CHRISTUS Spohn Hospital - Alice — 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 $6,092 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,040 – $13,516 · median $9,818 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,040 – $13,516 · median $9,818 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,040 – $7,750 · median $6,092 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,040 – $7,750 · median $6,092 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,040 – $7,750 · median $6,092 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,040 – $7,750 · median $6,092 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,040 – $13,516 · median $9,717 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,040 – $13,516 · median $9,717 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,040 – $13,516 · median $9,717 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,040 – $13,516 · median $9,717 | 19 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,040 – $7,750 · median $6,048 | 19 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,040 – $7,750 · median $6,048 | 19 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $75,616 – $183,907 · median $105,995 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $56,520 – $123,609 · median $79,151 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $62,981 – $144,344 · median $83,217 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $46,357 – $100,251 · median $62,146 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $43,614 – $93,006 · median $70,583 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $27,186 – $61,829 · median $48,098 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $74,164 – $158,474 · median $87,768 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $53,463 – $113,971 · median $72,008 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,487 – $143,722 · median $84,044 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $46,562 – $102,693 · median $58,494 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,339 – $110,324 · median $67,341 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $35,989 – $78,745 · median $44,891 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,456 – $60,021 · median $37,123 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,717 – $40,059 · median $28,631 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,795 – $33,979 · median $22,569 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,240 – $41,029 · median $31,184 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,676 – $28,095 · median $20,318 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,218 – $65,577 · median $34,376 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,344 – $48,795 · median $26,759 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $12,853 – $59,068 · median $32,703 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,853 – $38,013 · median $18,927 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $11,258 – $61,149 · median $36,634 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,258 – $35,540 · median $19,136 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,258 – $30,640 · median $14,764 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $30,085 – $187,182 · median $139,510 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,465 – $129,298 · median $71,357 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,364 – $79,392 · median $44,528 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $44,924 – $99,189 · median $60,517 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $30,145 – $66,855 · median $37,071 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,899 – $47,994 · median $34,140 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,836 – $77,555 · median $41,848 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,286 – $61,881 · median $33,401 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $61,850 – $134,044 · median $86,842 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $53,075 – $112,918 · median $75,214 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $40,713 – $86,823 · median $59,240 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $23,218 – $104,639 · median $53,545 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,133 – $67,797 · median $34,293 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $24,170 – $51,148 · median $36,954 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,834 – $33,143 · median $23,025 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,068 – $123,609 · median $74,424 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,194 – $94,751 · median $56,920 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $42,769 – $85,769 · median $52,558 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,311 – $33,494 · median $19,512 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,986 – $62,800 · median $37,590 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $24,812 – $68,019 · median $38,365 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,045 – $61,888 · median $35,892 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,102 – $30,503 · median $17,415 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,962 – $22,098 · median $12,680 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,687 – $204,422 · median $117,741 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,373 – $81,351 · median $46,036 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,584 – $59,236 · median $34,533 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,945 – $60,352 · median $30,934 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,933 – $45,022 · median $26,780 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,244 – $28,454 · median $16,355 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,836 – $21,519 · median $12,146 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,111 – $44,862 · median $25,685 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,075 – $31,800 · median $17,924 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,539 – $25,676 · median $14,241 | 13 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $54,663 – $125,607 · median $72,464 | 13 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,739 – $79,723 · median $45,138 | 13 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $45,074 – $100,191 · median $60,737 | 13 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,009 – $60,728 · median $43,210 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,741 – $70,258 · median $38,736 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,258 – $37,602 · median $21,934 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,529 – $28,084 · median $15,490 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,549 – $54,280 · median $29,179 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,970 – $30,084 · median $17,260 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,720 – $28,356 · median $15,799 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,568 – $34,492 · median $19,743 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,526 – $23,324 · median $12,956 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,978 – $41,598 · median $24,456 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,537 – $20,117 · median $12,106 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $52,431 – $115,208 · median $83,883 | 11 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $41,176 – $89,498 · median $65,875 | 11 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $52,351 – $125,700 · median $69,851 | 11 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $38,446 – $83,898 · median $49,599 | 11 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,259 – $45,217 · median $26,136 | 11 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,963 – $57,476 · median $33,439 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,366 – $30,155 · median $20,768 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,068 – $17,278 · median $12,426 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,346 – $13,594 · median $9,143 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,114 – $37,237 · median $24,379 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,485 – $13,013 · median $9,546 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,913 – $11,259 · median $6,999 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $187,569 – $399,013 · median $292,413 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $123,666 – $260,392 · median $192,790 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $47,225 – $102,532 · median $73,622 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $35,916 – $79,257 · median $55,991 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,193 – $54,175 · median $36,157 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $330,062 – $811,793 · median $514,553 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $70,551 – $147,926 · median $109,986 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $48,375 – $99,518 · median $72,871 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,852 – $59,732 · median $37,782 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $49,931 – $107,724 · median $77,840 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $33,272 – $73,540 · median $51,870 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $39,142 – $85,473 · median $61,020 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $26,769 – $58,450 · median $41,732 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,598 – $47,428 · median $33,671 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $53,208 – $112,950 · median $82,949 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $29,378 – $64,135 · median $45,799 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,477 – $41,268 · median $30,363 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $36,676 – $84,229 · median $57,177 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,691 – $40,061 · median $29,138 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,964 – $31,261 · median $21,769 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $34,034 – $72,765 · median $53,057 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,909 – $44,939 · median $31,037 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,043 – $36,523 · median $25,011 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $33,013 – $72,587 · median $51,467 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,764 – $41,333 · median $30,811 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,383 – $32,479 · median $23,981 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,613 – $34,051 · median $27,459 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,064 – $18,408 · median $12,572 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,120 – $28,704 · median $20,454 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,548 – $19,167 · median $14,886 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,916 – $43,672 · median $34,166 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,679 – $24,356 · median $18,207 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,155 – $32,137 · median $25,185 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,709 – $23,328 · median $16,695 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,810 – $17,291 · median $12,176 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $23,660 – $51,831 · median $36,885 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,586 – $33,034 · median $24,299 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,295 – $26,390 · median $19,167 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,409 – $37,805 · median $27,141 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,900 – $18,993 · median $13,875 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,024 – $12,866 · median $9,391 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,733 – $27,610 · median $19,851 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,715 – $16,250 · median $12,027 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,002 – $15,017 · median $10,917 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $15,218 – $31,297 · median $23,724 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,224 – $19,288 · median $14,379 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,566 – $14,216 · median $10,236 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,527 – $30,159 · median $21,088 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,123 – $19,378 · median $14,223 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,074 – $36,047 · median $22,679 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,025 – $15,513 · median $12,510 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,397 – $34,026 · median $26,865 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,919 – $16,836 · median $12,345 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,306 – $42,967 · median $31,657 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,169 – $26,240 · median $18,971 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,368 – $17,968 · median $13,045 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,832 – $42,709 · median $30,917 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,479 – $24,489 · median $17,895 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,737 – $17,195 · median $12,061 | 9 plans |
| 088 | CONCUSSION WITH MCC | $12,346 – $25,412 · median $19,248 | 9 plans |
| 089 | CONCUSSION WITH CC | $9,383 – $20,653 · median $14,628 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,503 – $15,475 · median $11,697 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,954 – $33,015 · median $24,872 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,266 – $19,231 · median $14,445 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,908 – $14,970 · median $10,769 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $31,933 – $66,161 · median $49,783 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,980 – $48,486 · median $32,707 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,980 – $48,486 · median $32,707 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $31,372 – $67,898 · median $48,908 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,986 – $43,142 · median $29,598 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,194 – $25,612 · median $19,010 | 9 plans |
| 100 | SEIZURES WITH MCC | $17,375 – $36,410 · median $27,087 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $8,067 – $16,968 · median $12,576 | 9 plans |
| 102 | HEADACHES WITH MCC | $10,148 – $21,072 · median $15,820 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $7,441 – $15,722 · median $11,600 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,750 – $44,198 · median $30,524 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,346 – $25,435 · median $16,129 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,399 – $28,855 · median $20,889 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,604 – $33,990 · median $22,766 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,440 – $20,395 · median $13,810 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,180 – $21,869 · median $15,871 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,936 – $14,772 · median $9,255 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,030 – $15,013 · median $10,959 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,412 – $24,873 · median $17,790 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,227 – $14,434 · median $11,266 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $21,102 – $40,794 · median $32,897 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,561 – $19,087 · median $13,347 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,241 – $28,071 · median $19,083 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,120 – $16,660 · median $11,099 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,017 – $23,230 · median $18,733 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $37,014 – $80,183 · median $57,703 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,804 – $41,003 · median $29,314 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,762 – $30,011 · median $21,454 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,898 – $70,432 · median $45,051 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,375 – $32,577 · median $23,968 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,369 – $22,602 · median $16,165 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,078 – $39,805 · median $31,301 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,894 – $23,903 · median $16,984 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,008 – $14,985 · median $10,414 | 9 plans |
| 149 | DYSEQUILIBRIUM | $6,542 – $14,129 · median $10,199 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $12,097 – $25,031 · median $18,859 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,634 – $13,798 · median $10,342 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,932 – $22,224 · median $15,483 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,229 – $13,877 · median $9,710 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,233 – $29,392 · median $22,189 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,171 – $17,229 · median $12,738 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,885 – $12,992 · median $9,174 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,331 – $32,274 · median $22,342 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,232 – $17,103 · median $12,834 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,773 – $13,319 · median $9,000 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $40,340 – $84,253 · median $62,888 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $22,029 – $47,449 · median $34,342 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,314 – $35,985 · median $25,432 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $33,698 – $70,265 · median $52,533 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,992 – $33,902 · median $24,930 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,849 – $25,687 · median $18,473 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $26,856 – $55,953 · median $41,868 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,332 – $25,822 · median $19,226 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,129 – $15,133 · median $11,113 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,148 – $29,377 · median $22,056 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,683 – $18,348 · median $13,536 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,736 – $14,193 · median $10,502 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,297 – $33,199 · median $23,847 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,717 – $20,134 · median $15,149 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,330 – $14,171 · median $11,427 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,892 – $28,761 · median $21,657 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,348 – $20,004 · median $14,573 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,806 – $14,785 · median $10,611 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,828 – $29,298 · median $21,558 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,787 – $18,594 · median $13,699 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,426 – $13,483 · median $10,017 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,830 – $23,224 · median $16,883 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,829 – $20,824 · median $15,322 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,519 – $15,848 · median $11,722 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,664 – $12,069 · median $8,830 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,533 – $24,709 · median $17,979 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,177 – $15,150 · median $11,188 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,450 – $11,815 · median $8,496 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,490 – $35,477 · median $25,707 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,664 – $17,842 · median $13,508 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,130 – $13,464 · median $9,182 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,450 – $33,163 · median $24,086 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,693 – $20,666 · median $15,111 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,926 – $13,443 · median $9,238 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,461 – $18,258 · median $13,190 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,097 – $12,595 · median $9,504 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,098 – $15,178 · median $11,065 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,522 – $34,421 · median $25,757 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,928 – $17,692 · median $12,359 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $56,601 – $120,966 · median $88,238 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $23,489 – $51,673 · median $36,618 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $44,083 – $92,523 · median $68,723 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $25,488 – $53,587 · median $39,734 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,215 – $26,025 · median $20,601 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,900 – $50,708 · median $35,700 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,823 – $31,919 · median $23,109 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,806 – $20,532 · median $10,814 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,906 – $50,874 · median $37,269 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,799 – $32,088 · median $21,512 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,568 – $17,477 · median $13,357 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,420 – $24,134 · median $17,803 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,537 – $15,960 · median $11,750 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,802 – $10,640 · median $7,486 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,339 – $29,362 · median $22,354 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,165 – $11,919 · median $9,611 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,866 – $8,555 · median $6,027 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,157 – $30,693 · median $22,071 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,370 – $20,068 · median $14,607 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,244 – $13,530 · median $9,734 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,181 – $22,495 · median $15,872 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,885 – $12,655 · median $9,174 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $10,282 – $22,371 · median $16,029 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,570 – $14,195 · median $10,243 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,105 – $29,623 · median $20,431 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,108 – $17,167 · median $12,640 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,554 – $22,634 · median $16,453 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,470 – $13,830 · median $10,087 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,897 – $10,642 · median $7,634 | 9 plans |
| 311 | ANGINA PECTORIS | $6,112 – $13,195 · median $9,528 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,626 – $16,385 · median $11,888 | 9 plans |
| 313 | CHEST PAIN | $6,244 – $13,535 · median $9,734 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,847 – $39,200 · median $29,382 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,422 – $18,109 · median $13,130 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,975 – $12,823 · median $9,315 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $44,451 – $93,758 · median $69,298 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,251 – $45,949 · median $33,129 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,946 – $30,122 · median $21,742 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $40,188 – $86,410 · median $62,652 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,687 – $45,065 · median $32,250 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,450 – $31,637 · median $22,526 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $30,358 – $68,066 · median $47,327 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $18,601 – $44,031 · median $28,998 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,516 – $30,791 · median $22,630 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $31,712 – $67,129 · median $49,438 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,487 – $39,641 · median $28,820 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,435 – $28,856 · median $20,945 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,582 – $48,554 · median $36,764 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,029 – $28,287 · median $20,312 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,899 – $22,299 · median $16,991 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,714 – $43,155 · median $32,293 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,018 – $24,604 · median $17,176 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,710 – $16,366 · median $12,019 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,168 – $46,845 · median $33,001 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,167 – $28,659 · median $20,527 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,650 – $21,953 · median $15,044 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,670 – $54,555 · median $40,018 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,888 – $31,627 · median $23,210 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,668 – $25,285 · median $18,190 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $37,333 – $82,580 · median $58,201 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,710 – $43,717 · median $30,726 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,860 – $26,279 · median $18,489 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,616 – $29,926 · median $22,785 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,906 – $18,803 · median $13,884 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,109 – $13,174 · median $9,524 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,299 – $33,333 · median $23,850 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,008 – $19,194 · median $14,044 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,349 – $13,674 · median $9,897 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,479 – $40,205 · median $28,808 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,754 – $22,739 · median $16,764 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,728 – $17,376 · median $12,048 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,913 – $34,365 · median $24,808 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,629 – $18,436 · median $13,452 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,572 – $11,851 · median $8,687 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,841 – $36,887 · median $26,255 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,532 – $20,369 · median $14,860 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,558 – $15,050 · median $10,223 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,064 – $25,956 · median $17,249 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,611 – $16,069 · median $11,865 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,220 – $29,746 · median $22,169 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,686 – $18,353 · median $13,542 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,866 – $12,808 · median $9,146 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,865 – $27,762 · median $20,055 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,016 – $14,847 · median $10,937 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,789 – $10,227 · median $7,466 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,242 – $23,843 · median $17,526 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,829 – $14,656 · median $10,646 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,493 – $30,065 · median $22,594 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,238 – $17,590 · median $12,843 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,570 – $12,201 · median $8,683 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $34,240 – $75,581 · median $53,378 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $47,512 – $102,840 · median $74,069 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,579 – $54,521 · median $38,318 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,693 – $41,726 · median $29,141 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $30,643 – $67,030 · median $47,772 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,349 – $40,931 · median $28,605 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,575 – $29,847 · median $21,163 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,949 – $62,099 · median $37,022 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,656 – $39,525 · median $29,084 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,550 – $31,216 · median $22,683 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $30,665 – $66,973 · median $47,806 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,312 – $38,852 · median $26,989 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,992 – $25,629 · median $18,695 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $30,890 – $64,050 · median $48,157 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,332 – $32,663 · median $22,343 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,860 – $26,309 · median $20,048 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $35,598 – $78,072 · median $55,496 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,983 – $41,130 · median $31,153 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,529 – $28,204 · median $21,091 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $91,681 – $207,188 · median $142,926 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $62,163 – $135,702 · median $96,909 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $48,172 – $105,688 · median $75,098 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $72,997 – $169,371 · median $113,799 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $47,878 – $108,416 · median $74,640 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,146 – $37,000 · median $26,730 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,363 – $19,856 · median $14,596 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,096 – $13,394 · median $9,503 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,969 – $34,528 · median $24,895 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,870 – $21,264 · median $15,386 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,872 – $16,041 · median $10,713 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,561 – $30,646 · median $22,700 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,528 – $15,814 · median $11,737 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,383 – $11,682 · median $8,392 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,545 – $33,739 · median $25,793 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,456 – $18,147 · median $13,183 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,150 – $13,154 · median $9,588 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,742 – $31,411 · median $22,982 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,492 – $20,574 · median $14,797 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,978 – $15,552 · median $10,878 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $74,122 – $157,976 · median $115,554 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $50,231 – $112,100 · median $78,308 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $37,791 – $78,441 · median $58,915 | 9 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $53,708 – $103,827 · median $81,738 | 9 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $25,064 – $50,005 · median $39,074 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,270 – $107,145 · median $73,691 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,806 – $58,553 · median $40,231 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,194 – $34,284 · median $23,687 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $44,588 – $97,856 · median $69,511 | 9 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $29,977 – $66,297 · median $46,733 | 9 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,959 – $51,660 · median $35,792 | 9 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $28,608 – $57,021 · median $44,598 | 9 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,502 – $36,261 · median $25,726 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $42,511 – $90,775 · median $66,273 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $25,356 – $55,384 · median $39,529 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,719 – $45,894 · median $32,301 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,250 – $80,702 · median $61,189 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,881 – $42,781 · median $29,434 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,179 – $22,187 · median $15,869 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $30,098 – $64,943 · median $46,922 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,467 – $46,231 · median $31,908 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,542 – $34,945 · median $24,229 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $25,740 – $54,748 · median $40,127 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,160 – $39,375 · median $28,310 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,884 – $30,661 · median $21,645 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,302 – $52,109 · median $34,768 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $28,175 – $60,666 · median $43,924 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,562 – $39,311 · median $28,938 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,830 – $29,443 · median $21,560 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,201 – $33,254 · median $26,816 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,838 – $20,995 · median $16,897 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $31,080 – $69,022 · median $48,453 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $21,014 – $47,676 · median $32,759 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,501 – $37,720 · median $25,724 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $30,812 – $68,160 · median $48,035 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,268 – $33,912 · median $26,920 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,750 – $22,715 · median $18,318 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,098 – $56,713 · median $34,450 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,159 – $37,876 · median $14,991 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $27,732 – $59,495 · median $43,234 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,620 – $32,863 · median $24,350 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,228 – $25,302 · median $19,063 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,163 – $52,470 · median $36,110 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,360 – $35,139 · median $23,945 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,360 – $33,703 · median $23,945 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,120 – $25,364 · median $20,454 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,963 – $33,959 · median $26,445 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,295 – $28,469 · median $16,939 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $25,014 – $56,782 · median $38,996 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,164 – $39,091 · median $26,759 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,071 – $31,120 · median $21,937 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,177 – $29,595 · median $20,542 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,924 – $19,218 · median $13,911 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $27,065 – $59,911 · median $42,193 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,606 – $39,066 · median $27,448 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,064 – $28,888 · median $20,366 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $25,509 – $53,957 · median $39,768 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,450 – $39,811 · median $28,763 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,346 – $29,471 · median $20,806 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,124 – $15,154 · median $11,106 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,639 – $24,100 · median $18,145 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,097 – $15,182 · median $11,064 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,043 – $17,940 · median $12,539 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,877 – $13,541 · median $9,162 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,700 – $37,028 · median $27,594 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,326 – $24,369 · median $17,657 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,657 – $14,802 · median $11,937 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,323 – $33,208 · median $25,447 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,285 – $19,325 · median $14,475 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,614 – $14,186 · median $10,311 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,115 – $46,653 · median $34,477 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,132 – $21,683 · median $15,796 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,531 – $15,720 · median $10,181 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,632 – $36,299 · median $27,487 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,547 – $22,694 · median $16,442 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,545 – $16,432 · median $11,762 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,934 – $31,509 · median $23,282 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,435 – $18,071 · median $13,150 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,430 – $24,369 · median $17,819 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,304 – $15,605 · median $11,387 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,785 – $24,849 · median $18,373 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,146 – $15,614 · median $11,140 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,563 – $27,952 · median $21,144 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,560 – $16,791 · median $11,786 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,246 – $35,058 · median $25,327 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,966 – $21,170 · median $15,536 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,156 – $15,113 · median $11,155 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,809 – $26,785 · median $19,968 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,823 – $16,835 · median $12,195 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,734 – $29,018 · median $21,410 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,924 – $18,318 · median $13,913 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,547 – $14,086 · median $10,207 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $26,345 – $55,290 · median $41,071 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,653 – $31,761 · median $22,844 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,998 – $21,549 · median $15,587 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $53,897 – $123,160 · median $84,022 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $30,325 – $65,259 · median $47,275 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,475 – $33,782 · median $27,243 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,220 – $92,138 · median $73,613 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,305 – $49,831 · median $36,331 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,794 – $30,199 · median $23,064 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $28,526 – $60,881 · median $44,471 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,517 – $32,485 · median $24,191 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,596 – $27,129 · median $19,636 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,327 – $36,218 · median $23,893 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,377 – $32,417 · median $22,413 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,919 – $40,243 · median $27,935 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,374 – $36,265 · median $27,085 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $17,997 – $36,382 · median $28,056 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $10,701 – $22,301 · median $16,683 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,428 – $16,295 · median $11,580 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,511 – $39,867 · median $28,858 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,462 – $20,350 · median $14,751 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,375 – $31,340 · median $23,968 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,443 – $21,267 · median $14,474 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,482 – $14,464 · median $11,664 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,372 – $19,581 · median $13,052 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,247 – $11,373 · median $8,180 | 9 plans |
| 602 | CELLULITIS WITH MCC | $12,858 – $26,719 · median $20,046 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,709 – $16,372 · median $12,018 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,003 – $27,674 · median $20,271 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,084 – $17,220 · median $12,603 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,093 – $28,447 · median $21,971 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,563 – $17,039 · median $11,791 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,946 – $41,204 · median $31,095 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,542 – $26,305 · median $19,552 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,826 – $65,560 · median $52,734 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,905 – $35,160 · median $26,355 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,897 – $26,663 · median $16,988 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,750 – $66,909 · median $51,056 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,741 – $33,724 · median $26,098 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,779 – $23,534 · median $13,588 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,093 – $56,775 · median $39,119 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,209 – $28,187 · median $20,593 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,088 – $24,971 · median $17,286 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $34,533 – $70,060 · median $53,835 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,684 – $40,959 · median $30,687 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,264 – $27,437 · median $19,119 | 9 plans |
| 637 | DIABETES WITH MCC | $12,746 – $27,009 · median $19,870 | 9 plans |
| 638 | DIABETES WITH CC | $8,027 – $16,848 · median $12,514 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,484 – $11,678 · median $8,549 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,623 – $25,108 · median $18,119 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,839 – $14,629 · median $10,661 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,862 – $26,734 · median $16,934 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,505 – $30,945 · median $22,612 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,044 – $19,269 · median $14,100 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,815 – $14,443 · median $10,625 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $48,789 – $97,687 · median $76,060 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,699 – $52,624 · median $38,505 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,181 – $39,790 · median $28,343 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $28,514 – $59,852 · median $44,452 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,000 – $34,402 · median $24,943 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,163 – $29,172 · median $20,521 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,618 – $47,766 · median $35,260 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,728 – $24,847 · median $18,283 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,985 – $19,464 · median $14,007 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $27,303 – $57,553 · median $42,564 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,368 – $28,578 · median $20,840 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,450 – $19,681 · median $14,733 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $30,051 – $58,675 · median $46,848 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $14,417 – $32,885 · median $22,476 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,995 – $20,795 · median $14,023 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $25,523 – $54,893 · median $39,790 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,544 – $29,176 · median $21,114 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,364 – $18,372 · median $13,040 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,086 – $33,744 · median $23,518 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,578 – $20,294 · median $14,932 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $36,667 – $78,986 · median $57,163 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,203 – $43,963 · median $31,496 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,700 – $30,857 · median $21,357 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $13,145 – $27,841 · median $20,492 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $7,780 – $16,464 · median $12,128 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,316 – $11,285 · median $8,287 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,504 – $33,908 · median $25,728 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,213 – $19,698 · median $14,363 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,338 – $14,857 · median $9,881 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,242 – $21,812 · median $15,968 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,024 – $15,218 · median $10,951 | 9 plans |
| 693 | URINARY STONES WITH MCC | $12,869 – $25,275 · median $20,062 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,839 – $14,695 · median $10,661 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,871 – $21,502 · median $15,388 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,055 – $12,953 · median $9,439 | 9 plans |
| 697 | URETHRAL STRICTURE | $8,768 – $20,262 · median $13,273 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,711 – $31,101 · median $22,934 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,926 – $19,081 · median $13,916 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,076 – $12,969 · median $9,472 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,984 – $37,604 · median $26,478 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,975 – $28,841 · median $20,227 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,667 – $43,747 · median $30,659 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,140 – $26,341 · median $20,485 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,722 – $39,173 · median $26,027 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,361 – $20,673 · median $12,090 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,655 – $28,262 · median $19,729 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,224 – $19,878 · median $12,821 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,765 – $42,059 · median $30,812 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,422 – $27,653 · median $19,365 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,239 – $35,540 · median $25,316 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,782 – $25,249 · median $16,808 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,131 – $34,021 · median $23,589 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,828 – $21,482 · median $15,321 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,377 – $12,327 · median $8,963 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,050 – $21,999 · median $17,227 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,515 – $13,573 · median $10,157 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,860 – $27,877 · median $20,048 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,151 – $15,250 · median $11,149 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,635 – $19,903 · median $15,021 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,312 – $12,633 · median $8,281 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,404 – $40,042 · median $28,691 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,624 – $25,294 · median $16,562 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $34,462 – $67,197 · median $53,725 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,490 – $38,737 · median $27,266 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,276 – $27,606 · median $20,697 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $34,841 – $67,353 · median $54,315 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,914 – $34,019 · median $24,809 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,022 – $26,809 · median $18,741 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,101 – $38,521 · median $26,660 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,969 – $21,384 · median $13,982 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,656 – $32,656 · median $22,848 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,360 – $16,162 · median $13,033 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,923 – $26,080 · median $18,587 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,655 – $48,268 · median $35,319 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,286 – $27,744 · median $17,594 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,835 – $34,622 · median $24,686 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,716 – $20,450 · median $15,146 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,752 – $18,056 · median $13,030 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,752 – $26,918 · median $19,310 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,601 – $12,475 · median $8,732 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,626 – $18,940 · median $13,448 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,548 – $10,725 · median $8,649 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,752 – $18,850 · median $14,681 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $8,752 – $15,816 · median $12,754 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $8,752 – $85,139 · median $64,874 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $8,752 – $52,814 · median $39,756 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $8,752 – $74,897 · median $48,911 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,676 – $25,491 · median $15,085 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,045 – $41,506 · median $31,249 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,752 – $23,798 · median $16,898 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,752 – $19,675 · median $12,986 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,752 – $26,399 · median $19,196 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,752 – $17,261 · median $12,592 | 9 plans |
| 813 | COAGULATION DISORDERS | $8,752 – $28,674 · median $21,121 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,752 – $39,980 · median $28,523 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,893 – $19,062 · median $13,864 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,771 – $11,881 · median $8,997 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $22,187 – $42,892 · median $29,824 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,693 – $21,792 · median $13,784 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,146 – $16,165 · median $9,215 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $50,957 – $110,252 · median $79,439 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,538 – $42,083 · median $30,459 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,010 – $22,634 · median $15,605 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $40,955 – $86,190 · median $63,847 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,249 – $42,591 · median $30,009 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,772 – $25,367 · median $16,793 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $41,795 – $87,938 · median $65,157 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,654 – $43,448 · median $32,198 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,029 – $32,030 · median $21,870 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,989 – $59,405 · median $42,075 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,800 – $28,293 · median $19,954 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,074 – $22,606 · median $15,704 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,541 – $13,565 · median $10,198 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,549 – $9,830 · median $7,092 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $48,375 – $103,205 · median $75,414 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,693 – $39,211 · median $29,142 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,121 – $22,925 · median $16,951 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $43,823 – $90,316 · median $68,318 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,751 – $39,241 · median $27,673 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,994 – $27,144 · median $18,698 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $27,910 – $60,813 · median $43,511 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,723 – $30,669 · median $21,394 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,206 – $18,995 · median $14,352 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,570 – $37,500 · median $25,832 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,460 – $22,886 · median $16,307 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,324 – $16,009 · median $11,417 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,351 – $48,736 · median $34,844 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,121 – $24,593 · median $17,337 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,167 – $15,968 · median $11,173 | 9 plans |
| 849 | RADIOTHERAPY | $23,377 – $50,936 · median $36,444 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,623 – $162,790 · median $125,687 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $43,771 – $92,841 · median $68,238 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,487 – $37,562 · median $27,262 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,227 – $28,146 · median $22,180 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $39,486 – $85,511 · median $61,556 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,070 – $40,258 · median $29,729 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,276 – $26,185 · median $17,579 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,092 – $34,284 · median $25,087 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,751 – $18,760 · median $13,643 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,859 – $16,688 · median $12,252 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,917 – $28,167 · median $19,791 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,744 – $16,348 · median $12,072 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,767 – $39,350 · median $29,257 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,190 – $19,384 · median $14,328 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,298 – $13,718 · median $9,818 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $60,883 – $129,935 · median $94,914 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,172 – $36,517 · median $26,771 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,023 – $19,237 · median $14,067 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $38,776 – $78,892 · median $60,450 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,608 – $35,991 · median $25,891 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,752 – $21,987 · median $16,633 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $8,752 – $69,051 · median $52,681 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,752 – $27,886 · median $22,488 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,752 – $36,927 · median $29,778 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $34,865 – $72,175 · median $54,354 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,654 – $37,508 · median $27,521 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,100 – $24,677 · median $17,305 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,163 – $30,729 · median $22,080 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,020 – $16,647 · median $12,503 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,210 – $31,612 · median $23,712 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,812 – $12,526 · median $9,061 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,351 – $29,484 · median $22,372 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,742 – $16,113 · median $12,069 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,960 – $34,417 · median $24,881 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,891 – $18,842 · median $13,861 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,019 – $12,941 · median $9,383 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,786 – $32,887 · median $23,050 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,926 – $19,132 · median $13,916 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,779 – $68,212 · median $43,306 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,479 – $43,931 · median $28,808 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,104 – $38,119 · median $26,664 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,257 – $23,863 · median $17,549 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,953 – $15,049 · median $10,840 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,443 – $22,365 · median $14,722 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,130 – $11,800 · median $7,997 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,068 – $10,452 · median $7,939 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $8,752 – $126,538 · median $93,165 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $33,454 – $70,741 · median $52,153 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $65,327 – $143,247 · median $101,842 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $35,969 – $79,217 · median $56,074 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,139 – $55,346 · median $36,073 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,777 – $51,393 · median $37,067 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,129 – $28,811 · median $20,467 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,987 – $17,680 · median $12,452 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $55,350 – $115,074 · median $86,289 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,222 – $49,580 · median $36,202 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $26,135 – $54,254 · median $40,744 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,440 – $24,345 · median $19,394 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,778 – $16,970 · median $13,685 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,620 – $24,395 · median $19,673 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $41,606 – $88,201 · median $64,862 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,428 – $46,217 · median $33,405 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,600 – $32,221 · median $22,761 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,656 – $64,450 · median $47,791 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,018 – $30,898 · median $23,413 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,113 – $22,544 · median $15,766 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,533 – $23,094 · median $19,279 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,734 – $14,904 · median $12,441 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,835 – $9,957 · median $8,249 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,747 – $18,340 · median $15,310 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,912 – $11,796 · median $9,847 | 8 plans |
| 509 | ARTHROSCOPY | $15,375 – $26,236 · median $21,902 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,921 – $15,223 · median $12,708 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,752 – $20,752 · median $17,159 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,636 – $10,656 · median $9,243 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,752 – $24,519 · median $20,468 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,579 – $26,584 · median $22,192 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,752 – $33,880 · median $23,107 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $34,392 – $72,656 · median $50,372 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,390 – $18,051 · median $12,288 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $8,000 – $17,688 · median $11,717 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,419 – $20,186 · median $12,331 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,225 – $36,964 · median $23,764 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,618 – $30,246 · median $21,409 | 4 plans |
| 885 | PSYCHOSES | $12,337 – $26,258 · median $18,069 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,723 – $39,014 · median $23,028 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,410 – $20,132 · median $15,246 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $207,622 – $401,368 · median $304,091 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $58,454 – $134,840 · median $85,613 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $27,835 – $60,548 · median $40,768 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $37,869 – $73,207 · median $55,464 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,780 – $41,557 · median $27,506 | 4 plans |
| 935 | NON-EXTENSIVE BURNS | $19,223 – $38,726 · median $28,155 | 4 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $246,529 – $420,694 · median $301,457 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $96,444 – $164,579 · median $117,933 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $93,204 – $159,049 · median $113,970 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $42,440 – $72,423 · median $51,896 | 3 plans |
| 007 | LUNG TRANSPLANT | $114,378 – $195,183 · median $139,862 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $47,621 – $81,263 · median $58,231 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $69,780 – $119,077 · median $85,327 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $114,667 – $195,675 · median $140,215 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $52,826 – $90,146 · median $64,596 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $52,826 – $90,146 · median $64,596 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $69,380 – $118,394 · median $84,838 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $40,323 – $68,810 · median $49,307 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $30,391 – $51,862 · median $37,163 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $26,881 – $45,871 · median $32,870 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $9,321 – $11,597 · median $10,459 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $21,624 – $26,612 · median $24,118 | 2 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $26,596 – $32,806 · median $29,701 | 2 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $13,176 – $16,596 · median $14,886 | 2 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $111,732 – $111,732 · median $111,732 | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $76,305 – $76,305 · median $76,305 | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $78,384 – $78,384 · median $78,384 | 1 plans |
| 795 | NORMAL NEWBORN | $3,756 – $3,756 · median $3,756 | 1 plans |
No procedures match that keyword.