Christus Santa Rosa Medical Center — Pricing
767 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 767 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 767 procedures
Procedures with negotiated rates only
These 767 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,040 – $7,750 · median $5,708 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,040 – $13,516 · median $8,734 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,040 – $13,516 · median $8,734 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,040 – $7,750 · median $5,708 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,040 – $7,750 · median $5,708 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,040 – $7,750 · median $5,708 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,040 – $7,750 · median $5,708 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,040 – $13,516 · median $8,648 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,040 – $13,516 · median $8,648 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,040 – $13,516 · median $8,648 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,040 – $13,516 · median $8,648 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,040 – $7,750 · median $5,595 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,040 – $7,750 · median $5,595 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,602 – $151,037 · median $102,484 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,602 – $101,516 · median $75,158 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $3,602 – $118,034 · median $71,046 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $3,602 – $84,339 · median $54,211 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,602 – $101,516 · median $66,764 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,679 – $118,545 · median $79,390 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,853 – $82,333 · median $60,716 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,436 – $78,799 · median $66,176 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,959 – $65,534 · median $45,147 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,359 – $130,149 · median $81,885 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,116 – $93,600 · median $67,759 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,385 – $90,605 · median $57,242 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,717 – $64,671 · median $41,100 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,163 – $49,294 · median $35,892 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,376 – $32,899 · median $28,066 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,920 – $27,906 · median $22,242 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,837 – $34,688 · median $27,393 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,052 – $29,982 · median $19,255 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,459 – $53,856 · median $31,151 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,691 – $40,073 · median $25,185 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,814 – $48,511 · median $26,427 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,557 – $31,219 · median $18,235 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,283 – $50,220 · median $30,886 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,100 – $29,187 · median $18,123 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,149 – $25,164 · median $13,763 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,602 – $110,086 · median $79,377 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $8,831 – $44,579 · median $22,775 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,831 – $24,707 · median $18,973 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,831 – $23,549 · median $17,116 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $36,303 – $153,726 · median $118,980 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,423 – $77,816 · median $52,009 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,805 – $70,439 · median $44,965 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,493 – $27,508 · median $18,491 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,626 – $51,576 · median $28,999 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $24,812 – $55,861 · median $34,227 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,566 – $106,188 · median $65,596 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,615 – $65,202 · median $40,933 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,591 – $81,461 · median $50,498 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,567 – $54,906 · median $35,128 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,299 – $39,416 · median $31,235 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,653 – $63,694 · median $38,470 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,330 – $50,821 · median $30,704 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,777 – $92,736 · median $65,126 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,880 – $71,305 · median $58,070 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $27,327 – $85,937 · median $41,512 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,975 – $55,679 · median $29,306 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,957 – $42,006 · median $31,355 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,954 – $29,140 · median $22,584 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,612 – $36,844 · median $23,532 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,612 – $26,117 · median $18,266 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,612 – $21,087 · median $13,656 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,435 – $50,827 · median $30,112 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,428 – $25,051 · median $16,177 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,779 – $18,149 · median $12,018 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $75,756 – $167,885 · median $98,780 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $28,377 – $66,811 · median $38,622 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,704 – $48,648 · median $28,972 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,258 – $49,565 · median $25,952 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,111 – $36,975 · median $25,410 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,671 – $23,368 · median $17,760 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,668 – $17,673 · median $12,606 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,260 – $103,157 · median $60,795 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,496 – $65,474 · median $39,291 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,723 – $82,284 · median $53,622 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,802 – $49,874 · median $36,488 | 14 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $14,783 – $57,700 · median $32,498 | 14 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,783 – $30,881 · median $17,912 | 14 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,983 – $23,064 · median $12,996 | 14 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,009 – $28,327 · median $16,564 | 14 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,246 – $19,155 · median $11,818 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,602 – $34,163 · median $21,834 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,602 – $18,985 · median $11,481 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,383 – $47,203 · median $27,400 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,207 – $96,486 · median $64,563 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,287 – $73,502 · median $50,703 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,660 – $24,766 · median $17,689 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,110 – $14,190 · median $9,934 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,593 – $11,164 · median $7,814 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,082 – $30,582 · median $19,976 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,715 – $10,687 · median $7,986 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,330 – $9,246 · median $5,849 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,716 – $103,233 · median $65,466 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,882 – $68,903 · median $46,204 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,854 – $37,135 · median $24,947 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $36,726 – $85,270 · median $61,758 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,088 – $41,068 · median $29,257 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,176 – $54,447 · median $34,992 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,234 – $42,426 · median $26,800 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,193 – $46,830 · median $33,393 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,543 – $29,780 · median $19,262 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,269 – $27,889 · median $19,801 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,954 – $23,381 · median $12,891 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,516 – $32,084 · median $20,552 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,513 – $23,725 · median $15,249 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $165,302 – $327,696 · median $225,889 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $108,985 – $213,852 · median $148,930 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,619 – $84,206 · median $56,873 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,652 – $65,091 · median $43,253 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,439 – $44,492 · median $27,931 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $290,879 – $666,699 · median $397,493 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $62,175 – $121,486 · median $84,964 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,632 – $81,731 · median $56,293 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,916 – $49,056 · median $30,421 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,003 – $88,470 · median $60,132 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,323 – $60,396 · median $40,070 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,495 – $70,197 · median $47,138 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,591 – $48,003 · median $32,238 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,034 – $38,951 · median $26,011 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,891 – $92,762 · median $64,078 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,890 – $52,672 · median $35,380 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,165 – $33,892 · median $23,456 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,322 – $69,174 · median $44,169 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,472 – $32,901 · median $22,509 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,306 – $25,674 · median $16,817 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,994 – $59,760 · median $40,987 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,546 – $36,907 · median $23,976 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,139 – $29,995 · median $19,321 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,094 – $59,613 · median $39,758 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,418 – $33,946 · median $23,801 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,556 – $26,674 · median $18,525 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,522 – $27,965 · median $21,212 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,107 – $15,118 · median $9,712 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,563 – $23,574 · median $15,801 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,415 – $15,742 · median $11,499 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,314 – $35,866 · median $26,393 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,292 – $20,003 · median $14,065 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,237 – $26,393 · median $19,456 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,438 – $19,158 · median $12,897 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,883 – $14,201 · median $9,406 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,851 – $42,567 · median $28,494 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,736 – $27,129 · median $18,771 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,835 – $21,673 · median $14,807 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,343 – $31,048 · median $20,966 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,843 – $15,598 · median $10,718 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,309 – $10,566 · median $7,255 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,222 – $22,675 · median $15,335 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,799 – $13,345 · median $9,291 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,171 – $12,333 · median $8,433 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,411 – $25,703 · median $18,327 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,129 – $15,840 · median $11,108 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,786 – $11,675 · median $7,907 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,921 – $24,769 · median $16,291 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,040 – $15,915 · median $10,987 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,285 – $29,604 · median $17,520 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,072 – $12,740 · median $9,664 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,332 – $27,945 · median $20,753 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,979 – $13,827 · median $9,537 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,896 – $35,287 · median $24,455 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,724 – $21,550 · median $14,655 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,374 – $14,757 · median $10,077 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,478 – $35,076 · median $23,884 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,116 – $20,112 · median $13,824 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,818 – $14,122 · median $9,317 | 9 plans |
| 088 | CONCUSSION WITH MCC | $10,881 – $20,870 · median $14,869 | 9 plans |
| 089 | CONCUSSION WITH CC | $8,269 – $16,961 · median $11,300 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,612 – $12,709 · median $9,036 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,060 – $27,114 · median $19,213 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,166 – $15,794 · median $11,159 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,088 – $12,294 · median $8,319 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,142 – $54,336 · median $38,457 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,490 – $39,820 · median $25,266 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,490 – $39,820 · median $25,266 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,648 – $55,763 · median $37,782 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,732 – $35,431 · median $22,864 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,747 – $21,034 · median $14,685 | 9 plans |
| 100 | SEIZURES WITH MCC | $15,313 – $29,902 · median $20,925 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $7,109 – $13,935 · median $9,715 | 9 plans |
| 102 | HEADACHES WITH MCC | $8,943 – $17,306 · median $12,221 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $6,558 – $12,912 · median $8,961 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,405 – $36,299 · median $23,580 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,118 – $20,889 · median $12,459 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,809 – $23,697 · median $16,137 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,870 – $27,915 · median $17,587 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,319 – $16,750 · median $10,669 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,972 – $17,960 · median $12,260 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,232 – $12,132 · median $7,149 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,195 – $12,330 · median $8,466 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,057 – $20,427 · median $13,743 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,369 – $11,854 · median $8,703 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,597 – $33,503 · median $25,413 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,545 – $15,675 · median $10,310 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,787 – $23,054 · median $14,741 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,275 – $13,682 · median $8,574 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,590 – $19,078 · median $14,471 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,620 – $65,852 · median $44,576 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,571 – $33,674 · median $22,645 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,128 – $24,647 · median $16,573 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,468 – $57,844 · median $34,802 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,549 – $26,754 · median $18,516 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,138 – $18,562 · median $12,488 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,694 – $32,691 · median $24,180 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,601 – $19,631 · median $13,120 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,176 – $12,306 · median $8,045 | 9 plans |
| 149 | DYSEQUILIBRIUM | $5,765 – $11,604 · median $7,879 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $10,661 – $20,557 · median $14,568 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,846 – $11,332 · median $7,989 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,753 – $18,252 · median $11,961 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,489 – $11,397 · median $7,501 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,544 – $24,139 · median $17,141 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,201 – $14,150 · median $9,840 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,186 – $10,670 · median $7,087 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,630 – $26,506 · median $17,259 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,255 – $14,046 · median $9,914 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,087 – $10,939 · median $6,952 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,551 – $69,195 · median $48,581 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,414 – $38,968 · median $26,529 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,377 – $29,553 · median $19,647 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,697 – $57,706 · median $40,582 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,093 – $27,843 · median $19,259 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,443 – $21,096 · median $14,270 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,668 – $45,953 · median $32,343 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,868 – $21,207 · median $14,852 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,282 – $12,428 · median $8,585 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,468 – $24,127 · median $17,038 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,652 – $15,068 · median $10,457 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,937 – $11,656 · median $8,113 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,481 – $27,265 · median $18,422 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,564 – $16,535 · median $11,703 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,460 – $11,638 · median $8,827 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,243 – $23,620 · median $16,730 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,238 – $16,429 · median $11,258 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,998 – $12,143 · median $8,197 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,187 – $24,062 · median $16,653 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,744 – $15,271 · median $10,582 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,663 – $11,073 · median $7,738 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,544 – $19,073 · median $13,042 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,662 – $17,102 · median $11,836 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,626 – $13,015 · median $9,055 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,992 – $9,912 · median $6,821 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,163 – $20,293 · median $13,889 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,325 – $12,442 · median $8,643 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,803 – $9,703 · median $6,563 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,532 – $29,136 · median $19,858 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,636 – $14,653 · median $10,435 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,402 – $11,057 · median $7,093 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,616 – $27,236 · median $18,606 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,542 – $16,972 · median $11,673 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,222 – $11,040 · median $7,137 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,456 – $14,994 · median $10,189 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,373 – $10,344 · median $7,342 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,255 – $12,465 · median $8,548 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,561 – $28,269 · median $19,897 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,986 – $14,530 · median $9,547 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,882 – $99,345 · median $68,164 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,700 – $42,437 · median $28,287 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,850 – $75,986 · median $53,089 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,462 – $44,009 · median $30,695 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,646 – $21,374 · median $15,914 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,181 – $41,645 · median $27,578 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,064 – $26,214 · median $17,852 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,576 – $16,862 · median $8,730 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,068 – $41,781 · median $28,790 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,161 – $26,353 · median $16,618 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,551 – $14,354 · median $10,319 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,064 – $19,821 · median $13,753 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,642 – $13,108 · median $9,077 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,232 – $8,738 · median $5,783 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,637 – $24,114 · median $17,269 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,433 – $9,788 · median $7,424 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,407 – $7,026 · median $4,656 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,477 – $25,207 · median $17,050 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,258 – $16,481 · median $11,284 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,502 – $11,111 · median $7,519 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,973 – $18,474 · median $12,261 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,186 – $10,394 · median $7,087 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $9,061 – $18,372 · median $12,382 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,790 – $11,658 · median $7,912 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,549 – $24,329 · median $15,783 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,145 – $14,099 · median $9,764 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,301 – $18,589 · median $12,710 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,702 – $11,358 · median $7,792 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,315 – $8,740 · median $5,897 | 9 plans |
| 311 | ANGINA PECTORIS | $5,386 – $10,837 · median $7,360 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,720 – $13,457 · median $9,184 | 9 plans |
| 313 | CHEST PAIN | $5,502 – $11,116 · median $7,519 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,610 – $32,193 · median $22,698 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,422 – $14,872 · median $10,143 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,266 – $10,531 · median $7,196 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,174 – $77,000 · median $53,533 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,728 – $37,736 · median $25,592 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,291 – $24,738 · median $16,795 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,417 – $70,965 · median $48,399 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,231 – $37,010 · median $24,913 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,734 – $25,982 · median $17,402 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,754 – $55,900 · median $36,560 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $16,392 – $36,161 · median $22,401 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,793 – $25,288 · median $17,482 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,947 – $55,131 · median $38,191 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,292 – $32,556 · median $22,264 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,840 – $23,699 · median $16,180 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,783 – $39,876 · median $28,400 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,482 – $23,231 · median $15,691 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,605 – $18,314 · median $13,125 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,255 – $35,442 · median $24,946 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,710 – $20,207 · median $13,269 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,794 – $13,441 · median $9,285 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,655 – $38,472 · median $25,493 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,604 – $23,537 · median $15,857 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,504 – $18,030 · median $11,621 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,622 – $44,804 · median $30,914 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,121 – $25,975 · median $17,930 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,283 – $20,765 · median $14,052 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,901 – $67,820 · median $44,960 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,370 – $35,903 · median $23,736 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,452 – $21,582 · median $14,283 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,881 – $24,577 · median $17,602 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,849 – $15,442 · median $10,726 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,384 – $10,820 · median $7,357 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,482 – $27,375 · median $18,424 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,939 – $15,763 · median $10,849 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,595 – $11,230 · median $7,646 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,285 – $33,019 · median $22,254 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,477 – $18,675 · median $12,951 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,811 – $14,270 · median $9,307 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,024 – $28,222 · median $19,164 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,604 – $15,141 · median $10,391 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,911 – $9,733 · median $6,711 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,842 – $30,294 · median $20,282 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,400 – $16,728 · median $11,479 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,779 – $12,360 · median $7,898 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,751 – $21,317 · median $13,325 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,707 – $13,197 · median $9,166 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,532 – $24,429 · median $17,125 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,655 – $15,073 · median $10,461 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,170 – $10,519 · median $7,065 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,337 – $22,800 · median $15,493 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,183 – $12,194 · median $8,449 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,221 – $8,399 · median $5,767 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,907 – $19,581 · median $13,539 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,018 – $12,036 · median $8,224 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,773 – $24,692 · median $17,454 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,260 – $14,446 · median $9,921 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,909 – $10,020 · median $6,708 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,175 – $62,073 · median $41,235 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,872 – $84,459 · median $57,219 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,661 – $44,776 · median $29,601 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,473 – $34,268 · median $22,511 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,006 – $55,049 · median $36,904 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,170 – $33,615 · median $22,097 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,964 – $24,513 · median $16,349 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,106 – $51,000 · median $28,599 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,441 – $32,461 · median $22,467 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,823 – $25,636 · median $17,523 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,025 – $55,003 · median $36,930 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,257 – $31,908 · median $20,849 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,568 – $21,048 · median $14,442 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,223 – $52,602 · median $37,201 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,631 – $26,825 · median $17,260 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,333 – $21,607 · median $15,487 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,372 – $64,118 · median $42,870 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,611 – $33,779 · median $24,066 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,923 – $23,163 · median $16,293 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,797 – $170,156 · median $110,411 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,783 – $111,448 · median $74,862 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,453 – $86,798 · median $58,013 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,331 – $139,099 · median $87,910 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,194 – $89,038 · median $57,659 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,111 – $30,387 · median $20,649 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,251 – $16,307 · median $11,276 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,372 – $11,000 · median $7,341 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,073 – $28,357 · median $19,231 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,698 – $17,463 · median $11,886 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,056 – $13,174 · median $8,276 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,832 – $25,169 · median $17,535 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,635 – $12,987 · median $9,067 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,744 – $9,594 · median $6,483 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,581 – $27,708 · median $19,925 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,452 – $14,903 · median $10,184 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,420 – $10,803 · median $7,406 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,992 – $25,797 · median $17,754 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,365 – $16,896 · median $11,431 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,150 – $12,773 · median $8,404 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,323 – $129,740 · median $89,265 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,268 – $92,064 · median $60,493 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,305 – $64,421 · median $45,512 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,658 – $87,995 · median $56,927 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,743 – $48,088 · median $31,078 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,391 – $28,156 · median $18,298 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,295 – $80,366 · median $53,697 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,464 – $74,550 · median $51,196 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,346 – $45,485 · median $30,536 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,260 – $37,691 · median $24,952 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,590 – $66,278 · median $47,269 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,639 – $35,135 · median $22,738 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,971 – $18,221 · median $12,259 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,525 – $53,336 · median $36,247 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,038 – $37,968 · median $24,649 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,697 – $28,700 · median $18,717 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,684 – $44,963 · median $30,998 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,004 – $32,337 · median $21,869 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,236 – $25,181 · median $16,721 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,654 – $42,795 · median $26,858 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,830 – $49,823 · median $33,931 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,359 – $32,284 · median $22,354 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,188 – $24,181 · median $16,655 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,159 – $27,310 · median $20,715 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,552 – $17,242 · median $13,053 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,390 – $56,686 · median $37,430 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,519 – $39,155 · median $25,307 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,542 – $30,978 · median $19,872 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,154 – $55,977 · median $37,107 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,218 – $27,850 · median $20,795 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,355 – $18,655 · median $14,151 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,475 – $46,576 · median $26,612 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,953 – $31,107 · median $11,580 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,440 – $48,861 · median $33,398 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,765 – $26,989 · median $18,811 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,777 – $20,779 · median $14,726 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,413 – $43,092 · median $27,895 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,536 – $28,859 · median $18,498 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,536 – $27,679 · median $18,498 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,563 – $20,830 · median $15,801 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,045 – $46,634 · median $30,124 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,127 – $32,104 · median $20,671 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,401 – $25,558 · median $16,946 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,613 – $24,306 · median $15,869 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,864 – $15,783 · median $10,747 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,852 – $49,203 · median $32,594 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,481 – $44,313 · median $30,721 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,260 – $32,695 · median $22,219 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,762 – $24,204 · median $16,072 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,278 – $12,445 · median $8,580 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,258 – $19,793 · median $14,017 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,254 – $12,469 · median $8,547 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,088 – $14,733 · median $9,686 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,179 – $11,121 · median $7,078 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,599 – $30,410 · median $21,316 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,981 – $20,014 · median $13,640 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,748 – $12,157 · median $9,221 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,386 – $27,273 · median $19,658 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,183 – $15,871 · median $11,182 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,829 – $11,650 · median $7,965 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,490 – $38,315 · median $26,634 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,929 – $17,807 · median $12,202 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,755 – $12,910 · median $7,865 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,539 – $29,811 · median $21,234 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,295 – $18,638 · median $12,702 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,649 – $13,495 · median $9,087 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,161 – $25,877 · median $17,985 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,434 – $14,842 · median $10,158 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,073 – $20,014 · median $13,765 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,437 – $12,816 · median $8,797 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,386 – $20,407 · median $14,193 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,298 – $12,824 · median $8,606 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,953 – $22,956 · median $16,334 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,662 – $13,790 · median $9,104 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,318 – $28,792 · median $19,565 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,783 – $17,386 · median $12,002 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,306 – $12,411 · median $8,618 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,288 – $21,997 · median $15,425 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,894 – $13,826 · median $9,421 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,103 – $23,832 · median $16,539 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,865 – $15,044 · median $10,748 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,770 – $11,568 · median $7,885 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,218 – $45,408 · median $31,728 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,914 – $26,084 · median $17,647 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,811 – $17,698 · median $12,041 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,498 – $101,147 · median $64,907 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,725 – $53,595 · median $36,520 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,401 – $27,744 · median $21,045 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,614 – $75,670 · median $56,866 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,538 – $40,924 · median $28,066 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,038 – $24,801 · median $17,817 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,140 – $49,999 · median $34,354 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,675 – $26,679 · median $18,687 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,101 – $22,280 · median $15,169 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,507 – $29,745 · median $18,458 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,670 – $26,623 · median $17,314 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,792 – $33,050 · median $21,580 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,311 – $29,783 · median $20,923 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $15,860 – $29,879 · median $21,673 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $9,431 – $18,315 · median $12,887 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,546 – $13,383 · median $8,945 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,314 – $32,741 · median $22,293 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,339 – $16,713 · median $11,395 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,549 – $25,738 · median $18,516 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,322 – $17,466 · median $11,181 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,594 – $11,879 · median $9,011 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,378 – $16,081 · median $10,083 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,624 – $9,341 · median $6,319 | 9 plans |
| 602 | CELLULITIS WITH MCC | $11,332 – $21,943 · median $15,485 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,794 – $13,446 · median $9,284 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,459 – $22,728 · median $15,659 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,125 – $14,142 · median $9,736 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,420 – $23,362 · median $16,973 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,666 – $13,994 · median $9,109 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,578 – $33,839 · median $24,021 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,053 – $21,604 · median $15,104 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,811 – $53,842 · median $40,737 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,898 – $28,876 · median $20,359 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,603 – $21,897 · median $13,123 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,862 – $54,950 · median $39,441 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,753 – $27,696 · median $20,161 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,737 – $19,328 · median $10,497 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,114 – $46,627 · median $30,219 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,641 – $23,149 · median $15,908 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,772 – $20,508 · median $13,353 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,433 – $57,538 · median $41,588 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,347 – $33,638 · median $23,706 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,808 – $22,533 · median $14,770 | 9 plans |
| 637 | DIABETES WITH MCC | $11,232 – $22,181 · median $15,349 | 9 plans |
| 638 | DIABETES WITH CC | $7,074 – $13,836 · median $9,667 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,833 – $9,591 · median $6,604 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,243 – $20,620 · median $13,997 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,027 – $12,015 · median $8,236 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,573 – $21,956 · median $13,081 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,783 – $25,414 · median $17,468 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,971 – $15,825 · median $10,892 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,006 – $11,862 · median $8,208 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $42,997 – $80,227 · median $58,756 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,767 – $43,218 · median $29,745 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,022 – $32,678 · median $21,895 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,129 – $49,155 · median $34,339 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,100 – $28,253 · median $19,268 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,600 – $23,958 · median $15,852 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,933 – $39,229 · median $27,239 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,335 – $20,406 · median $14,124 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,918 – $15,986 · median $10,820 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,061 – $47,267 · median $32,881 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,781 – $23,470 · median $16,099 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,329 – $16,163 · median $11,381 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,483 – $48,188 · median $36,190 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $12,706 – $27,007 · median $17,363 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,927 – $17,079 · median $10,833 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,493 – $45,082 · median $30,738 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,936 – $23,961 · median $16,311 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,371 – $15,089 · median $10,073 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,295 – $27,713 · median $18,168 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,441 – $16,666 · median $11,535 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,314 – $64,869 · median $44,158 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,805 – $36,106 · median $24,331 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,073 – $25,342 · median $16,498 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $11,584 – $22,865 · median $15,830 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $6,856 – $13,521 · median $9,369 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,685 – $9,268 · median $6,402 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,544 – $27,847 · median $19,875 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,119 – $16,177 · median $11,095 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,586 – $12,201 · median $7,633 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,027 – $17,914 · median $12,335 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,190 – $12,498 · median $8,459 | 9 plans |
| 693 | URINARY STONES WITH MCC | $11,341 – $20,758 · median $15,498 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,027 – $12,069 · median $8,236 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,699 – $17,659 · median $11,887 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,336 – $10,637 · median $7,292 | 9 plans |
| 697 | URETHRAL STRICTURE | $7,727 – $16,640 · median $10,253 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,965 – $25,542 · median $17,717 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,866 – $15,671 · median $10,750 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,354 – $10,651 · median $7,317 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,968 – $30,883 · median $20,454 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,435 – $23,687 · median $15,626 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,332 – $35,928 · median $23,684 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,580 – $21,633 · median $15,825 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,736 – $32,172 · median $20,106 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,352 – $16,978 · median $9,760 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,153 – $23,211 · median $15,241 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,248 – $16,325 · median $9,904 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,418 – $34,542 · median $23,802 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,947 – $22,711 · median $14,959 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,311 – $29,187 · median $19,557 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,502 – $20,736 · median $12,984 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,335 – $27,940 · median $18,223 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,661 – $17,642 · median $11,835 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,450 – $10,123 · median $7,168 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,738 – $18,067 · median $13,308 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,742 – $11,147 · median $7,846 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,333 – $22,894 · median $15,487 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,302 – $12,524 · median $8,612 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,491 – $16,345 · median $11,603 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,681 – $10,375 · median $6,397 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,219 – $32,885 · median $22,164 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,363 – $20,773 · median $12,795 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,371 – $55,187 · median $41,502 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,414 – $31,814 · median $21,063 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,700 – $22,672 · median $15,988 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,705 – $55,315 · median $41,959 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,025 – $27,938 · median $19,165 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,595 – $22,018 · median $14,478 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,071 – $31,636 · median $20,595 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,904 – $17,562 · median $10,801 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,916 – $26,819 · median $17,650 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,367 – $13,273 · median $10,068 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,507 – $21,419 · median $14,359 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,966 – $39,641 · median $27,284 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,946 – $22,785 · median $13,591 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,955 – $28,434 · median $19,070 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,562 – $16,795 · median $11,700 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,713 – $14,829 · median $10,066 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,713 – $22,107 · median $14,917 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,936 – $10,245 · median $6,746 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,602 – $15,555 · median $10,388 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,889 – $8,808 · median $6,681 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,713 – $15,481 · median $11,341 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $7,713 – $12,989 · median $9,853 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $7,713 – $69,922 · median $50,116 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $7,713 – $43,374 · median $30,711 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $7,713 – $61,511 · median $37,784 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,527 – $20,935 · median $11,653 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,665 – $34,088 · median $24,140 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,713 – $19,544 · median $13,054 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,713 – $16,158 · median $10,032 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,713 – $21,681 · median $14,829 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,657 – $14,176 · median $9,838 | 9 plans |
| 813 | COAGULATION DISORDERS | $7,713 – $23,549 · median $16,316 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $7,713 – $32,834 · median $22,034 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,837 – $15,655 · median $10,710 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,086 – $9,757 · median $6,950 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,136 – $35,226 · median $24,076 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,209 – $17,897 · median $10,897 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,604 – $13,276 · median $7,439 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,907 – $90,547 · median $61,367 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,219 – $34,562 · median $23,530 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,821 – $18,589 · median $12,055 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,093 – $70,785 · median $49,322 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,964 – $34,979 · median $23,182 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,493 – $20,833 · median $12,973 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,833 – $72,221 · median $50,334 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,202 – $35,683 · median $24,873 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,363 – $26,305 · median $16,895 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,785 – $48,787 · median $32,503 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,280 – $23,236 · median $15,415 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,878 – $18,565 · median $12,132 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,765 – $11,141 · median $7,878 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,009 – $8,073 · median $5,479 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,632 – $84,759 · median $58,258 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,474 – $32,203 · median $22,512 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,801 – $18,828 · median $13,095 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,621 – $74,174 · median $52,776 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,644 – $32,227 · median $21,377 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,570 – $22,292 · median $14,444 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,597 – $49,944 · median $33,612 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,094 – $25,187 · median $16,527 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,113 – $15,600 · median $11,087 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,603 – $30,798 · median $19,955 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,219 – $18,795 · median $12,597 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,454 – $13,148 · median $8,820 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,697 – $40,026 · median $26,917 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,801 – $20,197 · median $13,393 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,316 – $13,114 · median $8,631 | 9 plans |
| 849 | RADIOTHERAPY | $20,602 – $41,832 · median $28,153 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $71,051 – $133,694 · median $97,093 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,575 – $76,247 · median $52,714 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,411 – $30,849 · median $21,060 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,538 – $23,115 · median $17,134 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,798 – $70,227 · median $47,552 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,806 – $33,063 · median $22,966 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,937 – $21,505 · median $13,580 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,182 – $28,156 · median $19,380 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,712 – $15,407 · median $10,539 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,926 – $13,705 · median $9,465 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,384 – $23,132 · median $15,288 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,824 – $13,426 · median $9,326 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,539 – $32,317 · median $22,601 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,099 – $15,919 · median $11,068 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,550 – $11,266 · median $7,585 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,655 – $106,711 · median $73,322 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,134 – $29,990 · median $20,681 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,952 – $15,799 · median $10,867 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,172 – $64,791 · median $46,697 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,636 – $29,558 · median $20,001 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,713 – $18,057 · median $12,849 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $7,713 – $56,709 · median $40,696 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,713 – $22,902 · median $17,372 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,713 – $30,327 · median $23,004 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,726 – $59,275 · median $41,988 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,558 – $30,804 · median $21,260 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,782 – $20,267 · median $13,368 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,482 – $25,237 · median $17,057 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,068 – $13,671 · median $9,659 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,404 – $25,962 · median $18,317 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,122 – $10,287 · median $7,000 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,647 – $24,215 · median $17,282 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,823 – $13,233 · median $9,324 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,065 – $28,266 · median $19,221 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,836 – $15,475 · median $10,708 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,304 – $10,628 · median $7,248 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,030 – $27,009 · median $17,806 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,866 – $15,712 · median $10,750 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,481 – $56,020 · median $33,454 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,285 – $36,079 · median $22,254 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,074 – $31,306 · median $20,598 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,920 – $19,598 · median $13,557 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,128 – $12,359 · median $8,374 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,322 – $18,368 · median $11,373 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,521 – $9,691 · median $6,177 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,704 – $9,838 · median $7,078 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $7,713 – $103,921 · median $71,970 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,482 – $58,097 · median $40,288 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,571 – $117,644 · median $78,673 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,699 – $65,058 · median $43,317 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,392 – $45,454 · median $27,867 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,954 – $42,207 · median $28,634 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,570 – $23,662 · median $15,811 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,039 – $14,520 · median $9,619 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,779 – $94,507 · median $66,658 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,465 – $40,719 · median $27,966 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,033 – $44,557 · median $31,475 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,963 – $19,994 · median $14,982 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,736 – $13,937 · median $10,572 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,121 – $20,035 · median $15,198 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,667 – $72,437 · median $50,106 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,884 – $37,957 · median $25,805 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,867 – $26,462 · median $17,583 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,016 – $52,931 · median $36,918 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,236 – $25,376 · median $18,087 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,912 – $18,514 · median $12,179 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,927 – $20,742 · median $15,797 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,697 – $13,386 · median $10,195 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,142 – $8,943 · median $6,766 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,472 – $16,472 · median $12,545 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,092 – $10,594 · median $8,069 | 8 plans |
| 509 | ARTHROSCOPY | $13,549 – $23,564 · median $17,946 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,862 – $13,673 · median $10,413 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,713 – $18,639 · median $14,060 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,920 – $9,838 · median $7,786 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,713 – $22,022 · median $16,772 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,729 – $23,877 · median $18,184 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,713 – $27,824 · median $17,009 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,309 – $59,670 · median $45,686 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,394 – $14,825 · median $11,145 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $7,050 – $14,527 · median $10,627 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,420 – $16,578 · median $11,184 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,299 – $30,358 · median $21,553 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,882 – $24,840 · median $19,418 | 4 plans |
| 885 | PSYCHOSES | $10,872 – $21,565 · median $16,388 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,856 – $32,041 · median $20,886 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,174 – $16,534 · median $13,828 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $182,974 – $329,630 · median $275,801 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,514 – $110,739 · median $77,649 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,530 – $49,726 · median $36,975 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,373 – $60,123 · median $50,305 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,551 – $34,129 · median $24,947 | 4 plans |
| 935 | NON-EXTENSIVE BURNS | $16,941 – $31,804 · median $25,535 | 4 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $217,262 – $377,850 · median $277,120 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $84,995 – $147,818 · median $108,412 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $82,139 – $142,851 · median $104,769 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,402 – $65,047 · median $47,706 | 3 plans |
| 007 | LUNG TRANSPLANT | $100,800 – $175,305 · median $128,571 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,967 – $72,987 · median $53,530 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $61,496 – $106,950 · median $78,438 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $101,054 – $175,748 · median $128,896 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,555 – $80,966 · median $59,381 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,555 – $80,966 · median $59,381 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $61,143 – $106,337 · median $77,989 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,536 – $61,802 · median $45,327 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,783 – $46,580 · median $34,162 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $23,690 – $41,200 · median $30,216 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $8,372 – $9,524 · median $8,948 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $19,422 – $21,855 · median $20,639 | 2 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $23,888 – $26,943 · median $25,415 | 2 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $11,834 – $13,630 · median $12,732 | 2 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $91,762 – $91,762 · median $91,762 | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $62,667 – $62,667 · median $62,667 | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $64,374 – $64,374 · median $64,374 | 1 plans |
| 795 | NORMAL NEWBORN | $3,085 – $3,085 · median $3,085 | 1 plans |
No procedures match that keyword.