CHRISTUS Mother Frances Hospital - Sulphur Springs (Acute Care) — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,912 – $7,750 · median $4,048 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,160 – $13,516 · median $5,874 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,160 – $13,516 · median $5,874 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,160 – $13,516 · median $5,874 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,160 – $13,516 · median $5,874 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,160 – $13,516 · median $5,874 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,160 – $13,516 · median $5,874 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,912 – $7,750 · median $4,048 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,912 – $7,750 · median $4,048 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,912 – $7,750 · median $4,048 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,912 – $7,750 · median $4,048 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,912 – $7,750 · median $4,048 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,912 – $7,750 · median $4,048 | 8 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $151,436 – $197,535 · median $186,744 | 6 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $99,843 – $130,236 · median $123,122 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,127 – $49,734 · median $47,017 | 6 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $28,997 – $37,824 · median $35,758 | 6 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,725 – $24,425 · median $23,091 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $266,479 – $347,599 · median $328,610 | 6 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,960 – $74,299 · median $70,240 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,739 – $49,227 · median $47,317 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,516 – $29,528 · median $25,214 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,312 – $52,584 · median $49,711 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,863 – $35,040 · median $33,126 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,601 – $41,221 · median $38,969 | 6 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,612 – $28,191 · median $26,651 | 6 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,437 – $22,746 · median $21,503 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,958 – $56,035 · median $52,974 | 6 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,718 – $30,939 · median $29,249 | 6 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,725 – $20,512 · median $19,391 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $29,611 – $38,625 · median $36,515 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,090 – $19,684 · median $18,609 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,274 – $14,706 · median $13,902 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,478 – $35,842 · median $33,884 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,074 – $20,967 · median $19,821 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,953 – $16,896 · median $15,973 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,465 – $30,609 · median $28,937 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,385 – $14,851 · median $14,040 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,043 – $10,491 · median $9,918 | 6 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,654 – $34,767 · median $32,868 | 6 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,956 – $20,814 · median $19,677 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,419 – $16,200 · median $15,315 | 6 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,220 – $18,549 · median $17,536 | 6 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,511 – $8,493 · median $8,029 | 6 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,593 – $13,817 · median $13,062 | 6 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,709 – $10,056 · median $9,506 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,694 – $23,080 · median $21,819 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,429 – $12,299 · median $11,627 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,043 – $17,014 · median $16,084 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,646 – $11,278 · median $10,662 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,306 – $8,225 · median $7,776 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,102 – $24,917 · median $23,556 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,584 – $16,415 · median $15,518 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,926 – $12,948 · median $12,241 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,056 – $18,334 · median $17,333 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,185 – $9,373 · median $8,861 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,864 – $6,344 · median $5,998 | 6 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,280 – $13,410 · median $12,677 | 6 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,229 – $8,125 · median $7,681 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,654 – $7,375 · median $6,972 | 6 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,286 – $16,027 · median $15,151 | 6 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,447 – $9,714 · median $9,183 | 6 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,301 – $6,915 · median $6,537 | 6 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,921 – $14,246 · median $13,468 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,366 – $9,608 · median $9,083 | 6 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,745 – $15,321 · median $14,735 | 6 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,479 – $8,451 · median $7,989 | 6 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,926 – $14,252 · median $13,474 | 6 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,051 – $9,198 · median $8,695 | 6 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,675 – $6,098 · median $5,786 | 6 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,913 – $18,148 · median $17,236 | 6 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,393 – $8,340 · median $7,884 | 6 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,395 – $21,385 · median $20,217 | 6 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,825 – $12,815 · median $12,115 | 6 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,756 – $8,812 · median $8,331 | 6 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,012 – $20,886 · median $19,745 | 6 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,268 – $12,089 · median $11,429 | 6 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,246 – $8,148 · median $7,703 | 6 plans |
| 088 | CONCUSSION WITH MCC | $9,968 – $13,002 · median $12,292 | 6 plans |
| 089 | CONCUSSION WITH CC | $7,575 – $9,882 · median $9,342 | 6 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,058 – $7,902 · median $7,470 | 6 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,881 – $16,802 · median $15,884 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,481 – $9,758 · median $9,225 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,577 – $7,275 · median $6,878 | 6 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,782 – $33,630 · median $31,793 | 6 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,939 – $22,095 · median $20,888 | 6 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,939 – $22,095 · median $20,888 | 6 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,329 – $33,039 · median $31,234 | 6 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,328 – $19,994 · median $18,902 | 6 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,845 – $12,842 · median $12,141 | 6 plans |
| 100 | SEIZURES WITH MCC | $14,028 – $18,299 · median $17,299 | 6 plans |
| 101 | SEIZURES WITHOUT MCC | $6,513 – $8,495 · median $8,031 | 6 plans |
| 102 | HEADACHES WITH MCC | $8,193 – $10,687 · median $10,103 | 6 plans |
| 103 | HEADACHES WITHOUT MCC | $6,008 – $7,836 · median $7,408 | 6 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,808 – $20,620 · median $19,575 | 6 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,353 – $10,895 · median $10,300 | 6 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,818 – $14,111 · median $13,340 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,790 – $15,379 · median $14,539 | 6 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,152 – $9,329 · median $9,097 | 6 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,219 – $10,721 · median $10,136 | 6 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,793 – $6,252 · median $5,910 | 6 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,675 – $7,403 · median $6,999 | 6 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,213 – $12,018 · median $11,362 | 6 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,834 – $7,610 · median $7,195 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,037 – $22,223 · median $21,009 | 6 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,912 – $9,016 · median $8,524 | 6 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,883 – $12,891 · median $12,187 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,748 – $7,498 · median $7,088 | 6 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,702 – $12,655 · median $11,964 | 6 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,884 – $38,981 · median $36,851 | 6 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,181 – $19,803 · median $18,721 | 6 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,111 – $14,493 · median $13,701 | 6 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,331 – $30,434 · median $28,771 | 6 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,413 – $16,192 · median $15,307 | 6 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,372 – $10,920 · median $10,324 | 6 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,210 – $21,145 · median $19,990 | 6 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,796 – $11,473 · median $10,847 | 6 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,393 – $7,035 · median $6,807 | 6 plans |
| 149 | DYSEQUILIBRIUM | $5,282 – $6,890 · median $6,513 | 6 plans |
| 150 | EPISTAXIS WITH MCC | $9,767 – $12,740 · median $12,044 | 6 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,356 – $6,986 · median $6,605 | 6 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,019 – $10,459 · median $9,888 | 6 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,029 – $6,560 · median $6,201 | 6 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,491 – $14,990 · median $14,171 | 6 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,597 – $8,605 · median $8,135 | 6 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,751 – $6,198 · median $5,859 | 6 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,571 – $15,093 · median $14,268 | 6 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,646 – $8,670 · median $8,196 | 6 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,661 – $6,080 · median $5,747 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,569 – $42,483 · median $40,162 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,785 – $23,199 · median $21,932 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,171 – $17,180 · median $16,242 | 6 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,206 – $35,488 · median $33,550 | 6 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,911 – $16,841 · median $15,921 | 6 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,567 – $12,479 · median $11,797 | 6 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,683 – $28,283 · median $26,738 | 6 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,957 – $12,988 · median $12,278 | 6 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,755 – $7,507 · median $7,097 | 6 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,422 – $14,899 · median $14,085 | 6 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,010 – $9,144 · median $8,645 | 6 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,439 – $7,094 · median $6,707 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,350 – $16,109 · median $15,229 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,845 – $10,234 · median $9,675 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,918 – $7,719 · median $7,298 | 6 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,216 – $14,630 · median $13,831 | 6 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,547 – $9,845 · median $9,307 | 6 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,495 – $7,168 · median $6,776 | 6 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,164 – $14,563 · median $13,767 | 6 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,094 – $9,254 · median $8,748 | 6 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,188 – $6,767 · median $6,397 | 6 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,743 – $11,405 · median $10,782 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,935 – $10,351 · median $9,785 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,070 – $7,918 · median $7,486 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,573 – $5,965 · median $5,639 | 6 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,311 – $12,145 · median $11,482 | 6 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,794 – $7,558 · median $7,145 | 6 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,400 – $5,739 · median $5,426 | 6 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,313 – $17,366 · median $16,417 | 6 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,995 – $9,125 · median $8,626 | 6 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,755 – $6,203 · median $5,979 | 6 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,474 – $16,271 · median $15,382 | 6 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,826 – $10,208 · median $9,650 | 6 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,784 – $6,241 · median $5,900 | 6 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,831 – $8,910 · median $8,423 | 6 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,922 – $6,421 · median $6,070 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,731 – $7,475 · median $7,067 | 6 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,339 – $17,400 · median $16,449 | 6 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,400 – $8,349 · median $7,893 | 6 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,697 – $59,608 · median $56,352 | 6 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,964 – $24,737 · median $23,385 | 6 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $76,976 – $100,409 · median $94,924 | 6 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $74,863 – $97,652 · median $92,318 | 6 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,195 – $88,954 · median $84,095 | 6 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,632 – $59,522 · median $56,271 | 6 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,038 – $54,835 · median $51,839 | 6 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,673 – $71,317 · median $67,421 | 6 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,426 – $48,820 · median $46,153 | 6 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,451 – $42,330 · median $40,018 | 6 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,212 – $45,931 · median $43,422 | 6 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,949 – $28,631 · median $27,067 | 6 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,877 – $78,104 · median $73,837 | 6 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,164 – $56,304 · median $53,228 | 6 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,231 – $72,044 · median $68,108 | 6 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,593 – $49,036 · median $46,358 | 6 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,578 – $54,235 · median $51,272 | 6 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,056 – $37,901 · median $35,831 | 6 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,591 – $46,425 · median $43,889 | 6 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,578 – $26,842 · median $25,375 | 6 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,669 – $13,917 · median $13,157 | 6 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,968 – $31,264 · median $29,556 | 6 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,918 – $20,764 · median $19,630 | 6 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,752 – $16,634 · median $15,725 | 6 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,530 – $45,042 · median $42,581 | 6 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,341 – $21,315 · median $20,151 | 6 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,041 – $14,402 · median $13,616 | 6 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,239 – $31,618 · median $29,891 | 6 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,040 – $23,531 · median $22,246 | 6 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,361 – $16,124 · median $15,243 | 6 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,488 – $24,116 · median $22,799 | 6 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,968 – $15,611 · median $14,758 | 6 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,601 – $7,460 · median $7,236 | 6 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,824 – $25,858 · median $24,446 | 6 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,420 – $16,201 · median $15,316 | 6 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,068 – $31,395 · median $29,680 | 6 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,408 – $17,490 · median $16,535 | 6 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,725 – $13,990 · median $13,225 | 6 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,952 – $24,721 · median $23,370 | 6 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,696 – $32,214 · median $30,455 | 6 plans |
| 265 | AICD LEAD PROCEDURES | $25,206 – $32,879 · median $31,083 | 6 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,331 – $55,217 · median $52,201 | 6 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,243 – $43,363 · median $40,994 | 6 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,113 – $61,455 · median $58,098 | 6 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,400 – $38,349 · median $36,254 | 6 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,270 – $47,311 · median $44,726 | 6 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,338 – $31,747 · median $30,013 | 6 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,681 – $23,063 · median $21,803 | 6 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,630 – $36,041 · median $34,072 | 6 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,053 – $28,766 · median $27,195 | 6 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,935 – $65,137 · median $61,578 | 6 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,770 – $57,094 · median $53,975 | 6 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,870 – $42,877 · median $40,534 | 6 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,353 – $46,115 · median $43,596 | 6 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,642 – $29,535 · median $27,922 | 6 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,598 – $15,129 · median $14,302 | 6 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,513 – $8,496 · median $8,032 | 6 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,124 – $6,683 · median $6,318 | 6 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,817 – $18,023 · median $17,038 | 6 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,236 – $6,830 · median $6,457 | 6 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,967 – $5,174 · median $4,892 | 6 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,639 – $20,400 · median $19,286 | 6 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,700 – $10,044 · median $9,495 | 6 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,301 – $25,176 · median $23,801 | 6 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,141 – $14,532 · median $13,739 | 6 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,918 – $9,023 · median $8,531 | 6 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,220 – $12,026 · median $11,369 | 6 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,085 – $7,938 · median $7,504 | 6 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,877 – $5,057 · median $4,781 | 6 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,677 – $11,318 · median $10,700 | 6 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,581 – $7,280 · median $6,882 | 6 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,577 – $15,101 · median $14,276 | 6 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,977 – $6,492 · median $6,138 | 6 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,121 – $4,071 · median $3,849 | 6 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,430 – $14,909 · median $14,095 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,565 – $9,868 · median $9,329 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,041 – $6,575 · median $6,216 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,220 – $10,722 · median $10,136 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,751 – $6,198 · median $5,859 | 6 plans |
| 304 | HYPERTENSION WITH MCC | $8,301 – $10,828 · median $10,237 | 6 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,304 – $6,919 · median $6,541 | 6 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,581 – $13,802 · median $13,048 | 6 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,546 – $8,539 · median $8,072 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,521 – $11,115 · median $10,508 | 6 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,224 – $6,814 · median $6,442 | 6 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,953 – $5,157 · median $4,875 | 6 plans |
| 311 | ANGINA PECTORIS | $4,934 – $6,436 · median $6,085 | 6 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,157 – $8,031 · median $7,592 | 6 plans |
| 313 | CHEST PAIN | $5,041 – $6,575 · median $6,216 | 6 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,217 – $19,849 · median $18,765 | 6 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,800 – $8,870 · median $8,385 | 6 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,824 – $6,292 · median $5,949 | 6 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,713 – $57,020 · median $53,905 | 6 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,040 – $40,488 · median $38,277 | 6 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,356 – $21,336 · median $20,170 | 6 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,115 – $26,239 · median $24,806 | 6 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,784 – $16,675 · median $15,764 | 6 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,097 – $39,259 · median $37,114 | 6 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,577 – $29,449 · median $27,841 | 6 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,224 – $26,380 · median $24,939 | 6 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,888 – $46,813 · median $44,256 | 6 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,157 – $22,380 · median $21,157 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,260 – $14,687 · median $13,885 | 6 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,446 – $42,324 · median $40,012 | 6 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,702 – $21,786 · median $20,596 | 6 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,666 – $15,217 · median $14,386 | 6 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,510 – $31,971 · median $30,225 | 6 plans |
| 333 | RECTAL RESECTION WITH CC | $15,017 – $19,589 · median $18,519 | 6 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,720 – $15,287 · median $14,452 | 6 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,603 – $33,397 · median $31,573 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,926 – $19,469 · median $18,406 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,847 – $14,149 · median $13,376 | 6 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,039 – $24,835 · median $23,479 | 6 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,519 – $13,721 · median $12,972 | 6 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,799 – $11,478 · median $10,851 | 6 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,724 – $21,815 · median $20,623 | 6 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,895 – $11,603 · median $10,969 | 6 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,224 – $8,119 · median $7,676 | 6 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,091 – $22,293 · median $21,075 | 6 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,631 – $13,867 · median $13,109 | 6 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,791 – $10,163 · median $9,608 | 6 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,725 – $27,033 · median $25,557 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,020 – $15,679 · median $14,823 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,420 – $12,288 · median $11,617 | 6 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,141 – $39,317 · median $37,169 | 6 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,913 – $20,757 · median $19,623 | 6 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,575 – $12,490 · median $11,808 | 6 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,800 – $15,392 · median $14,552 | 6 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,190 – $9,379 · median $8,867 | 6 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,932 – $6,433 · median $6,082 | 6 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,351 – $16,111 · median $15,231 | 6 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,273 – $9,487 · median $8,969 | 6 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,126 – $6,686 · median $6,321 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,919 – $19,461 · median $18,398 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,682 – $11,325 · median $10,706 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,239 – $8,139 · median $7,694 | 6 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,847 – $16,758 · median $15,843 | 6 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,966 – $9,087 · median $8,591 | 6 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,499 – $5,868 · median $5,548 | 6 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,597 – $17,736 · median $16,767 | 6 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,696 – $10,038 · median $9,490 | 6 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,295 – $6,906 · median $6,529 | 6 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,933 – $11,652 · median $11,016 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,145 – $8,015 · median $7,577 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,481 – $14,976 · median $14,158 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,013 – $9,148 · median $8,648 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,736 – $6,178 · median $5,841 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,386 – $13,548 · median $12,808 | 6 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,664 – $7,388 · median $6,985 | 6 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,867 – $5,044 · median $4,768 | 6 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,076 – $11,839 · median $11,192 | 6 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,514 – $7,192 · median $6,799 | 6 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,701 – $15,263 · median $14,430 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,651 – $8,676 · median $8,202 | 6 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,497 – $5,866 · median $5,545 | 6 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,508 – $22,838 · median $21,590 | 6 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,692 – $13,947 · median $13,185 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,941 – $10,358 · median $9,792 | 6 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $27,644 – $36,059 · median $34,089 | 6 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,359 – $50,036 · median $47,303 | 6 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,844 – $25,885 · median $24,471 | 6 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,092 – $19,686 · median $18,610 | 6 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,740 – $32,271 · median $30,509 | 6 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,814 – $19,323 · median $18,268 | 6 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,960 – $14,296 · median $13,516 | 6 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,173 – $25,009 · median $23,739 | 6 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,062 – $19,647 · median $18,574 | 6 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,747 – $15,323 · median $14,486 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,758 – $32,295 · median $30,530 | 6 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,977 – $18,232 · median $17,236 | 6 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,682 – $12,629 · median $11,939 | 6 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,792 – $21,904 · median $20,708 | 6 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,718 – $15,285 · median $14,450 | 6 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,310 – $12,144 · median $11,481 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,939 – $32,531 · median $30,754 | 6 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,571 – $15,094 · median $14,269 | 6 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,383 – $13,543 · median $12,804 | 6 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,740 – $37,489 · median $35,441 | 6 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,134 – $21,045 · median $19,896 | 6 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,923 – $14,248 · median $13,469 | 6 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $74,019 – $96,552 · median $91,277 | 6 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,188 – $65,466 · median $61,889 | 6 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $38,892 – $50,731 · median $47,960 | 6 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $58,935 – $76,875 · median $72,676 | 6 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,655 – $50,422 · median $47,667 | 6 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,843 – $18,057 · median $17,071 | 6 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,559 – $9,860 · median $9,322 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,921 – $6,420 · median $6,069 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,893 – $16,817 · median $15,899 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,968 – $10,394 · median $9,826 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,548 – $7,237 · median $6,842 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,756 – $15,334 · median $14,497 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,078 – $7,928 · median $7,495 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,346 – $5,669 · median $5,360 | 6 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,358 – $17,424 · median $16,472 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,827 – $8,905 · median $8,419 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,965 – $6,477 · median $6,123 | 6 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,902 – $15,525 · median $14,677 | 6 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,663 – $9,996 · median $9,450 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,634 – $7,349 · median $6,947 | 6 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,375 – $61,797 · median $58,421 | 6 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,854 – $37,638 · median $35,582 | 6 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,391 – $47,468 · median $44,875 | 6 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,806 – $28,444 · median $26,890 | 6 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,843 – $78,061 · median $73,796 | 6 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,555 – $52,900 · median $50,010 | 6 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,511 – $39,799 · median $37,625 | 6 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,331 – $55,217 · median $52,811 | 6 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,236 – $26,396 · median $24,954 | 6 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,163 – $49,781 · median $47,062 | 6 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,835 – $27,177 · median $25,693 | 6 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,267 – $16,002 · median $15,128 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $35,998 – $46,957 · median $44,392 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,202 – $31,570 · median $29,845 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,536 – $24,179 · median $22,858 | 6 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,097 – $30,128 · median $28,482 | 6 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,323 – $17,379 · median $16,429 | 6 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,322 – $44,770 · median $42,324 | 6 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,472 – $26,703 · median $25,245 | 6 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,728 – $21,820 · median $20,628 | 6 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,689 – $41,335 · median $39,077 | 6 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,243 – $19,884 · median $18,798 | 6 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,218 – $10,720 · median $10,135 | 6 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,300 – $31,697 · median $29,966 | 6 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,525 – $21,555 · median $20,377 | 6 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,548 – $16,368 · median $15,473 | 6 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,781 – $27,107 · median $25,626 | 6 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,661 – $19,124 · median $18,080 | 6 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,210 – $14,622 · median $13,823 | 6 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,006 – $23,487 · median $22,204 | 6 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,748 – $29,672 · median $28,051 | 6 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,986 – $19,548 · median $18,480 | 6 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,166 – $14,565 · median $13,769 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,888 – $18,115 · median $17,126 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,751 – $11,414 · median $10,791 | 6 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,093 – $32,731 · median $30,943 | 6 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,965 – $22,130 · median $20,921 | 6 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,322 – $17,378 · median $16,428 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,877 – $32,449 · median $30,677 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,941 – $18,185 · median $17,192 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,487 – $12,375 · median $11,699 | 6 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,841 – $23,272 · median $22,001 | 6 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,763 – $10,127 · median $9,833 | 6 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,390 – $29,206 · median $27,610 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,611 – $16,450 · median $15,551 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,873 – $12,878 · median $12,175 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,701 – $24,394 · median $23,061 | 6 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,401 – $16,176 · median $15,292 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,401 – $16,176 · median $15,292 | 6 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,593 – $13,817 · median $13,062 | 6 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,695 – $17,864 · median $16,889 | 6 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,772 – $11,443 · median $11,023 | 6 plans |
| 509 | ARTHROSCOPY | $12,413 – $16,192 · median $15,307 | 6 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,195 – $26,343 · median $24,904 | 6 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,858 – $18,076 · median $17,089 | 6 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,361 – $14,819 · median $14,010 | 6 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,639 – $13,877 · median $13,119 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,204 – $9,398 · median $8,884 | 6 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,851 – $28,503 · median $26,946 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,215 – $18,542 · median $17,529 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,547 – $13,758 · median $13,007 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,325 – $33,034 · median $31,229 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,933 – $18,175 · median $17,182 | 6 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,127 – $13,210 · median $12,488 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,595 – $26,865 · median $25,397 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,896 – $19,430 · median $18,369 | 6 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,775 – $14,055 · median $13,287 | 6 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,752 – $7,503 · median $7,093 | 6 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,397 – $12,258 · median $11,588 | 6 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,730 – $7,474 · median $7,066 | 6 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,494 – $8,470 · median $8,008 | 6 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,745 – $6,189 · median $5,851 | 6 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,290 – $18,640 · median $17,622 | 6 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,144 – $11,928 · median $11,276 | 6 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,182 – $8,064 · median $7,623 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,179 – $17,191 · median $16,252 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,496 – $9,778 · median $9,244 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,340 – $6,965 · median $6,585 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,855 – $23,290 · median $22,018 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,180 – $10,671 · median $10,088 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,273 – $6,878 · median $6,502 | 6 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,235 – $18,569 · median $17,554 | 6 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,515 – $11,107 · median $10,501 | 6 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,092 – $7,946 · median $7,512 | 6 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,057 – $15,728 · median $14,869 | 6 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,810 – $8,883 · median $8,398 | 6 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,228 – $12,037 · median $11,380 | 6 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,897 – $7,693 · median $7,272 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,515 – $12,412 · median $11,734 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,769 – $7,526 · median $7,115 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,950 – $14,284 · median $13,503 | 6 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,104 – $7,962 · median $7,527 | 6 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,117 – $17,110 · median $16,175 | 6 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,046 – $10,495 · median $9,922 | 6 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,777 – $7,536 · median $7,124 | 6 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,341 – $13,489 · median $12,752 | 6 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,316 – $8,238 · median $7,788 | 6 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,088 – $14,463 · median $13,673 | 6 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,205 – $9,399 · median $8,885 | 6 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,286 – $6,895 · median $6,519 | 6 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,270 – $27,745 · median $26,229 | 6 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,831 – $15,432 · median $14,589 | 6 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,072 – $10,530 · median $9,954 | 6 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,514 – $56,760 · median $53,659 | 6 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,483 – $31,936 · median $30,191 | 6 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,109 – $18,404 · median $17,398 | 6 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,123 – $49,728 · median $47,012 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,815 – $24,543 · median $23,202 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,944 – $15,580 · median $14,729 | 6 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,031 – $30,042 · median $28,401 | 6 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,528 – $16,342 · median $15,449 | 6 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,169 – $13,265 · median $12,540 | 6 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,374 – $16,141 · median $15,259 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,607 – $15,141 · median $14,314 | 6 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,467 – $18,871 · median $17,840 | 6 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,027 – $18,297 · median $17,297 | 6 plans |
| 592 | SKIN ULCERS WITH MCC | $14,530 – $18,953 · median $17,918 | 6 plans |
| 593 | SKIN ULCERS WITH CC | $8,640 – $11,270 · median $10,654 | 6 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,997 – $7,822 · median $7,395 | 6 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,945 – $19,495 · median $18,430 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,639 – $9,965 · median $9,420 | 6 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,413 – $16,192 · median $15,307 | 6 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,496 – $9,777 · median $9,319 | 6 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,041 – $7,880 · median $7,449 | 6 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,759 – $8,817 · median $8,335 | 6 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,236 – $5,526 · median $5,224 | 6 plans |
| 602 | CELLULITIS WITH MCC | $10,381 – $13,542 · median $12,802 | 6 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,224 – $8,118 · median $7,675 | 6 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,498 – $13,694 · median $12,946 | 6 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,527 – $8,514 · median $8,049 | 6 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,378 – $14,842 · median $14,031 | 6 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,106 – $7,965 · median $7,530 | 6 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,103 – $21,006 · median $19,858 | 6 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,126 – $13,208 · median $12,486 | 6 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,310 – $35,624 · median $33,678 | 6 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,649 – $17,804 · median $16,831 | 6 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,798 – $11,476 · median $10,849 | 6 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,265 – $25,130 · median $23,757 | 6 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,284 – $14,720 · median $13,915 | 6 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,329 – $13,473 · median $12,737 | 6 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,441 – $34,490 · median $32,606 | 6 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,516 – $17,630 · median $16,667 | 6 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,037 – $9,179 · median $8,708 | 6 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,259 – $26,426 · median $24,982 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,665 – $13,911 · median $13,151 | 6 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,952 – $11,677 · median $11,039 | 6 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,880 – $36,368 · median $34,381 | 6 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,892 – $20,730 · median $19,598 | 6 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,902 – $12,916 · median $12,210 | 6 plans |
| 637 | DIABETES WITH MCC | $10,290 – $13,423 · median $12,689 | 6 plans |
| 638 | DIABETES WITH CC | $6,481 – $8,454 · median $7,992 | 6 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,428 – $5,775 · median $5,460 | 6 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,384 – $12,240 · median $11,572 | 6 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,521 – $7,202 · median $6,809 | 6 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,770 – $11,439 · median $10,814 | 6 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,710 – $15,275 · median $14,441 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,302 – $9,525 · median $9,005 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,502 – $7,177 · median $6,785 | 6 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,390 – $51,381 · median $48,574 | 6 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,941 – $26,011 · median $24,590 | 6 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,678 – $19,146 · median $18,101 | 6 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,021 – $30,029 · median $28,389 | 6 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,917 – $16,850 · median $15,929 | 6 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,627 – $13,862 · median $13,105 | 6 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,261 – $23,819 · median $22,518 | 6 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,468 – $12,351 · median $11,676 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,254 – $9,462 · median $8,945 | 6 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,043 – $28,753 · median $27,183 | 6 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,793 – $14,078 · median $13,309 | 6 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,630 – $9,953 · median $9,409 | 6 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,262 – $31,647 · median $29,919 | 6 plans |
| 666 | PROSTATECTOMY WITH CC | $11,640 – $15,183 · median $14,354 | 6 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,262 – $9,473 · median $8,956 | 6 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,607 – $26,880 · median $25,411 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,935 – $14,263 · median $13,484 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,753 – $8,809 · median $8,327 | 6 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,180 – $15,887 · median $15,019 | 6 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,733 – $10,087 · median $9,536 | 6 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,604 – $38,616 · median $36,506 | 6 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,311 – $21,277 · median $20,114 | 6 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,060 – $14,427 · median $13,639 | 6 plans |
| 682 | RENAL FAILURE WITH MCC | $10,612 – $13,843 · median $13,087 | 6 plans |
| 683 | RENAL FAILURE WITH CC | $6,281 – $8,193 · median $7,745 | 6 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,292 – $5,598 · median $5,293 | 6 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,324 – $17,381 · median $16,431 | 6 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,438 – $9,703 · median $9,173 | 6 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,117 – $6,675 · median $6,310 | 6 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,269 – $10,787 · median $10,197 | 6 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,671 – $7,398 · median $6,993 | 6 plans |
| 693 | URINARY STONES WITH MCC | $10,390 – $13,553 · median $12,812 | 6 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,521 – $7,202 · median $6,809 | 6 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,969 – $10,395 · median $9,827 | 6 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,888 – $6,376 · median $6,028 | 6 plans |
| 697 | URETHRAL STRICTURE | $6,874 – $8,966 · median $8,598 | 6 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,877 – $15,493 · median $14,647 | 6 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,207 – $9,400 · median $8,887 | 6 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,905 – $6,398 · median $6,049 | 6 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,712 – $17,887 · median $16,909 | 6 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,475 – $13,664 · median $12,918 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,878 – $20,712 · median $19,580 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,609 – $13,838 · median $13,082 | 6 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,479 – $17,582 · median $16,634 | 6 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,261 – $8,946 · median $8,089 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,217 – $13,328 · median $12,600 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,640 – $8,661 · median $8,188 | 6 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,957 – $20,815 · median $19,678 | 6 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,029 – $13,082 · median $12,367 | 6 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,111 – $17,102 · median $16,168 | 6 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,705 – $11,354 · median $10,734 | 6 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,216 – $15,935 · median $15,065 | 6 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,934 – $10,350 · median $9,784 | 6 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,642 – $6,094 · median $5,997 | 6 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,922 – $11,637 · median $11,002 | 6 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,260 – $6,861 · median $6,486 | 6 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,383 – $13,543 · median $12,804 | 6 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,774 – $7,531 · median $7,120 | 6 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,779 – $10,147 · median $9,593 | 6 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,288 – $5,594 · median $5,288 | 6 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,858 – $19,382 · median $18,323 | 6 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,577 – $11,189 · median $10,577 | 6 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,823 – $36,293 · median $34,310 | 6 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,121 – $18,419 · median $17,413 | 6 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,718 – $13,981 · median $13,218 | 6 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,129 – $36,692 · median $34,688 | 6 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,848 – $16,759 · median $15,844 | 6 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,706 – $12,660 · median $11,969 | 6 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,907 – $16,837 · median $15,917 | 6 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,470 – $11,048 · median $10,445 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,807 – $18,010 · median $17,026 | 6 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,241 – $9,446 · median $8,930 | 6 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,833 – $15,435 · median $14,592 | 6 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,749 – $8,804 · median $8,323 | 6 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,626 – $12,556 · median $11,870 | 6 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,291 – $23,859 · median $22,556 | 6 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,112 – $11,885 · median $11,236 | 6 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,785 – $16,676 · median $15,765 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,844 – $10,232 · median $9,673 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,748 – $8,802 · median $8,321 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,202 – $9,395 · median $8,882 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,522 – $5,899 · median $5,577 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,964 – $9,084 · median $8,588 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,479 – $5,843 · median $5,523 | 6 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,725 – $12,685 · median $12,048 | 6 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,042 – $6,576 · median $6,217 | 6 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,597 – $43,825 · median $41,431 | 6 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,600 – $15,132 · median $14,305 | 6 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,577 – $16,406 · median $15,510 | 6 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,183 – $21,110 · median $19,957 | 6 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,751 – $11,415 · median $10,792 | 6 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,725 – $8,773 · median $8,294 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,941 – $12,967 · median $12,259 | 6 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,521 – $8,506 · median $8,042 | 6 plans |
| 813 | COAGULATION DISORDERS | $10,938 – $14,268 · median $13,488 | 6 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,771 – $19,268 · median $18,216 | 6 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,180 – $9,365 · median $8,854 | 6 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,659 – $6,078 · median $5,746 | 6 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,446 – $21,204 · median $19,955 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,991 – $10,773 · median $9,032 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,772 – $6,829 · median $6,166 | 6 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,140 – $53,664 · median $50,733 | 6 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,774 – $20,576 · median $19,452 | 6 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,081 – $10,541 · median $9,966 | 6 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,065 – $43,131 · median $40,775 | 6 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,541 – $20,272 · median $19,164 | 6 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,697 – $11,344 · median $10,725 | 6 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,744 – $44,016 · median $41,611 | 6 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,675 – $21,751 · median $20,563 | 6 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,326 – $14,774 · median $13,967 | 6 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,790 – $28,423 · median $26,871 | 6 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,334 – $13,480 · median $12,743 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,133 – $10,609 · median $10,029 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,281 – $6,889 · median $6,512 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,673 – $4,791 · median $4,529 | 6 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,056 – $50,945 · median $48,162 | 6 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,092 – $19,687 · median $18,611 | 6 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,779 – $11,451 · median $10,944 | 6 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,381 – $46,151 · median $43,630 | 6 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,331 – $18,694 · median $17,673 | 6 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,683 – $12,631 · median $11,941 | 6 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,533 – $29,393 · median $27,787 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,079 – $14,452 · median $13,663 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,433 – $9,695 · median $9,166 | 6 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,378 – $17,451 · median $16,497 | 6 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,445 – $11,016 · median $10,414 | 6 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,913 – $7,713 · median $7,291 | 6 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,045 – $23,538 · median $22,253 | 6 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,979 – $11,712 · median $11,072 | 6 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,786 – $7,548 · median $7,135 | 6 plans |
| 849 | RADIOTHERAPY | $18,874 – $24,620 · median $23,275 | 6 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,091 – $84,906 · median $80,268 | 6 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,339 – $46,097 · median $43,579 | 6 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,119 – $18,416 · median $17,410 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,486 – $14,983 · median $14,165 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,879 – $41,583 · median $39,312 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,396 – $20,083 · median $18,986 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,104 – $11,875 · median $11,226 | 6 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,992 – $16,947 · median $16,022 | 6 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,065 – $9,216 · median $8,713 | 6 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,345 – $8,277 · median $7,825 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,249 – $13,369 · median $12,745 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,252 – $8,155 · median $7,710 | 6 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,152 – $19,764 · median $18,684 | 6 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,420 – $9,679 · median $9,150 | 6 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,085 – $6,633 · median $6,270 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,155 – $64,118 · median $60,615 | 6 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,864 – $18,085 · median $17,097 | 6 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,285 – $9,503 · median $8,984 | 6 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,306 – $40,836 · median $38,605 | 6 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,408 – $17,490 · median $16,535 | 6 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,614 – $11,236 · median $10,623 | 6 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,283 – $35,588 · median $33,644 | 6 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,646 – $15,191 · median $14,362 | 6 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,422 – $20,116 · median $19,017 | 6 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,149 – $36,718 · median $34,712 | 6 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,253 – $18,592 · median $17,576 | 6 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,962 – $11,690 · median $11,051 | 6 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,435 – $14,916 · median $14,101 | 6 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,475 – $8,446 · median $7,985 | 6 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,280 – $16,018 · median $15,143 | 6 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,693 – $6,121 · median $5,787 | 6 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,586 – $15,113 · median $14,288 | 6 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,251 – $8,153 · median $7,708 | 6 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,886 – $16,808 · median $15,890 | 6 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,178 – $9,364 · median $8,852 | 6 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,859 – $6,339 · median $5,992 | 6 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,937 – $15,571 · median $14,721 | 6 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,207 – $9,400 · median $8,887 | 6 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,427 – $29,255 · median $27,657 | 6 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,919 – $19,461 · median $18,398 | 6 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,809 – $18,013 · median $17,029 | 6 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,088 – $11,855 · median $11,207 | 6 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,614 – $7,323 · median $6,923 | 6 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,624 – $9,945 · median $9,402 | 6 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,141 – $5,402 · median $5,107 | 6 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,006 – $5,226 · median $4,941 | 6 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,249 – $62,936 · median $59,498 | 6 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,009 – $35,231 · median $33,306 | 6 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,742 – $68,798 · median $65,039 | 6 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,040 – $37,880 · median $35,811 | 6 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,682 – $24,369 · median $23,038 | 6 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,196 – $25,040 · median $23,672 | 6 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,600 – $13,826 · median $13,071 | 6 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,448 – $8,411 · median $7,952 | 6 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,688 – $58,291 · median $55,107 | 6 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,748 – $24,455 · median $23,120 | 6 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,100 – $27,524 · median $26,020 | 6 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,044 – $13,101 · median $12,385 | 6 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,087 – $9,245 · median $8,740 | 6 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,188 – $13,290 · median $12,564 | 6 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,591 – $43,817 · median $41,423 | 6 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,300 – $22,566 · median $21,333 | 6 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,788 – $15,376 · median $14,536 | 6 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,750 – $32,284 · median $30,521 | 6 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,125 – $15,816 · median $14,952 | 6 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,165 – $10,650 · median $10,068 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,001 – $13,045 · median $12,827 | 5 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,603 – $9,917 · median $9,752 | 5 plans |
| 779 | ABORTION WITHOUT D&C | $6,605 – $8,616 · median $8,472 | 5 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,589 – $26,856 · median $26,408 | 5 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,330 – $33,041 · median $32,489 | 5 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,812 – $10,190 · median $10,020 | 5 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $235,600 – $235,600 · median $235,600 | 1 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $92,169 – $92,169 · median $92,169 | 1 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $89,072 – $89,072 · median $89,072 | 1 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $40,559 – $40,559 · median $40,559 | 1 plans |
| 007 | LUNG TRANSPLANT | $109,307 – $109,307 · median $109,307 | 1 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $45,509 – $45,509 · median $45,509 | 1 plans |
| 010 | PANCREAS TRANSPLANT | $66,686 – $66,686 · median $66,686 | 1 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $109,583 – $109,583 · median $109,583 | 1 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $50,484 – $50,484 · median $50,484 | 1 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,484 – $50,484 · median $50,484 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,304 – $66,304 · median $66,304 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $38,535 – $38,535 · median $38,535 | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,044 – $29,044 · median $29,044 | 1 plans |
| 652 | KIDNEY TRANSPLANT | $25,689 – $25,689 · median $25,689 | 1 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | — | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | — | 1 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | — | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | — | 1 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | — | 1 plans |
| 795 | NORMAL NEWBORN | $520 – $520 · median $520 | 1 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $32,867 – $32,867 · median $32,867 | 1 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,018 – $8,018 · median $8,018 | 1 plans |
| 881 | DEPRESSIVE NEUROSES | $7,646 – $7,646 · median $7,646 | 1 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,046 – $8,046 · median $8,046 | 1 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,506 – $15,506 · median $15,506 | 1 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,970 – $13,970 · median $13,970 | 1 plans |
| 885 | PSYCHOSES | $11,790 – $11,790 · median $11,790 | 1 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,026 – $15,026 · median $15,026 | 1 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,948 – $9,948 · median $9,948 | 1 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,220 – $5,220 · median $5,220 | 1 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,110 – $12,110 · median $12,110 | 1 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,895 – $14,895 · median $14,895 | 1 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,379 – $7,379 · median $7,379 | 1 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $198,418 – $198,418 · median $198,418 | 1 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,862 – $55,862 · median $55,862 | 1 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,601 – $26,601 · median $26,601 | 1 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $36,190 – $36,190 · median $36,190 | 1 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,947 – $17,947 · median $17,947 | 1 plans |
| 935 | NON-EXTENSIVE BURNS | $18,371 – $18,371 · median $18,371 | 1 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,768 – $12,768 · median $12,768 | 1 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,338 – $9,338 · median $9,338 | 1 plans |
No procedures match that keyword.