 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,357 – $19,378 · median $8,842 | 24 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,503 – $36,047 · median $14,362 | 24 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,591 – $15,513 · median $7,777 | 24 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,122 – $34,026 · median $16,783 | 24 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,517 – $16,836 · median $7,675 | 24 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,149 – $42,967 · median $19,680 | 24 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,479 – $26,240 · median $11,793 | 24 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,830 – $17,968 · median $8,110 | 24 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,818 – $42,709 · median $19,220 | 24 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,998 – $24,489 · median $11,125 | 24 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,391 – $17,195 · median $7,498 | 24 plans |
| 088 | CONCUSSION WITH MCC | $8,602 – $25,412 · median $11,966 | 24 plans |
| 089 | CONCUSSION WITH CC | $6,538 – $20,653 · median $9,094 | 24 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,228 – $15,475 · median $7,272 | 24 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,116 – $33,015 · median $15,462 | 24 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,456 – $19,231 · median $8,980 | 24 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,813 – $14,970 · median $6,695 | 24 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,250 – $66,161 · median $30,948 | 24 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,618 – $48,486 · median $20,333 | 24 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,618 – $48,486 · median $20,333 | 24 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $21,859 – $67,898 · median $30,405 | 24 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,228 – $43,142 · median $18,400 | 24 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,496 – $25,612 · median $11,818 | 24 plans |
| 100 | SEIZURES WITH MCC | $12,106 – $36,410 · median $16,839 | 24 plans |
| 101 | SEIZURES WITHOUT MCC | $5,620 – $16,968 · median $7,818 | 24 plans |
| 102 | HEADACHES WITH MCC | $7,071 – $21,072 · median $9,835 | 24 plans |
| 103 | HEADACHES WITHOUT MCC | $5,184 – $15,722 · median $7,211 | 24 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,761 – $44,198 · median $19,061 | 24 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,208 – $25,435 · median $10,027 | 24 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,336 – $28,855 · median $12,986 | 24 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,175 – $33,990 · median $14,153 | 24 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,577 – $20,395 · median $8,829 | 24 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,093 – $21,869 · median $9,866 | 24 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,136 – $14,772 · median $5,753 | 24 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,898 – $15,013 · median $6,813 | 24 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,951 – $24,873 · median $11,060 | 24 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,035 – $14,434 · median $7,004 | 24 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,703 – $40,794 · median $20,451 | 24 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,965 – $19,087 · median $8,297 | 24 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,529 – $28,071 · median $11,863 | 24 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,961 – $16,660 · median $6,900 | 24 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,373 – $23,230 · median $11,646 | 24 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $25,790 – $80,183 · median $35,872 | 24 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,101 – $41,003 · median $18,224 | 24 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,588 – $30,011 · median $13,337 | 24 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,135 – $70,432 · median $28,007 | 24 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,712 – $32,577 · median $14,900 | 24 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,225 – $22,602 · median $10,049 | 24 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,989 – $39,805 · median $19,459 | 24 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,591 – $23,903 · median $10,558 | 24 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,883 – $14,985 · median $6,638 | 24 plans |
| 149 | DYSEQUILIBRIUM | $4,558 – $14,129 · median $6,340 | 24 plans |
| 150 | EPISTAXIS WITH MCC | $8,429 – $25,031 · median $11,724 | 24 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,622 – $13,798 · median $6,429 | 24 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,920 – $22,224 · median $9,625 | 24 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,340 – $13,877 · median $6,037 | 24 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,917 – $29,392 · median $13,794 | 24 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,693 – $17,229 · median $7,919 | 24 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,100 – $12,992 · median $5,703 | 24 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,985 – $32,274 · median $13,889 | 24 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,736 – $17,103 · median $7,978 | 24 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,022 – $13,319 · median $5,595 | 24 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,107 – $84,253 · median $39,095 | 24 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,349 – $47,449 · median $21,349 | 24 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,367 – $35,985 · median $15,810 | 24 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,479 – $70,265 · median $32,658 | 24 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,142 – $33,902 · median $15,498 | 24 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,256 – $25,687 · median $11,484 | 24 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,712 – $55,953 · median $26,028 | 24 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,593 – $25,822 · median $11,952 | 24 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,967 – $15,133 · median $6,909 | 24 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,857 – $29,377 · median $13,711 | 24 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,050 – $18,348 · median $8,415 | 24 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,694 – $14,193 · median $6,529 | 24 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,658 – $33,199 · median $14,825 | 24 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,771 – $20,134 · median $9,418 | 24 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,107 – $14,171 · median $7,104 | 24 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,679 – $28,761 · median $13,463 | 24 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,513 – $20,004 · median $9,060 | 24 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,742 – $14,785 · median $6,596 | 24 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,635 – $29,298 · median $13,402 | 24 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,122 – $18,594 · median $8,516 | 24 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,477 – $13,483 · median $6,227 | 24 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,546 – $23,224 · median $10,496 | 24 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,848 – $20,824 · median $9,525 | 24 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,239 – $15,848 · median $7,287 | 24 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,947 – $12,069 · median $5,490 | 24 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,035 – $24,709 · median $11,177 | 24 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,000 – $15,150 · median $6,955 | 24 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,797 – $11,815 · median $5,282 | 24 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,489 – $35,477 · median $15,981 | 24 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,037 – $17,842 · median $8,397 | 24 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,271 – $13,464 · median $5,828 | 24 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,765 – $33,163 · median $14,973 | 24 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,753 – $20,666 · median $9,394 | 24 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,129 – $13,443 · median $5,743 | 24 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,895 – $18,258 · median $8,200 | 24 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,248 – $12,595 · median $5,909 | 24 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,945 – $15,178 · median $6,879 | 24 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,512 – $34,421 · median $16,012 | 24 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,524 – $17,692 · median $7,683 | 24 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $39,437 – $120,966 · median $54,855 | 24 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,366 – $51,673 · median $22,764 | 24 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $66,431 – $204,422 · median $87,889 | 24 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $30,085 – $187,182 · median $89,865 | 24 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,715 – $92,523 · median $42,723 | 24 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,758 – $53,587 · median $24,701 | 24 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,207 – $26,025 · median $12,807 | 24 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,955 – $50,708 · median $22,193 | 24 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,328 – $31,919 · median $14,366 | 24 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,439 – $20,532 · median $6,914 | 24 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $36,532 – $115,208 · median $53,134 | 24 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $28,689 – $89,498 · median $41,727 | 24 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $40,659 – $129,298 · median $59,137 | 24 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,372 – $79,392 · median $36,743 | 24 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $31,301 – $99,189 · median $46,763 | 24 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,004 – $66,855 · median $31,379 | 24 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,258 – $47,994 · median $22,796 | 24 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,845 – $77,555 · median $33,167 | 24 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,286 – $61,881 · median $24,637 | 24 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,094 – $134,044 · median $64,382 | 24 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $37,773 – $112,918 · median $53,795 | 24 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $28,367 – $86,823 · median $42,380 | 24 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $23,218 – $104,639 · median $37,189 | 24 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $19,540 – $67,797 · median $24,801 | 24 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,657 – $50,874 · median $23,169 | 24 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,615 – $32,088 · median $13,374 | 24 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,970 – $17,477 · median $8,304 | 24 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,957 – $24,134 · median $11,067 | 24 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,252 – $15,960 · median $7,305 | 24 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,346 – $10,640 · median $4,654 | 24 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,991 – $29,362 · median $13,897 | 24 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,295 – $11,919 · median $5,975 | 24 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,693 – $8,555 · median $3,747 | 24 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,864 – $30,693 · median $13,720 | 24 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,528 – $20,068 · median $9,081 | 24 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,350 – $13,530 · median $6,051 | 24 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,094 – $22,495 · median $9,867 | 24 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,100 – $12,655 · median $5,703 | 24 plans |
| 304 | HYPERTENSION WITH MCC | $7,164 – $22,371 · median $9,965 | 24 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,578 – $14,195 · median $6,367 | 24 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,131 – $29,623 · median $12,701 | 24 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,649 – $17,167 · median $7,858 | 24 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,354 – $22,634 · median $10,228 | 24 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,508 – $13,830 · median $6,271 | 24 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,412 – $10,642 · median $4,746 | 24 plans |
| 311 | ANGINA PECTORIS | $4,258 – $13,195 · median $5,923 | 24 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,313 – $16,385 · median $7,390 | 24 plans |
| 313 | CHEST PAIN | $4,350 – $13,535 · median $6,051 | 24 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,132 – $39,200 · median $18,266 | 24 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,868 – $18,109 · median $8,162 | 24 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,163 – $12,823 · median $5,791 | 24 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $37,724 – $125,700 · median $52,351 | 24 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $26,787 – $83,898 · median $38,961 | 24 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,116 – $45,217 · median $20,531 | 24 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,360 – $51,148 · median $24,612 | 24 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,032 – $33,143 · median $16,482 | 24 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $25,974 – $81,351 · median $36,030 | 24 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,484 – $59,236 · median $26,221 | 24 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,453 – $60,352 · median $24,497 | 24 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $30,972 – $93,758 · median $43,080 | 24 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,806 – $45,949 · median $20,595 | 24 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,717 – $30,122 · median $13,516 | 24 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,001 – $86,410 · median $38,948 | 24 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,414 – $45,065 · median $20,049 | 24 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,068 – $31,637 · median $14,004 | 24 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,152 – $68,066 · median $29,422 | 24 plans |
| 333 | RECTAL RESECTION WITH CC | $12,960 – $44,031 · median $18,027 | 24 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,114 – $30,791 · median $14,068 | 24 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,095 – $67,129 · median $30,734 | 24 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,881 – $39,641 · median $17,917 | 24 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,361 – $28,856 · median $13,021 | 24 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,431 – $48,554 · median $22,855 | 24 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,078 – $28,287 · median $12,627 | 24 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,594 – $22,299 · median $10,563 | 24 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,433 – $43,155 · median $20,075 | 24 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,677 – $24,604 · median $10,678 | 24 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,372 – $16,366 · median $7,472 | 24 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,749 – $46,845 · median $20,515 | 24 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,174 – $28,659 · median $12,761 | 24 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,724 – $21,953 · median $9,352 | 24 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,885 – $54,555 · median $24,878 | 24 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,373 – $31,627 · median $14,429 | 24 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,130 – $25,285 · median $11,308 | 24 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,012 – $82,580 · median $36,182 | 24 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,733 – $43,717 · median $19,101 | 24 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,263 – $26,279 · median $11,494 | 24 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,184 – $29,926 · median $14,165 | 24 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,205 – $18,803 · median $8,631 | 24 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,256 – $13,174 · median $5,920 | 24 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,659 – $33,333 · median $14,827 | 24 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,277 – $19,194 · median $8,731 | 24 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,423 – $13,674 · median $6,153 | 24 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $12,875 – $40,205 · median $17,909 | 24 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,493 – $22,739 · median $10,422 | 24 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,385 – $17,376 · median $7,490 | 24 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,087 – $34,365 · median $15,422 | 24 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,012 – $18,436 · median $8,362 | 24 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,883 – $11,851 · median $5,400 | 24 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,734 – $36,887 · median $16,322 | 24 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,641 – $20,369 · median $9,238 | 24 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,569 – $15,050 · median $6,356 | 24 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,709 – $25,956 · median $10,723 | 24 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,303 – $16,069 · median $7,376 | 24 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,908 – $29,746 · median $13,782 | 24 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,052 – $18,353 · median $8,418 | 24 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,087 – $12,808 · median $5,685 | 24 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,963 – $27,762 · median $12,468 | 24 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,888 – $14,847 · median $6,799 | 24 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,337 – $10,227 · median $4,641 | 24 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,833 – $23,843 · median $10,895 | 24 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,758 – $14,656 · median $6,619 | 24 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,098 – $30,065 · median $14,046 | 24 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,740 – $17,590 · median $7,984 | 24 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,881 – $12,201 · median $5,398 | 24 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,110 – $45,022 · median $21,017 | 24 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,227 – $28,454 · median $13,421 | 24 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,853 – $21,519 · median $9,967 | 24 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,856 – $75,581 · median $33,183 | 24 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $33,104 – $102,840 · median $46,046 | 24 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,126 – $54,521 · median $23,821 | 24 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,024 – $41,726 · median $18,116 | 24 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,351 – $67,030 · median $29,698 | 24 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,784 – $40,931 · median $17,783 | 24 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,459 – $29,847 · median $13,156 | 24 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $16,686 – $62,099 · median $23,116 | 24 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,998 – $39,525 · median $18,080 | 24 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,138 – $31,216 · median $14,101 | 24 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,366 – $66,973 · median $29,719 | 24 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,062 – $38,852 · median $16,778 | 24 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,355 – $25,629 · median $11,622 | 24 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,492 – $44,862 · median $20,455 | 24 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,113 – $31,800 · median $13,518 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,539 – $25,676 · median $10,552 | 24 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,523 – $64,050 · median $29,937 | 24 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,986 – $32,663 · median $13,890 | 24 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,960 – $26,309 · median $12,463 | 24 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $24,803 – $78,072 · median $34,500 | 24 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,923 – $41,130 · median $19,367 | 24 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,426 – $28,204 · median $13,111 | 24 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $63,879 – $207,188 · median $88,852 | 24 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $43,312 – $135,702 · median $60,245 | 24 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $33,564 – $105,688 · median $46,686 | 24 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $50,861 – $169,371 · median $70,745 | 24 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $33,359 – $108,416 · median $46,401 | 24 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,947 – $37,000 · median $16,617 | 24 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,524 – $19,856 · median $9,074 | 24 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,247 – $13,394 · median $5,908 | 24 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,126 – $34,528 · median $15,476 | 24 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,877 – $21,264 · median $9,565 | 24 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,788 – $16,041 · median $6,660 | 24 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,145 – $30,646 · median $14,112 | 24 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,245 – $15,814 · median $7,296 | 24 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,751 – $11,682 · median $5,217 | 24 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,528 – $33,739 · median $16,034 | 24 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,892 – $18,147 · median $8,195 | 24 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,285 – $13,154 · median $5,960 | 24 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,271 – $31,411 · median $14,287 | 24 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,613 – $20,574 · median $9,199 | 24 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,862 – $15,552 · median $6,763 | 24 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,885 – $125,607 · median $56,869 | 24 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,901 – $79,723 · median $36,218 | 24 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,405 – $100,191 · median $45,677 | 24 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,818 – $60,728 · median $27,370 | 24 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $51,645 – $157,976 · median $71,836 | 24 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $34,999 – $112,100 · median $48,682 | 24 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,331 – $78,441 · median $36,625 | 24 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $37,421 – $103,827 · median $51,452 | 24 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,463 – $50,005 · median $24,291 | 24 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,935 – $107,145 · median $45,811 | 24 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,980 – $58,553 · median $25,010 | 24 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,587 – $34,284 · median $14,726 | 24 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,067 – $97,856 · median $43,212 | 24 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,887 – $66,297 · median $29,053 | 24 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,997 – $51,660 · median $22,251 | 24 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,932 – $57,021 · median $27,725 | 24 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,498 – $36,261 · median $15,993 | 24 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,620 – $90,775 · median $41,200 | 24 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,667 – $55,384 · median $24,574 | 24 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,436 – $45,894 · median $20,080 | 24 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,348 – $80,702 · median $38,039 | 24 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,155 – $42,781 · median $18,298 | 24 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,093 – $22,187 · median $9,865 | 24 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,971 – $64,943 · median $29,170 | 24 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,261 – $46,231 · median $19,836 | 24 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,829 – $34,945 · median $15,062 | 24 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,934 – $54,748 · median $24,946 | 24 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,653 – $39,375 · median $17,599 | 24 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,674 – $30,661 · median $13,456 | 24 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,539 – $52,109 · median $21,614 | 24 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,631 – $60,666 · median $27,306 | 24 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,933 – $39,311 · median $17,989 | 24 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,636 – $29,443 · median $13,403 | 24 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,985 – $33,254 · median $16,671 | 24 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,552 – $20,995 · median $10,504 | 24 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,655 – $69,022 · median $30,121 | 24 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,641 – $47,676 · median $20,365 | 24 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,497 – $37,720 · median $15,992 | 24 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $21,468 – $68,160 · median $29,862 | 24 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,031 – $33,912 · median $16,735 | 24 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,187 – $22,715 · median $11,388 | 24 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,397 – $56,713 · median $21,416 | 24 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,079 – $37,876 · median $9,584 | 24 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,323 – $59,495 · median $26,877 | 24 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,883 – $32,863 · median $15,138 | 24 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,520 – $25,302 · median $11,851 | 24 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,139 – $52,470 · median $22,448 | 24 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,702 – $35,139 · median $14,886 | 24 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,702 – $33,703 · median $14,886 | 24 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,141 – $25,364 · median $12,715 | 24 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,819 – $33,959 · median $16,440 | 24 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,870 – $28,469 · median $10,745 | 24 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,429 – $56,782 · median $24,242 | 24 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,959 – $39,091 · median $16,635 | 24 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,804 – $31,120 · median $13,637 | 24 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,181 – $29,595 · median $12,771 | 24 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,217 – $19,218 · median $8,648 | 24 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,857 – $59,911 · median $26,230 | 24 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,267 – $39,066 · median $17,063 | 24 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,102 – $28,888 · median $12,661 | 24 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,741 – $70,258 · median $28,702 | 24 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,025 – $37,602 · median $17,489 | 24 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,740 – $28,084 · median $11,734 | 24 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,774 – $53,957 · median $24,722 | 24 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,855 – $39,811 · median $17,881 | 24 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,299 – $29,471 · median $12,934 | 24 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,964 – $15,154 · median $6,904 | 24 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,110 – $24,100 · median $11,280 | 24 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,945 – $15,182 · median $6,878 | 24 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,604 – $17,940 · median $7,795 | 24 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,095 – $13,541 · median $5,696 | 24 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,333 – $37,028 · median $17,154 | 24 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,891 – $24,369 · median $10,977 | 24 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,335 – $14,802 · median $7,421 | 24 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,373 – $33,208 · median $15,820 | 24 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,469 – $19,325 · median $8,999 | 24 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,608 – $14,186 · median $6,410 | 24 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,409 – $46,653 · median $21,433 | 24 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,060 – $21,683 · median $9,820 | 24 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,550 – $15,720 · median $6,329 | 24 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,285 – $36,299 · median $17,088 | 24 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,349 – $22,694 · median $10,222 | 24 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,257 – $16,432 · median $7,312 | 24 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,406 – $31,509 · median $14,474 | 24 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,877 – $18,071 · median $8,175 | 24 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,964 – $24,369 · median $11,077 | 24 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,089 – $15,605 · median $7,079 | 24 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,212 – $24,849 · median $11,422 | 24 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,979 – $15,614 · median $6,926 | 24 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,450 – $27,952 · median $13,145 | 24 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,267 – $16,791 · median $7,327 | 24 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,320 – $35,058 · median $15,745 | 24 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,944 – $21,170 · median $9,658 | 24 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,986 – $15,113 · median $6,935 | 24 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,924 – $26,785 · median $12,413 | 24 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,450 – $16,835 · median $7,581 | 24 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,569 – $29,018 · median $13,310 | 24 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,218 – $18,318 · median $8,649 | 24 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,562 – $14,086 · median $6,345 | 24 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,356 – $55,290 · median $25,533 | 24 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,210 – $31,761 · median $14,201 | 24 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,966 – $21,549 · median $9,690 | 24 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,552 – $123,160 · median $52,234 | 24 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,129 – $65,259 · median $29,389 | 24 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,176 – $33,782 · median $16,936 | 24 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,900 – $92,138 · median $45,763 | 24 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,238 – $49,831 · median $22,586 | 24 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,308 – $30,199 · median $14,338 | 24 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,876 – $60,881 · median $27,646 | 24 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,812 – $32,485 · median $15,039 | 24 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,776 – $27,129 · median $12,207 | 24 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,679 – $36,218 · median $14,854 | 24 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,017 – $32,417 · median $13,933 | 24 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,485 – $40,243 · median $17,366 | 24 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,105 – $36,265 · median $16,838 | 24 plans |
| 592 | SKIN ULCERS WITH MCC | $12,539 – $36,382 · median $17,442 | 24 plans |
| 593 | SKIN ULCERS WITH CC | $7,456 – $22,301 · median $10,371 | 24 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,175 – $16,295 · median $7,199 | 24 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,898 – $39,867 · median $17,940 | 24 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,593 – $20,350 · median $9,170 | 24 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,712 – $31,340 · median $14,900 | 24 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,579 – $21,267 · median $9,077 | 24 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,213 – $14,464 · median $7,251 | 24 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,833 – $19,581 · median $8,114 | 24 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,656 – $11,373 · median $5,085 | 24 plans |
| 602 | CELLULITIS WITH MCC | $8,959 – $26,719 · median $12,462 | 24 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,371 – $16,372 · median $7,471 | 24 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,060 – $27,674 · median $12,602 | 24 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,633 – $17,220 · median $7,835 | 24 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,820 – $28,447 · median $13,659 | 24 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,270 – $17,039 · median $7,330 | 24 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,897 – $41,204 · median $19,330 | 24 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,738 – $26,305 · median $12,155 | 24 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,569 – $65,560 · median $32,783 | 24 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,779 – $35,160 · median $16,384 | 24 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,593 – $26,663 · median $10,561 | 24 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,819 – $66,909 · median $31,740 | 24 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,664 – $33,724 · median $16,224 | 24 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,117 – $23,534 · median $8,479 | 24 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,483 – $56,775 · median $24,319 | 24 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,204 – $28,187 · median $12,802 | 24 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,726 – $24,971 · median $10,746 | 24 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,061 – $70,060 · median $33,467 | 24 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,715 – $40,959 · median $19,077 | 24 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,545 – $27,437 · median $11,886 | 24 plans |
| 637 | DIABETES WITH MCC | $8,880 – $27,009 · median $12,352 | 24 plans |
| 638 | DIABETES WITH CC | $5,593 – $16,848 · median $7,780 | 24 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,821 – $11,678 · median $5,315 | 24 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,098 – $25,108 · median $11,264 | 24 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,765 – $14,629 · median $6,628 | 24 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,568 – $26,734 · median $10,527 | 24 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,106 – $30,945 · median $14,057 | 24 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,302 – $19,269 · median $8,765 | 24 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,748 – $14,443 · median $6,605 | 24 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,994 – $97,687 · median $47,284 | 24 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,209 – $52,624 · median $23,937 | 24 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,667 – $39,790 · median $17,620 | 24 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,867 – $59,852 · median $27,634 | 24 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,148 – $34,402 · median $15,506 | 24 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,171 – $29,172 · median $12,757 | 24 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,759 – $47,766 · median $21,920 | 24 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,171 – $24,847 · median $11,366 | 24 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,260 – $19,464 · median $8,708 | 24 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,023 – $57,553 · median $26,460 | 24 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,314 – $28,578 · median $12,955 | 24 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,585 – $19,681 · median $9,159 | 24 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,938 – $58,675 · median $29,124 | 24 plans |
| 666 | PROSTATECTOMY WITH CC | $10,045 – $32,885 · median $13,972 | 24 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,267 – $20,795 · median $8,718 | 24 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,784 – $54,893 · median $24,736 | 24 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,437 – $29,176 · median $13,126 | 24 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,828 – $18,372 · median $8,106 | 24 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,511 – $33,744 · median $14,620 | 24 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,674 – $20,294 · median $9,283 | 24 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,548 – $78,986 · median $35,536 | 24 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,077 – $43,963 · median $19,580 | 24 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,545 – $30,857 · median $13,277 | 24 plans |
| 682 | RENAL FAILURE WITH MCC | $9,159 – $27,841 · median $12,739 | 24 plans |
| 683 | RENAL FAILURE WITH CC | $5,420 – $16,464 · median $7,540 | 24 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,704 – $11,285 · median $5,152 | 24 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,499 – $33,908 · median $15,995 | 24 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,419 – $19,698 · median $8,929 | 24 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,416 – $14,857 · median $6,143 | 24 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,136 – $21,812 · median $9,926 | 24 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,894 – $15,218 · median $6,808 | 24 plans |
| 693 | URINARY STONES WITH MCC | $8,966 – $25,275 · median $12,472 | 24 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,765 – $14,695 · median $6,628 | 24 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,877 – $21,502 · median $9,566 | 24 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,219 – $12,953 · median $5,868 | 24 plans |
| 697 | URETHRAL STRICTURE | $6,109 – $20,262 · median $8,378 | 24 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,250 – $31,101 · median $14,257 | 24 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,219 – $19,081 · median $8,651 | 24 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,233 – $12,969 · median $5,888 | 24 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,834 – $37,604 · median $16,460 | 24 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,040 – $28,841 · median $12,575 | 24 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,703 – $43,747 · median $19,060 | 24 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,155 – $26,341 · median $12,735 | 24 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,651 – $39,173 · median $16,193 | 24 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,522 – $20,673 · median $7,867 | 24 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,818 – $28,262 · median $12,265 | 24 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,730 – $19,878 · median $7,971 | 24 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,771 – $42,059 · median $19,155 | 24 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,655 – $27,653 · median $12,039 | 24 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,315 – $35,540 · median $15,738 | 24 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,512 – $25,249 · median $10,449 | 24 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,543 – $34,021 · median $14,665 | 24 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,847 – $21,482 · median $9,524 | 24 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,443 – $12,327 · median $5,730 | 24 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,699 – $21,999 · median $10,709 | 24 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,539 – $13,573 · median $6,314 | 24 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,960 – $27,877 · median $12,463 | 24 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,983 – $15,250 · median $6,931 | 24 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,713 – $19,903 · median $9,338 | 24 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,701 – $12,633 · median $5,148 | 24 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,823 – $40,042 · median $17,836 | 24 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,402 – $25,294 · median $10,296 | 24 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,011 – $67,197 · median $33,399 | 24 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,186 – $38,737 · median $16,950 | 24 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,250 – $27,606 · median $12,866 | 24 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,275 – $67,353 · median $33,766 | 24 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,088 – $34,019 · median $15,423 | 24 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,376 – $26,809 · median $11,651 | 24 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,139 – $34,492 · median $15,494 | 24 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,310 – $23,324 · median $10,167 | 24 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,915 – $38,521 · median $16,574 | 24 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,249 – $21,384 · median $8,692 | 24 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,212 – $32,656 · median $14,204 | 24 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,825 – $16,162 · median $8,102 | 24 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,307 – $26,080 · median $11,555 | 24 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,785 – $48,268 · median $21,957 | 24 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,863 – $27,744 · median $10,938 | 24 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,033 – $34,622 · median $15,346 | 24 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,769 – $20,450 · median $9,416 | 24 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,824 – $18,056 · median $8,212 | 24 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,630 – $26,918 · median $11,334 | 24 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,903 – $12,475 · median $5,428 | 24 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,010 – $18,940 · median $8,360 | 24 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,866 – $10,725 · median $5,377 | 24 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,561 – $18,850 · median $8,794 | 24 plans |
| 779 | ABORTION WITHOUT D&C | $5,700 – $15,816 · median $8,039 | 24 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,752 – $33,880 · median $12,496 | 24 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $8,752 – $85,139 · median $38,079 | 24 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $8,752 – $52,814 · median $23,335 | 24 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $8,752 – $74,897 · median $28,709 | 24 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,742 – $25,491 · median $9,378 | 24 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,966 – $41,506 · median $19,426 | 24 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,552 – $23,798 · median $9,919 | 24 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,804 – $19,675 · median $8,185 | 24 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,579 – $26,399 · median $11,267 | 24 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,628 – $17,261 · median $7,936 | 24 plans |
| 813 | COAGULATION DISORDERS | $8,752 – $28,674 · median $12,397 | 24 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,752 – $39,980 · median $16,742 | 24 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,196 – $19,062 · median $8,619 | 24 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,021 – $11,881 · median $5,593 | 24 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,459 – $42,892 · median $19,068 | 24 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,722 – $21,792 · median $9,115 | 24 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,979 – $16,165 · median $6,001 | 24 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $35,504 – $110,252 · median $49,385 | 24 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,613 – $42,083 · median $18,935 | 24 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,974 – $22,634 · median $9,701 | 24 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,535 – $86,190 · median $39,692 | 24 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,412 – $42,591 · median $18,655 | 24 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,505 – $25,367 · median $10,440 | 24 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,121 – $87,938 · median $40,506 | 24 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,391 – $43,448 · median $20,017 | 24 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,774 – $32,030 · median $13,596 | 24 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,805 – $59,405 · median $26,157 | 24 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,918 – $28,293 · median $12,405 | 24 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,019 – $22,606 · median $9,763 | 24 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,558 – $13,565 · median $6,339 | 24 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,170 – $9,830 · median $4,409 | 24 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $33,705 – $103,205 · median $46,883 | 24 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,025 – $39,211 · median $18,117 | 24 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,749 – $22,925 · median $10,662 | 24 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,534 – $90,316 · median $42,471 | 24 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,368 – $39,241 · median $17,203 | 24 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,357 – $27,144 · median $11,624 | 24 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,446 – $60,813 · median $27,049 | 24 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,562 – $30,669 · median $13,300 | 24 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,414 – $18,995 · median $8,922 | 24 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,545 – $37,500 · median $16,059 | 24 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,288 – $22,886 · median $10,138 | 24 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,103 – $16,009 · median $7,098 | 24 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,573 – $48,736 · median $21,661 | 24 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,749 – $24,593 · median $10,778 | 24 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,994 – $15,968 · median $6,946 | 24 plans |
| 849 | RADIOTHERAPY | $16,288 – $50,936 · median $22,656 | 24 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $56,174 – $162,790 · median $78,135 | 24 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,498 – $92,841 · median $42,421 | 24 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,184 – $37,562 · median $16,948 | 24 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,913 – $28,146 · median $13,788 | 24 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,512 – $85,511 · median $38,267 | 24 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,287 – $40,258 · median $18,481 | 24 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,857 – $26,185 · median $10,928 | 24 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,212 – $34,284 · median $15,596 | 24 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,097 – $18,760 · median $8,481 | 24 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,476 – $16,688 · median $7,617 | 24 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,000 – $28,167 · median $12,414 | 24 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,395 – $16,348 · median $7,505 | 24 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,076 – $39,350 · median $18,188 | 24 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,403 – $19,384 · median $8,907 | 24 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,388 – $13,718 · median $6,104 | 24 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $42,420 – $129,935 · median $59,005 | 24 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,965 – $36,517 · median $16,643 | 24 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,287 – $19,237 · median $8,745 | 24 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,963 – $72,656 · median $27,746 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,846 – $18,051 · median $6,768 | 24 plans |
| 881 | DEPRESSIVE NEUROSES | $5,574 – $17,688 · median $6,454 | 24 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,866 – $20,186 · median $6,792 | 24 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,305 – $36,964 · median $13,090 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,185 – $30,246 · median $11,793 | 24 plans |
| 885 | PSYCHOSES | $8,596 – $26,258 · median $9,953 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,955 – $39,014 · median $12,685 | 24 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,253 – $20,132 · median $8,398 | 24 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,017 – $78,892 · median $37,580 | 24 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,571 – $35,991 · median $16,095 | 24 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,434 – $21,987 · median $9,763 | 24 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $8,752 – $69,051 · median $30,922 | 24 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,752 – $27,886 · median $13,200 | 24 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,752 – $36,927 · median $17,479 | 24 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,292 – $72,175 · median $33,790 | 24 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,300 – $37,508 · median $17,109 | 24 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,734 – $24,677 · median $10,758 | 24 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,868 – $30,729 · median $13,726 | 24 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,588 – $16,647 · median $7,773 | 24 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,598 – $31,612 · median $14,741 | 24 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,050 – $12,526 · median $5,633 | 24 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,999 – $29,484 · median $13,908 | 24 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,394 – $16,113 · median $7,503 | 24 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,120 – $34,417 · median $15,468 | 24 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,195 – $18,842 · median $8,617 | 24 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,194 – $12,941 · median $5,833 | 24 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,302 – $32,887 · median $14,329 | 24 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,219 – $19,132 · median $8,651 | 24 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $144,661 – $401,368 · median $167,502 | 24 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $40,728 – $134,840 · median $47,158 | 24 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,085 – $41,557 · median $15,151 | 24 plans |
| 935 | NON-EXTENSIVE BURNS | $13,394 – $38,726 · median $15,508 | 24 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,355 – $68,212 · median $26,922 | 24 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,875 – $43,931 · median $17,909 | 24 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,917 – $38,119 · median $16,576 | 24 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,843 – $23,863 · median $10,910 | 24 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,845 – $15,049 · median $6,739 | 24 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,580 – $22,365 · median $9,152 | 24 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,574 – $11,800 · median $4,971 | 24 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,458 – $10,452 · median $4,876 | 24 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $8,752 – $126,538 · median $54,684 | 24 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,309 – $70,741 · median $32,422 | 24 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,516 – $143,247 · median $63,311 | 24 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,061 – $79,217 · median $34,859 | 24 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,122 – $55,346 · median $22,426 | 24 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,566 – $51,393 · median $23,043 | 24 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,148 – $28,811 · median $12,724 | 24 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,565 – $17,680 · median $7,741 | 24 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,565 – $115,074 · median $53,643 | 24 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,180 – $49,580 · median $22,505 | 24 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,210 – $54,254 · median $25,329 | 24 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,668 – $24,345 · median $12,056 | 24 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,116 – $16,970 · median $8,507 | 24 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,793 – $24,395 · median $12,230 | 24 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,989 – $88,201 · median $40,323 | 24 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,930 – $46,217 · median $20,766 | 24 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,173 – $32,221 · median $14,150 | 24 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,359 – $64,450 · median $29,710 | 24 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,464 – $30,898 · median $14,555 | 24 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,046 – $22,544 · median $9,801 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $171,769 – $420,694 · median $197,083 | 23 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $67,198 – $164,579 · median $77,101 | 23 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $64,940 – $159,049 · median $74,510 | 23 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,570 – $72,423 · median $33,928 | 23 plans |
| 007 | LUNG TRANSPLANT | $79,693 – $195,183 · median $91,437 | 23 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $33,180 – $81,263 · median $38,069 | 23 plans |
| 010 | PANCREAS TRANSPLANT | $48,619 – $119,077 · median $55,784 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $79,894 – $195,675 · median $91,668 | 23 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $36,807 – $90,146 · median $42,231 | 23 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,807 – $90,146 · median $42,231 | 23 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $48,340 – $118,394 · median $55,464 | 23 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,429 – $23,094 · median $12,698 | 23 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,085 – $14,904 · median $8,195 | 23 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,066 – $9,957 · median $5,433 | 23 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,488 – $18,340 · median $10,084 | 23 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,816 – $11,796 · median $6,486 | 23 plans |
| 509 | ARTHROSCOPY | $10,712 – $26,236 · median $14,426 | 23 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,095 – $68,810 · median $32,235 | 23 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,175 – $51,862 · median $24,296 | 23 plans |
| 652 | KIDNEY TRANSPLANT | $18,729 – $45,871 · median $21,489 | 23 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,216 – $15,223 · median $8,370 | 23 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,473 – $20,752 · median $10,742 | 23 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,351 – $10,656 · median $5,859 | 23 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $36,251 – $111,732 · median $41,021 | 23 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $24,757 – $76,305 · median $28,015 | 23 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $25,432 – $78,384 · median $28,778 | 23 plans |
| 795 | NORMAL NEWBORN | $1,218 – $3,756 · median $1,379 | 23 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,752 – $24,519 · median $12,813 | 23 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,854 – $26,584 · median $14,617 | 23 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,806 – $11,597 · median $4,327 | 23 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,829 – $26,612 · median $10,037 | 23 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,859 – $32,806 · median $12,345 | 23 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,380 – $16,596 · median $6,116 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,394 – $60,548 · median $22,456 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,385 – $73,207 · median $30,551 | 23 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,938 – $36,166 · median $16,825 | 22 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,002 – $21,794 · median $10,139 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,309 – $22,536 · median $10,484 | 22 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,808 – $16,483 · median $7,668 | 22 plans |
No procedures match that keyword.