CHRISTUS Santa Rosa Hospital - San Marcos — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 766 procedures
Procedures with negotiated rates only
These 766 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 | $2,857 – $8,367 · median $4,960 | 11 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,227 – $16,268 · median $7,813 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,227 – $16,268 · median $7,813 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,227 – $16,268 · median $7,813 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,227 – $16,268 · median $7,813 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,227 – $16,268 · median $7,813 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,227 – $16,268 · median $7,813 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,857 – $8,367 · median $4,960 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,857 – $8,367 · median $4,960 | 11 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,857 – $8,367 · median $4,960 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,857 – $8,367 · median $4,960 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,857 – $8,367 · median $4,960 | 11 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,857 – $8,367 · median $4,960 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,602 – $168,730 · median $105,670 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,602 – $112,903 · median $70,708 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,602 – $104,012 · median $65,139 | 9 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $3,602 – $136,654 · median $85,582 | 9 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $3,602 – $93,013 · median $58,251 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,602 – $123,552 · median $77,377 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,602 – $38,695 · median $24,233 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,602 – $19,051 · median $11,931 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,612 – $41,548 · median $26,020 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,612 – $28,994 · median $18,158 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,612 – $23,036 · median $14,426 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,075 – $35,594 · median $25,474 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,857 – $21,385 · median $19,143 | 9 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,684 – $21,385 · median $17,523 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $185,962 – $374,689 · median $245,778 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $122,606 – $247,035 · median $162,043 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $46,820 – $94,337 · median $61,880 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $35,608 – $71,745 · median $47,061 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,994 – $46,330 · median $30,390 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $327,234 – $659,333 · median $432,490 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $69,946 – $140,932 · median $92,445 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $46,343 – $96,634 · median $61,249 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,966 – $61,722 · median $35,018 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $49,503 – $99,742 · median $65,426 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $32,987 – $66,465 · median $43,598 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $38,806 – $78,189 · median $51,288 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $26,539 – $53,474 · median $35,076 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,413 – $43,145 · median $28,301 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $52,752 – $106,288 · median $69,720 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $29,126 – $58,685 · median $38,495 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,310 – $38,907 · median $25,521 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $36,362 – $73,264 · median $48,058 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,531 – $37,337 · median $24,491 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,844 – $27,894 · median $18,297 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $33,742 – $67,986 · median $44,596 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,738 – $39,770 · median $26,087 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,906 – $32,048 · median $21,022 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,815 – $58,059 · median $38,084 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,981 – $28,170 · median $18,478 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,876 – $19,899 · median $13,053 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $32,731 – $65,948 · median $43,258 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,594 – $39,480 · median $25,897 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,251 – $30,728 · median $20,156 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,462 – $35,185 · median $23,079 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,995 – $16,109 · median $10,567 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,008 – $26,209 · median $17,192 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,467 – $19,074 · median $12,512 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,728 – $43,779 · median $28,717 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,579 – $23,329 · median $15,303 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,017 – $32,272 · median $21,169 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,617 – $21,392 · median $14,032 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,743 – $15,602 · median $10,234 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $23,457 – $47,264 · median $31,003 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,453 – $31,135 · median $20,423 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,189 – $24,560 · median $16,110 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,260 – $34,777 · median $22,812 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,824 – $17,778 · median $11,662 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,972 – $12,034 · median $7,893 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,624 – $25,436 · median $16,685 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,649 – $15,411 · median $10,109 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,942 – $13,988 · median $9,176 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $15,088 – $30,399 · median $19,941 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,145 – $18,425 · median $12,086 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,509 – $13,116 · median $8,603 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,411 – $27,022 · median $17,725 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,045 – $18,224 · median $11,954 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,423 – $30,113 · median $19,062 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,956 – $16,030 · median $10,515 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,417 – $27,034 · median $17,733 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,659 – $17,446 · median $11,444 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,741 – $11,656 · median $7,587 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,085 – $34,753 · median $22,580 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,851 – $15,819 · median $10,376 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,132 – $40,564 · median $26,608 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,065 – $24,308 · median $15,945 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,296 – $16,716 · median $10,965 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,662 – $39,616 · median $25,986 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,381 – $22,931 · median $15,041 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,670 – $15,455 · median $10,138 | 8 plans |
| 088 | CONCUSSION WITH MCC | $12,241 – $24,663 · median $16,178 | 8 plans |
| 089 | CONCUSSION WITH CC | $9,303 – $18,744 · median $12,295 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,439 – $14,988 · median $9,832 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,817 – $31,870 · median $20,905 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,186 – $18,509 · median $12,141 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,849 – $13,799 · median $9,052 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $31,660 – $63,790 · median $41,843 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,801 – $41,910 · median $27,491 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,801 – $41,910 · median $27,491 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $31,104 – $62,670 · median $41,108 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,823 – $37,926 · median $24,878 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,090 – $24,359 · median $15,978 | 8 plans |
| 100 | SEIZURES WITH MCC | $17,226 – $34,709 · median $22,767 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $7,998 – $16,114 · median $10,570 | 8 plans |
| 102 | HEADACHES WITH MCC | $10,061 – $20,272 · median $13,297 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $7,377 – $14,864 · median $9,750 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,412 – $39,452 · median $25,656 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,257 – $20,667 · median $13,556 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,284 – $26,766 · median $17,558 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,478 – $29,172 · median $19,136 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,783 – $18,857 · median $11,708 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,093 – $20,336 · median $13,340 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,886 – $11,859 · median $7,779 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,969 – $14,042 · median $9,211 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,314 – $22,796 · median $14,953 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,165 – $14,436 · median $9,469 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,921 – $42,153 · median $27,651 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,488 – $17,102 · median $11,218 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,136 – $24,452 · median $16,039 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,059 – $14,222 · median $9,329 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,914 – $24,004 · median $15,746 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $36,697 – $73,939 · median $48,500 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,643 – $37,562 · median $24,639 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,644 – $27,490 · median $18,032 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,651 – $57,727 · median $37,866 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,243 – $30,712 · median $20,146 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,281 – $20,714 · median $13,587 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,906 – $40,108 · median $26,309 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,801 – $21,763 · median $14,275 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,623 – $13,999 · median $8,763 | 8 plans |
| 149 | DYSEQUILIBRIUM | $6,486 – $13,069 · median $8,572 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $11,993 – $24,165 · median $15,851 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,577 – $13,252 · median $8,693 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,847 – $19,840 · median $13,014 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,175 – $12,443 · median $8,162 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,111 – $28,433 · median $18,650 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,101 – $16,322 · median $10,707 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,834 – $11,756 · median $7,711 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,209 – $28,628 · median $18,779 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,162 – $16,445 · median $10,787 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,723 – $11,532 · median $7,564 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $39,994 – $80,583 · median $52,858 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,840 – $44,005 · median $28,865 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,174 – $32,588 · median $21,376 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $33,409 – $67,315 · median $44,155 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,855 – $31,945 · median $20,954 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,748 – $23,670 · median $15,527 | 8 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $26,626 – $53,648 · median $35,191 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,227 – $24,635 · median $16,160 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,067 – $14,240 · median $9,341 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,026 – $28,261 · median $18,538 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,608 – $17,345 · median $11,377 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,679 – $13,457 · median $8,827 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,166 – $30,557 · median $20,044 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,634 – $19,411 · median $12,733 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,267 – $14,642 · median $9,604 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,773 – $27,751 · median $18,203 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,268 – $18,674 · median $12,249 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,748 – $13,597 · median $8,919 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,710 – $27,623 · median $18,119 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,712 – $17,553 · median $11,514 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,371 – $12,836 · median $8,420 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,737 – $21,633 · median $14,191 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,744 – $19,633 · median $12,879 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,454 – $15,020 · median $9,852 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,616 – $11,315 · median $7,422 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,434 – $23,037 · median $15,111 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,115 – $14,336 · median $9,404 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,403 – $10,887 · median $7,141 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,348 – $32,940 · median $21,607 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,590 – $17,308 · median $11,353 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,840 – $12,245 · median $7,718 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,318 – $30,863 · median $20,244 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,610 – $19,362 · median $12,701 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,875 – $11,838 · median $7,765 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,388 – $16,901 · median $11,086 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,044 – $12,179 · median $7,989 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,037 – $14,179 · median $9,301 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,380 – $33,004 · median $21,649 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,860 – $15,836 · median $10,388 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $56,116 – $113,066 · median $74,166 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $23,287 – $46,921 · median $30,778 | 8 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $94,526 – $190,458 · median $124,931 | 8 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $91,931 – $185,229 · median $121,501 | 8 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $67,138 – $135,275 · median $88,734 | 8 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $45,959 – $92,602 · median $60,743 | 8 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,850 – $80,292 · median $52,668 | 8 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $43,240 – $87,123 · median $57,148 | 8 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,953 – $54,307 · median $35,623 | 8 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $73,528 – $148,149 · median $97,179 | 8 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $53,005 – $106,798 · median $70,055 | 8 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $51,057 – $102,873 · median $67,480 | 8 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $35,681 – $71,892 · median $47,158 | 8 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $43,705 – $88,060 · median $57,763 | 8 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $25,269 – $50,914 · median $33,397 | 8 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,101 – $26,398 · median $17,316 | 8 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $29,432 – $59,302 · median $38,899 | 8 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,548 – $39,386 · median $25,835 | 8 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,659 – $31,552 · median $20,696 | 8 plans |
| 245 | AICD GENERATOR PROCEDURES | $42,403 – $85,436 · median $56,042 | 8 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,066 – $40,431 · median $26,521 | 8 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,559 – $27,319 · median $17,920 | 8 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $29,766 – $59,974 · median $39,340 | 8 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,152 – $44,634 · median $29,278 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,180 – $30,585 · median $20,062 | 8 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,703 – $45,744 · median $30,006 | 8 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,696 – $29,611 · median $19,423 | 8 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,877 – $15,593 · median $9,415 | 8 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,343 – $49,049 · median $32,173 | 8 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,252 – $30,730 · median $20,157 | 8 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $29,556 – $59,551 · median $39,062 | 8 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,465 – $33,176 · median $21,762 | 8 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,170 – $26,536 · median $17,406 | 8 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,273 – $46,891 · median $30,758 | 8 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $30,327 – $61,105 · median $40,082 | 8 plans |
| 265 | AICD LEAD PROCEDURES | $30,953 – $62,365 · median $40,909 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $51,982 – $104,737 · median $68,702 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $40,823 – $82,252 · median $53,954 | 8 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $57,855 – $116,570 · median $76,464 | 8 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $36,102 – $72,742 · median $47,715 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $44,539 – $89,740 · median $58,865 | 8 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $29,887 – $60,218 · median $39,500 | 8 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,712 – $43,746 · median $28,695 | 8 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $33,930 – $68,364 · median $44,843 | 8 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $27,081 – $54,564 · median $35,792 | 8 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $53,749 – $108,297 · median $71,037 | 8 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $40,365 – $81,329 · median $53,348 | 8 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $43,414 – $87,473 · median $57,378 | 8 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,805 – $56,023 · median $36,748 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,242 – $28,697 · median $18,824 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,998 – $16,116 · median $10,571 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,292 – $12,677 · median $8,315 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,967 – $34,186 · median $22,425 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,430 – $12,955 · median $8,498 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,871 – $9,815 · median $6,438 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,701 – $47,755 · median $31,325 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,681 – $27,565 · median $18,082 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,495 – $17,116 · median $11,227 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,322 – $22,812 · median $14,963 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,473 – $15,056 · median $9,876 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,761 – $9,593 · median $6,293 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,655 – $21,469 · median $14,083 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,853 – $13,808 · median $9,057 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,216 – $28,644 · median $18,789 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,112 – $12,315 · median $8,078 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,833 – $7,722 · median $5,065 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,036 – $28,281 · median $18,551 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,290 – $18,717 · median $12,278 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,190 – $12,472 · median $8,181 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,094 – $20,338 · median $13,341 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,834 – $11,756 · median $7,711 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $10,194 – $20,539 · median $13,473 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,514 – $13,124 · median $8,609 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,993 – $26,179 · median $17,172 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,038 – $16,196 · median $10,624 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,464 – $21,083 · median $13,829 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,415 – $12,925 · median $8,478 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,855 – $9,782 · median $6,416 | 8 plans |
| 311 | ANGINA PECTORIS | $6,059 – $12,208 · median $8,008 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,560 – $15,233 · median $9,992 | 8 plans |
| 313 | CHEST PAIN | $6,190 – $12,472 · median $8,181 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,686 – $37,650 · median $24,696 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,350 – $16,824 · median $11,036 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,924 – $11,936 · median $7,829 | 8 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $53,679 – $108,157 · median $70,946 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $38,116 – $76,799 · median $50,377 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,086 – $40,470 · median $26,546 | 8 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $24,702 – $49,771 · median $32,647 | 8 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,698 – $31,630 · median $20,748 | 8 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $36,959 – $74,467 · median $48,847 | 8 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $27,724 – $55,860 · median $36,641 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,834 – $50,038 · median $32,823 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $44,070 – $88,796 · median $58,246 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,069 – $42,450 · median $27,845 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,827 – $27,859 · median $18,274 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $39,844 – $80,280 · median $52,660 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,510 – $41,325 · median $27,107 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,326 – $28,864 · median $18,934 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $30,098 – $60,643 · median $39,779 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $18,441 – $37,157 · median $24,373 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,392 – $28,997 · median $19,021 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $31,440 – $63,348 · median $41,553 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,328 – $36,929 · median $24,224 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,320 – $26,838 · median $17,605 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,380 – $47,108 · median $30,901 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,917 – $26,027 · median $17,072 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,805 – $21,772 · median $14,281 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,537 – $41,379 · median $27,142 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,923 – $22,009 · median $14,437 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,644 – $15,401 · median $10,102 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,987 – $42,286 · median $27,738 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,055 – $26,303 · median $17,254 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,567 – $19,277 · median $12,645 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,450 – $51,278 · median $33,636 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,760 – $29,740 · median $19,508 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,568 – $23,308 · median $15,289 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $37,013 – $74,577 · median $48,919 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,541 – $39,372 · median $25,826 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,758 – $23,691 · median $15,540 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,491 – $29,197 · median $19,152 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,830 – $17,791 · median $11,670 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,057 – $12,203 · median $8,005 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,167 – $30,560 · median $20,046 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,931 – $17,995 · median $11,804 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,294 – $12,682 · median $8,319 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,321 – $36,914 · median $24,214 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,661 – $21,481 · median $14,091 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,662 – $15,437 · median $10,126 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,777 – $31,788 · median $20,851 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,555 – $17,236 · median $11,306 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,525 – $11,131 · median $7,302 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,697 – $33,643 · median $22,068 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,450 – $19,041 · median $12,490 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,502 – $13,100 · median $8,593 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,969 – $22,102 · median $14,498 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,546 – $15,203 · median $9,973 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,098 – $28,406 · median $18,633 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,612 – $17,352 · median $11,382 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,816 – $11,719 · median $7,687 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,754 – $25,698 · median $16,857 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,955 – $14,014 · median $9,193 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,748 – $9,567 · median $6,275 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,146 – $22,457 · median $14,731 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,771 – $13,642 · median $8,948 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,369 – $28,952 · median $18,991 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,168 – $16,457 · median $10,795 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,522 – $11,126 · median $7,298 | 8 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $21,500 – $43,319 · median $28,415 | 8 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,130 – $26,455 · median $17,353 | 8 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,751 – $19,647 · median $12,888 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $33,946 – $68,397 · median $44,865 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $47,105 – $94,910 · median $62,256 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,368 – $49,099 · median $32,207 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,532 – $37,340 · median $24,493 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $30,381 – $61,213 · median $40,153 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,191 – $36,653 · median $24,043 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,459 – $27,118 · median $17,788 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,544 – $47,840 · median $31,117 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,496 – $37,267 · median $24,445 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,426 – $29,065 · median $19,066 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $30,402 – $61,257 · median $40,182 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,164 – $34,583 · median $22,685 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,889 – $23,955 · median $15,713 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $30,625 – $61,706 · median $40,476 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,209 – $28,630 · median $18,780 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,750 – $25,690 · median $16,851 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $35,293 – $71,110 · median $46,645 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,812 – $39,919 · median $26,185 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,413 – $27,025 · median $17,727 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $90,895 – $183,141 · median $120,132 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $61,630 – $124,177 · median $81,454 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $47,759 – $96,228 · median $63,121 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $72,371 – $145,819 · median $95,650 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $47,468 – $95,641 · median $62,736 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,999 – $34,251 · median $22,467 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,283 – $18,703 · median $12,268 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,044 – $12,177 · median $7,987 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,832 – $31,899 · median $20,925 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,785 – $19,716 · median $12,932 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,813 – $13,728 · median $9,005 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,436 – $29,086 · median $19,079 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,464 – $15,039 · median $9,865 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,337 – $10,754 · median $7,054 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,403 – $33,050 · median $21,679 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,384 – $16,892 · median $11,080 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,097 – $12,285 · median $8,059 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,616 – $29,448 · median $19,317 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,410 – $18,960 · median $12,437 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,918 – $13,939 · median $9,143 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $58,177 – $117,218 · median $76,890 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,433 – $71,392 · median $46,830 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,687 – $90,039 · median $59,061 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,777 – $53,953 · median $35,390 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $73,487 – $148,067 · median $97,125 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $49,801 – $100,342 · median $65,819 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $37,467 – $75,492 · median $49,519 | 8 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,982 – $107,288 · median $68,702 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,849 – $50,068 · median $32,842 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $46,864 – $94,426 · median $61,939 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,585 – $51,550 · median $33,815 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,064 – $30,352 · median $19,910 | 8 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $44,206 – $89,069 · median $58,425 | 8 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $29,720 – $59,883 · median $39,280 | 8 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,762 – $45,863 · median $30,084 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $28,363 – $57,147 · median $37,485 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,360 – $32,964 · median $21,623 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $42,147 – $84,920 · median $55,704 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $25,139 – $50,652 · median $33,225 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,542 – $41,389 · median $27,149 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,914 – $78,406 · median $51,431 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,719 – $37,716 · median $24,740 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,092 – $20,334 · median $13,338 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $29,840 – $60,124 · median $39,438 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,292 – $40,886 · median $26,819 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,409 – $31,046 · median $20,365 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $25,519 – $51,418 · median $33,727 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,004 – $36,275 · median $23,795 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,765 – $27,735 · median $18,193 | 8 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,111 – $44,550 · median $29,223 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,934 – $56,283 · median $36,919 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,403 – $37,080 · median $24,322 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,711 – $27,627 · median $18,122 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,054 – $34,361 · median $22,539 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,746 – $21,651 · median $14,202 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $30,814 – $62,086 · median $40,725 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,833 – $41,977 · median $27,535 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,360 – $32,962 · median $21,622 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $30,548 – $61,551 · median $40,374 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,120 – $34,494 · median $22,626 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,650 – $23,473 · median $15,397 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,909 – $44,143 · median $28,956 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,533 – $20,294 · median $12,656 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $27,495 – $55,398 · median $36,339 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,486 – $31,202 · median $20,467 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,124 – $24,427 · median $16,023 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,965 – $46,271 · median $30,351 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,228 – $30,683 · median $20,126 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,228 – $30,683 · median $20,126 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,008 – $26,209 · median $17,192 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,818 – $33,886 · median $22,227 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,773 – $22,564 · median $14,238 | 8 plans |
| 509 | ARTHROSCOPY | $15,243 – $30,712 · median $20,146 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,800 – $49,968 · median $32,777 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,017 – $34,288 · median $22,491 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,951 – $28,109 · median $18,438 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,064 – $26,322 · median $17,266 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,847 – $17,826 · median $11,693 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,833 – $54,064 · median $35,464 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,456 – $35,171 · median $23,070 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,952 – $26,097 · median $17,118 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $31,098 – $62,659 · median $41,101 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,110 – $34,475 · median $22,614 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,436 – $25,057 · median $16,436 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $25,291 – $50,958 · median $33,426 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,292 – $36,856 · median $24,176 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,232 – $26,660 · median $17,488 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,063 – $14,231 · median $9,335 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,540 – $23,251 · median $15,251 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,036 – $14,177 · median $9,299 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,974 – $16,067 · median $10,539 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,827 – $11,740 · median $7,701 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,548 – $35,358 · median $23,193 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,229 – $22,625 · median $14,841 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,592 – $15,296 · median $10,033 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,183 – $32,608 · median $21,389 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,205 – $18,548 · median $12,166 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,557 – $13,212 · median $8,666 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,926 – $44,178 · median $28,978 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,045 – $20,240 · median $13,277 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,475 – $13,046 · median $8,557 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,481 – $35,221 · median $23,103 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,457 – $21,069 · median $13,820 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,480 – $15,072 · median $9,887 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,806 – $29,833 · median $19,569 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,363 – $16,850 · median $11,053 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,332 – $22,833 · median $14,977 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,242 – $14,591 · median $9,571 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,684 – $23,543 · median $15,443 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,085 – $14,275 · median $9,364 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,447 – $27,093 · median $17,772 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,495 – $15,102 · median $9,906 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,107 – $32,454 · median $21,288 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,881 – $19,908 · median $13,059 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,094 – $14,294 · median $9,376 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,699 – $25,586 · median $16,783 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,756 – $15,626 · median $10,250 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,616 – $27,434 · median $17,996 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,848 – $17,827 · median $11,694 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,491 – $13,079 · median $8,579 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $26,120 – $52,627 · median $34,521 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,528 – $29,272 · median $19,201 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,913 – $19,973 · median $13,101 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $53,435 – $107,664 · median $70,622 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $30,065 – $60,577 · median $39,735 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,325 – $34,908 · median $22,898 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,815 – $94,326 · median $61,873 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,105 – $46,554 · median $30,537 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,668 – $29,553 · median $19,386 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $28,282 – $56,984 · median $37,379 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,384 – $30,997 · median $20,333 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,488 – $25,162 · median $16,505 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,195 – $30,616 · median $20,083 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,254 – $28,719 · median $18,838 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,765 – $35,795 · median $23,480 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,225 – $34,706 · median $22,765 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $17,843 – $35,950 · median $23,582 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $10,609 – $21,376 · median $14,022 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,364 – $14,838 · median $9,733 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,353 – $36,978 · median $24,256 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,381 – $18,901 · median $12,398 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,243 – $30,712 · median $20,146 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,205 – $18,862 · median $12,165 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,418 – $14,946 · median $9,804 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,300 – $16,724 · median $10,970 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,202 – $10,481 · median $6,875 | 8 plans |
| 602 | CELLULITIS WITH MCC | $12,748 – $25,686 · median $16,849 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,643 – $15,399 · median $10,101 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,891 – $25,974 · median $17,038 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,015 – $16,149 · median $10,593 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,973 – $28,153 · median $18,467 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,499 – $15,109 · median $9,911 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,775 – $39,844 · median $26,136 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,434 – $25,053 · median $16,434 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,537 – $67,572 · median $44,324 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,760 – $33,770 · median $22,152 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,804 – $21,768 · median $14,279 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,469 – $65,421 · median $42,913 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,597 – $33,441 · median $21,936 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,641 – $17,537 · median $11,421 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,878 – $50,126 · median $32,880 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,096 – $26,387 · median $17,309 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,993 – $22,149 · median $14,529 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $34,237 – $68,983 · median $45,249 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,515 – $39,321 · median $25,793 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,159 – $24,499 · median $16,070 | 8 plans |
| 637 | DIABETES WITH MCC | $12,636 – $25,460 · median $16,701 | 8 plans |
| 638 | DIABETES WITH CC | $7,959 – $16,035 · median $10,518 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,437 – $10,955 · median $7,186 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,523 – $23,217 · median $15,230 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,780 – $13,661 · median $8,961 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,769 – $21,698 · median $14,233 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,380 – $28,975 · median $19,006 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,967 – $18,067 · median $11,851 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,757 – $13,614 · median $8,930 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $48,371 – $97,461 · median $63,930 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,487 – $49,339 · median $32,364 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,025 – $36,317 · median $23,822 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $28,270 – $56,960 · median $37,363 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,862 – $31,961 · median $20,965 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,050 – $26,294 · median $17,248 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,424 – $45,181 · median $29,637 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,627 – $23,427 · median $15,367 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,908 – $17,948 · median $11,773 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $27,069 – $54,540 · median $35,776 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,253 – $26,704 · median $17,516 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,369 – $18,878 · median $12,383 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $29,793 – $60,030 · median $39,377 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $14,294 – $28,800 · median $18,891 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,918 – $17,969 · median $11,787 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $25,305 – $50,986 · median $33,444 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,428 – $27,055 · median $17,747 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,293 – $16,709 · median $10,960 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,957 – $30,135 · median $19,767 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,496 – $19,133 · median $12,551 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $36,353 – $73,247 · median $48,046 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,030 – $40,358 · median $26,473 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,582 – $27,366 · median $17,951 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $13,032 – $26,258 · median $17,224 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $7,713 – $15,541 · median $10,194 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,270 – $10,619 · median $6,966 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,362 – $32,968 · median $21,625 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,134 – $18,404 · median $12,072 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,284 – $12,661 · median $8,305 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,155 – $20,460 · median $13,421 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,964 – $14,032 · median $9,204 | 8 plans |
| 693 | URINARY STONES WITH MCC | $12,759 – $25,707 · median $16,863 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,780 – $13,661 · median $8,961 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,786 – $19,717 · median $12,934 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,003 – $12,095 · median $7,934 | 8 plans |
| 697 | URETHRAL STRICTURE | $8,441 – $17,514 · median $11,156 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,585 – $29,387 · median $19,277 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,850 – $17,831 · median $11,696 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,024 – $12,137 · median $7,961 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,839 – $33,928 · median $22,255 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,864 – $25,919 · median $17,001 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,498 – $39,286 · median $25,770 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,028 – $26,249 · median $17,218 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,552 – $33,403 · median $21,876 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,689 – $18,700 · median $10,905 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,547 – $25,280 · median $16,583 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,154 – $16,429 · median $10,776 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,595 – $39,482 · median $25,898 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,315 – $24,814 · median $16,277 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,100 – $32,440 · median $21,279 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,689 – $21,537 · median $14,127 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,002 – $30,226 · median $19,827 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,743 – $19,632 · median $12,877 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,700 – $12,738 · median $7,748 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,956 – $22,074 · median $14,480 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,459 – $13,014 · median $8,537 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,750 – $25,690 · median $16,851 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,090 – $14,285 · median $9,371 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,553 – $19,247 · median $12,625 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,266 – $10,610 · median $6,960 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,246 – $36,763 · median $24,115 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,533 – $21,223 · median $13,921 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $34,167 – $68,841 · median $45,156 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,340 – $34,938 · median $22,918 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,162 – $26,520 · median $17,396 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $34,542 – $69,598 · median $45,653 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,777 – $31,789 · median $20,852 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,919 – $24,015 · median $15,752 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,850 – $31,936 · median $20,949 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,401 – $20,957 · median $13,747 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,955 – $34,162 · median $22,408 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,892 – $17,917 · median $11,752 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,531 – $29,277 · median $19,204 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,288 – $16,700 · median $10,954 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,821 – $23,817 · median $15,623 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,461 – $45,256 · median $29,686 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,189 – $22,544 · median $14,788 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,699 – $31,632 · median $20,749 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,632 – $19,408 · median $12,731 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,287 – $16,696 · median $10,954 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,460 – $24,744 · median $14,360 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,844 – $17,820 · median $11,689 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,553 – $11,189 · median $7,340 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,552 – $17,231 · median $11,303 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,500 – $11,082 · median $7,270 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,460 – $24,293 · median $14,062 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,336 – $18,812 · median $12,340 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,191 – $13,055 · median $9,506 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $8,111 – $16,343 · median $10,833 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $10,460 – $83,128 · median $48,242 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $10,460 – $50,942 · median $29,563 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,460 – $28,702 · median $16,657 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $10,460 – $62,673 · median $36,371 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,445 – $31,120 · median $20,413 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,593 – $19,329 · median $12,679 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,873 – $40,041 · median $26,265 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,460 – $21,653 · median $13,308 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,259 – $16,640 · median $10,935 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,460 – $24,597 · median $14,274 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,008 – $16,135 · median $10,761 | 8 plans |
| 813 | COAGULATION DISORDERS | $10,460 – $27,064 · median $15,706 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,460 – $36,548 · median $21,210 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,817 – $17,764 · median $11,653 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,722 – $11,528 · median $7,562 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,967 – $44,321 · median $26,360 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,585 – $22,518 · median $12,666 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,860 – $14,275 · median $8,318 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $50,520 – $101,791 · median $66,770 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,371 – $39,029 · median $25,601 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,924 – $19,995 · median $13,116 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $40,604 – $81,812 · median $53,665 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,084 – $38,452 · median $25,223 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,680 – $21,518 · median $14,115 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $41,437 – $83,490 · median $54,765 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,477 – $41,258 · median $27,063 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,908 – $28,024 · median $18,382 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,758 – $53,914 · median $35,365 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,690 – $25,569 · median $16,772 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,987 – $20,123 · median $13,200 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,485 – $13,067 · median $8,571 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,510 – $9,088 · median $5,961 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $47,960 – $96,634 · median $63,387 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,533 – $37,342 · median $24,495 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,780 – $22,216 · median $14,248 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $43,447 – $87,541 · median $57,423 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,599 – $35,459 · median $23,259 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,891 – $23,959 · median $15,716 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $27,671 – $55,753 · median $36,571 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,606 – $27,413 · median $17,982 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,127 – $18,390 · median $12,063 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,428 – $33,101 · median $21,712 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,371 – $20,896 · median $13,707 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,261 – $14,630 · median $9,596 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,159 – $44,648 · median $29,287 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,026 – $22,216 · median $14,572 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,106 – $14,317 · median $9,391 | 8 plans |
| 849 | RADIOTHERAPY | $23,177 – $46,699 · median $30,632 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $79,932 – $161,052 · median $105,642 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $43,396 – $87,438 · median $57,355 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,338 – $34,933 · median $22,914 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,105 – $28,420 · median $18,642 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $39,147 – $78,876 · median $51,739 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,906 – $38,094 · median $24,988 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,179 – $22,525 · median $14,775 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,954 – $32,146 · median $21,086 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,676 – $17,481 · median $11,467 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,792 – $15,700 · median $10,298 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,586 – $25,803 · median $16,634 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,677 – $15,469 · median $10,147 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,606 – $37,489 · median $24,591 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,112 – $18,359 · median $12,043 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,244 – $12,581 · median $8,252 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $60,362 – $121,620 · median $79,777 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,025 – $34,303 · median $22,501 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,946 – $18,025 · median $11,824 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $38,443 – $77,458 · median $50,809 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,465 – $33,176 · median $21,762 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,460 – $21,314 · median $13,201 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $10,460 – $67,504 · median $39,175 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,460 – $28,815 · median $16,723 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,460 – $38,157 · median $22,144 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $34,567 – $69,647 · median $45,685 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,502 – $35,265 · median $23,132 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,005 – $22,174 · median $14,545 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,042 – $28,293 · median $18,559 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,952 – $16,021 · median $10,509 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,080 – $30,384 · median $19,930 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,762 – $11,610 · median $7,616 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,228 – $28,667 · median $18,804 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,676 – $15,465 · median $10,145 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,823 – $31,882 · median $20,913 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,815 – $17,761 · median $11,650 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,967 – $12,023 · median $7,887 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,659 – $29,536 · median $19,374 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,850 – $17,831 · median $11,696 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,541 – $55,491 · median $36,399 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,321 – $36,914 · median $24,214 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,957 – $34,167 · median $22,412 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,160 – $22,487 · median $14,750 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,894 – $13,890 · median $9,111 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,362 – $18,864 · median $12,374 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,086 – $10,247 · median $6,721 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,920 – $13,055 · median $7,661 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $10,460 – $119,379 · median $69,280 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $33,167 – $66,827 · median $43,835 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $64,767 – $130,497 · median $85,599 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $35,661 – $71,852 · median $47,131 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,941 – $46,223 · median $30,320 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,573 – $47,496 · median $31,155 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,016 – $26,226 · median $17,203 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,919 – $15,955 · median $10,466 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $54,876 – $110,568 · median $72,527 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,023 – $46,388 · median $30,428 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,911 – $52,208 · median $34,246 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,333 – $24,850 · median $16,301 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,703 – $17,535 · median $11,502 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,511 – $25,209 · median $16,536 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $41,250 – $83,112 · median $54,518 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,244 – $42,804 · median $28,077 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,475 – $29,165 · median $19,131 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,393 – $61,238 · median $40,169 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,890 – $30,001 · median $19,679 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,026 – $20,202 · median $13,251 | 8 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $294,640 – $492,466 · median $395,652 | 4 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $115,266 – $192,657 · median $154,783 | 4 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $111,393 – $186,183 · median $149,581 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $50,723 – $84,779 · median $68,112 | 4 plans |
| 007 | LUNG TRANSPLANT | $136,700 – $228,482 · median $183,564 | 4 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $56,914 – $95,127 · median $76,426 | 4 plans |
| 010 | PANCREAS TRANSPLANT | $83,398 – $139,392 · median $111,989 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $137,045 – $229,059 · median $184,028 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $63,136 – $105,526 · median $84,780 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $63,136 – $105,526 · median $84,780 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $82,920 – $138,593 · median $111,347 | 4 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $48,192 – $80,549 · median $64,714 | 4 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $36,322 – $60,710 · median $48,775 | 4 plans |
| 652 | KIDNEY TRANSPLANT | $32,127 – $53,697 · median $43,141 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,460 – $31,515 · median $20,080 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $248,140 – $414,746 · median $333,210 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $69,861 – $116,767 · median $93,812 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $33,267 – $55,603 · median $44,672 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $45,259 – $75,647 · median $60,776 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,445 – $37,515 · median $30,140 | 4 plans |
| 935 | NON-EXTENSIVE BURNS | $22,974 – $38,400 · median $30,851 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $41,104 – $68,701 · median $51,301 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,027 – $16,759 · median $12,515 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $9,561 – $15,981 · median $11,934 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,063 – $16,819 · median $12,559 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,392 – $32,412 · median $24,203 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,470 – $29,200 · median $21,804 | 3 plans |
| 885 | PSYCHOSES | $14,744 – $24,644 · median $18,402 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,791 – $31,408 · median $23,453 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,441 – $20,794 · median $15,528 | 3 plans |
| 795 | NORMAL NEWBORN | $2,188 – $2,395 · median $2,291 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $10,911 – $10,911 · median $10,911 | 1 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $25,314 – $25,314 · median $25,314 | 1 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $31,134 – $31,134 · median $31,134 | 1 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $15,424 – $15,424 · median $15,424 | 1 plans |
| 945 | REHABILITATION WITH CC/MCC | $22,954 – $22,954 · median $22,954 | 1 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $16,789 – $16,789 · median $16,789 | 1 plans |
No procedures match that keyword.