Christus St Michael Health System (Acute Care) — Pricing
781 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 781 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 781 procedures
Procedures with negotiated rates only
These 781 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 | $4,135 – $14,494 · median $6,773 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,981 – $26,405 · median $10,146 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,981 – $15,525 · median $10,146 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,981 – $13,516 · median $10,146 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,981 – $23,162 · median $10,146 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,981 – $15,221 · median $10,146 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,981 – $13,516 · median $10,146 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,135 – $15,208 · median $6,773 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,135 – $13,879 · median $6,773 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,135 – $13,879 · median $6,773 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,135 – $14,305 · median $6,773 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,135 – $10,371 · median $6,773 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,135 – $9,134 · median $6,773 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $52,139 – $173,807 · median $119,741 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $52,139 – $128,700 · median $80,123 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $52,139 – $106,193 · median $68,922 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $33,461 – $102,211 · median $46,770 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,139 – $152,606 · median $105,136 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $52,139 – $128,700 · median $76,315 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,660 – $39,859 · median $26,920 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,738 – $23,508 · median $15,322 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,139 – $107,141 · median $73,246 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $52,139 – $139,345 · median $102,344 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $52,139 – $106,607 · median $70,059 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,452 – $140,766 · median $96,978 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $44,390 – $95,811 · median $68,610 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,793 – $105,969 · median $73,005 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,394 – $74,055 · median $53,355 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,150 – $61,087 · median $42,085 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $11,948 – $41,648 · median $30,589 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,948 – $34,973 · median $20,909 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,657 – $61,778 · median $42,263 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,837 – $45,977 · median $32,245 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $6,192 – $50,524 · median $34,808 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $6,192 – $31,654 · median $21,808 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $6,192 – $61,342 · median $42,261 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $6,192 – $34,174 · median $23,544 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,192 – $27,334 · median $17,735 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $51,835 – $111,555 · median $77,096 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $49,077 – $89,043 · median $57,902 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $20,760 – $40,571 · median $30,938 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,105 – $32,501 · median $24,784 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,139 – $120,077 · median $84,819 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $34,758 – $74,930 · median $52,928 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $46,894 – $92,440 · median $65,297 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $31,125 – $62,030 · median $43,816 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,293 – $45,062 · median $34,363 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $11,948 – $70,421 · median $49,743 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $11,948 – $56,206 · median $37,742 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $11,948 – $51,268 · median $34,986 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,907 – $32,582 · median $24,511 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $36,828 – $190,802 · median $131,865 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,714 – $82,708 · median $60,714 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,837 – $31,505 · median $23,029 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,426 – $48,302 · median $34,438 | 12 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $34,758 – $62,943 · median $43,501 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $58,704 – $153,225 · median $82,856 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $46,102 – $115,051 · median $65,068 | 12 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,062 – $127,270 · median $91,384 | 12 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $20,312 – $90,104 · median $62,271 | 12 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $18,637 – $57,708 · median $39,883 | 12 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,681 – $34,758 · median $22,701 | 12 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,930 – $34,758 · median $12,749 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,811 – $34,758 · median $10,028 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,064 – $35,215 · median $25,864 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,982 – $34,758 · median $10,248 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,047 – $34,758 · median $7,750 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,065 – $111,411 · median $76,997 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $39,297 – $79,110 · median $58,104 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,498 – $41,687 · median $30,618 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,837 – $43,021 · median $33,828 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,837 – $25,199 · median $22,087 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,747 – $23,549 · median $20,217 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $52,139 – $90,710 · median $64,074 | 11 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $31,370 – $52,446 · median $39,993 | 11 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,265 – $52,139 · median $20,735 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $52,641 – $88,006 · median $62,165 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $33,439 – $64,242 · median $45,378 | 11 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,192 – $23,498 · median $16,598 | 11 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,192 – $15,509 · median $10,955 | 11 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,911 – $9,882 · median $6,980 | 11 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $5,106 – $42,798 · median $30,231 | 11 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $5,106 – $29,866 · median $21,097 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,106 – $23,729 · median $16,761 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,698 – $92,748 · median $65,514 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,811 – $55,576 · median $39,257 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $13,850 – $87,475 · median $61,790 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $12,231 – $52,176 · median $36,855 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,231 – $42,635 · median $30,116 | 11 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $11,513 – $63,402 · median $44,786 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $10,754 – $64,544 · median $45,592 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,754 – $35,512 · median $25,085 | 11 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,712 – $25,811 · median $18,232 | 11 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $230,861 – $385,962 · median $283,476 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $152,208 – $254,467 · median $186,898 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $58,125 – $97,175 · median $71,372 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $44,205 – $73,904 · median $54,280 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $28,546 – $47,724 · median $35,052 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $406,242 – $679,170 · median $498,827 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $86,834 – $145,172 · median $106,624 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $57,532 – $99,541 · median $70,644 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,752 – $63,579 · median $38,200 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $61,455 – $102,743 · median $75,461 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $40,952 – $68,465 · median $50,285 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $48,176 – $80,542 · median $59,155 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $32,947 – $55,082 · median $40,456 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $26,583 – $44,443 · median $32,642 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,029 – $109,486 · median $80,414 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,087 – $60,451 · median $44,399 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,500 – $40,077 · median $29,435 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $45,141 – $75,469 · median $55,429 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $23,005 – $38,460 · median $28,248 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,187 – $28,733 · median $21,104 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $36,277 – $70,032 · median $51,436 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,556 – $40,967 · median $30,089 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,286 – $33,012 · median $24,246 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $35,773 – $59,806 · median $43,926 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,357 – $29,018 · median $21,313 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,261 – $20,498 · median $15,055 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $40,633 – $67,932 · median $49,894 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $24,325 – $40,668 · median $29,869 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,933 – $31,653 · median $23,248 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,679 – $36,243 · median $26,619 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,925 – $16,593 · median $12,187 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,148 – $26,997 · median $19,829 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,752 – $19,648 · median $14,431 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $26,974 – $45,096 · median $33,122 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,374 – $24,031 · median $17,650 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $19,884 – $33,243 · median $24,416 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,181 – $22,036 · median $16,185 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,613 – $16,071 · median $11,804 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $29,121 – $48,686 · median $35,758 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $19,184 – $32,072 · median $23,556 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,133 – $25,299 · median $18,581 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $21,428 – $35,824 · median $26,311 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,954 – $18,313 · median $13,451 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,414 – $12,396 · median $9,104 | 10 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,672 – $26,201 · median $19,244 | 10 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,496 – $15,875 · median $11,660 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,619 – $14,409 · median $10,583 | 10 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $18,730 – $31,314 · median $22,999 | 10 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $11,353 – $18,980 · median $13,940 | 10 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,081 – $13,510 · median $9,923 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,649 – $27,835 · median $20,444 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,229 – $18,773 · median $13,788 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,905 – $31,019 · median $21,986 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,877 – $16,512 · median $12,128 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $16,657 – $27,847 · median $20,453 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,749 – $17,971 · median $13,199 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,127 – $12,007 · median $8,751 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,210 – $35,798 · median $26,044 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,747 – $16,295 · median $11,968 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $24,993 – $41,784 · median $30,689 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,977 – $25,040 · median $18,391 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,299 – $17,218 · median $12,646 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $24,409 – $40,808 · median $29,972 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,129 – $23,621 · median $17,349 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,522 – $15,920 · median $11,693 | 10 plans |
| 088 | CONCUSSION WITH MCC | $15,196 – $25,405 · median $18,659 | 10 plans |
| 089 | CONCUSSION WITH CC | $11,549 – $19,307 · median $14,181 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,235 – $15,439 · median $11,340 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $19,636 – $32,829 · median $24,112 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,404 – $19,066 · median $14,003 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,502 – $14,215 · median $10,440 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $39,304 – $65,709 · median $48,261 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,823 – $43,171 · median $31,708 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,823 – $43,171 · median $31,708 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $38,613 – $64,555 · median $47,414 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $23,368 – $39,067 · median $28,693 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,009 – $25,092 · median $18,429 | 10 plans |
| 100 | SEIZURES WITH MCC | $21,386 – $35,753 · median $26,260 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $9,929 – $16,599 · median $12,191 | 10 plans |
| 102 | HEADACHES WITH MCC | $12,490 – $20,881 · median $15,337 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $9,158 – $15,311 · median $11,246 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,099 – $40,639 · median $29,591 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,734 – $21,288 · median $15,636 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,492 – $27,572 · median $20,251 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,974 – $30,050 · median $22,071 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,903 – $19,425 · median $13,388 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,530 – $20,948 · median $15,386 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,307 – $12,216 · median $8,972 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,652 – $14,465 · median $10,624 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,046 – $23,482 · median $17,247 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,894 – $14,870 · median $10,922 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $25,972 – $43,422 · median $31,892 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,537 – $17,616 · median $12,939 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,066 – $25,187 · median $18,499 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,763 – $14,650 · median $10,760 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,790 – $24,726 · median $18,161 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $45,557 – $76,164 · median $55,940 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,144 – $38,692 · median $28,418 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,938 – $28,317 · median $20,798 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $35,568 – $59,464 · median $43,674 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,923 – $31,636 · median $23,236 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,763 – $21,337 · median $15,671 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $24,712 – $41,314 · median $30,344 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,409 – $22,418 · median $16,465 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,222 – $14,420 · median $10,096 | 10 plans |
| 149 | DYSEQUILIBRIUM | $8,052 – $13,462 · median $9,887 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $14,889 – $24,892 · median $18,282 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,165 – $13,651 · median $10,026 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,224 – $20,437 · median $15,010 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,666 – $12,817 · median $9,414 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,519 – $29,288 · median $21,511 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,057 – $16,813 · median $12,349 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,243 – $12,109 · median $8,894 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,639 – $29,490 · median $21,659 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,132 – $16,939 · median $12,441 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,105 – $11,879 · median $8,725 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $49,650 – $83,007 · median $60,966 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $27,113 – $45,329 · median $33,292 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $20,079 – $33,569 · median $24,655 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $41,475 – $69,340 · median $50,928 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,683 – $32,906 · median $24,168 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,584 – $24,382 · median $17,908 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $33,055 – $55,262 · median $40,588 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,179 – $25,376 · median $18,638 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,774 – $14,668 · median $10,773 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,413 – $29,112 · median $21,381 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,687 – $17,867 · median $13,123 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,291 – $13,862 · median $10,181 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,827 – $31,476 · median $23,118 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,960 – $19,995 · median $14,686 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,022 – $15,083 · median $11,078 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,098 – $28,586 · median $20,995 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,506 – $19,235 · median $14,128 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,377 – $14,006 · median $10,287 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,020 – $28,454 · median $20,899 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,815 – $18,081 · median $13,280 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,909 – $13,222 · median $9,711 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,329 – $22,284 · median $16,367 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,097 – $20,224 · median $14,854 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,254 – $15,472 · median $11,363 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,972 – $11,655 · median $8,561 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,194 – $23,730 · median $17,429 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,833 – $14,767 · median $10,846 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,708 – $11,214 · median $8,236 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $20,296 – $33,931 · median $24,921 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,664 – $17,829 · median $13,095 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,250 – $12,614 · median $8,902 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $19,016 – $31,791 · median $23,350 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,930 – $19,945 · median $14,649 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,294 – $12,194 · median $8,956 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,413 – $17,409 · median $12,787 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,504 – $12,545 · median $9,214 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,736 – $14,605 · median $10,727 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $20,335 – $33,997 · median $24,970 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,757 – $16,313 · median $11,981 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $69,665 – $116,468 · median $85,542 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,910 – $48,333 · median $35,499 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $117,349 – $196,188 · median $144,094 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $28,185 – $47,121 · median $34,608 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,245 – $30,502 · median $22,403 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,538 – $16,062 · median $10,484 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $29,424 – $49,192 · median $36,130 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,984 – $28,395 · median $20,855 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,546 – $17,631 · median $12,949 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $13,228 – $22,115 · median $16,243 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,508 – $14,224 · median $10,447 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,649 – $29,506 · median $21,671 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,588 – $12,686 · median $9,317 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,758 – $7,955 · median $5,842 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,425 – $29,131 · median $21,396 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,533 – $19,280 · median $14,161 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,685 – $12,848 · median $9,436 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,531 – $20,950 · median $15,387 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,243 – $12,109 · median $8,894 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $12,655 – $21,157 · median $15,539 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,087 – $13,519 · median $9,930 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,130 – $26,967 · median $19,806 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,979 – $16,684 · median $12,253 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,990 – $21,717 · median $15,950 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,964 – $13,314 · median $9,779 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,027 – $10,076 · median $7,401 | 10 plans |
| 311 | ANGINA PECTORIS | $7,522 – $12,576 · median $9,236 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,386 – $15,691 · median $11,525 | 10 plans |
| 313 | CHEST PAIN | $7,685 – $12,848 · median $9,436 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $23,198 – $38,782 · median $28,484 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,366 – $17,330 · median $12,728 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,354 – $12,295 · median $9,030 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $45,882 – $76,708 · median $56,339 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $34,418 – $57,541 · median $42,262 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $30,831 – $51,544 · median $37,857 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $54,711 – $91,468 · median $67,180 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $26,155 – $43,728 · median $32,116 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,165 – $28,697 · median $21,077 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $49,464 – $82,696 · median $60,737 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $25,462 – $42,568 · median $31,265 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,785 – $29,733 · median $21,838 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $37,365 – $62,468 · median $45,881 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $22,894 – $38,275 · median $28,111 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,866 – $29,870 · median $21,938 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $39,031 – $65,254 · median $47,927 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $22,754 – $38,040 · median $27,939 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,536 – $27,646 · median $20,305 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,025 – $48,525 · median $35,640 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,036 – $26,810 · median $19,691 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,414 – $22,427 · median $16,472 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $25,495 – $42,624 · median $31,306 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,561 – $22,672 · median $16,651 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,489 – $15,864 · median $11,652 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,054 – $43,558 · median $31,992 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,206 – $27,095 · median $19,900 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,877 – $19,857 · median $14,584 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $31,594 – $52,820 · median $38,795 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $18,324 – $30,635 · median $22,500 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,361 – $24,010 · median $17,634 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $45,950 – $76,821 · median $56,422 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $24,259 – $40,556 · median $29,787 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,597 – $24,404 · median $17,924 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,989 – $30,075 · median $22,089 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,962 – $18,326 · median $13,460 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,519 – $12,570 · median $9,232 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,829 – $31,480 · median $23,121 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,088 – $18,537 · median $13,615 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,814 – $13,064 · median $9,595 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $22,744 – $38,024 · median $27,927 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,236 – $22,128 · median $16,252 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,512 – $15,902 · median $11,679 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,586 – $32,744 · median $24,049 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,620 – $17,755 · median $13,040 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,859 – $11,466 · median $8,422 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,729 – $34,655 · median $25,453 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,732 – $19,614 · median $14,406 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,071 – $13,494 · median $9,911 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,618 – $22,767 · median $16,722 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,367 – $15,661 · median $11,502 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,502 – $29,261 · median $21,491 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,691 – $17,874 · median $13,128 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,220 – $12,071 · median $8,866 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,834 – $26,471 · median $19,442 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,635 – $14,436 · median $10,603 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,894 – $9,855 · median $7,238 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,837 – $23,133 · median $16,990 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,405 – $14,052 · median $10,321 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,838 – $29,823 · median $21,904 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,140 – $16,952 · median $12,451 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,855 – $11,461 · median $8,418 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $26,691 – $44,623 · median $32,774 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,300 – $27,251 · median $20,015 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,106 – $20,239 · median $14,865 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $42,087 – $70,455 · median $51,747 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $58,478 – $97,765 · median $71,805 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $30,252 – $50,576 · median $37,147 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,007 – $38,464 · median $28,250 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $37,716 – $63,055 · median $46,312 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $22,584 – $37,756 · median $27,730 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,708 – $27,934 · median $20,516 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $29,229 – $49,280 · median $35,890 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,962 – $38,388 · median $28,195 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,908 – $29,940 · median $21,990 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $37,743 – $63,100 · median $46,345 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $21,308 – $35,624 · median $26,164 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,760 – $24,676 · median $18,124 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $38,020 – $63,563 · median $46,685 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,640 – $29,492 · median $21,661 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,828 – $26,462 · median $19,436 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $43,814 – $73,250 · median $53,800 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $24,596 – $41,120 · median $30,201 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,651 – $27,838 · median $20,446 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $112,272 – $188,651 · median $138,558 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $76,036 – $127,913 · median $93,947 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $58,968 – $99,123 · median $72,803 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $89,332 – $150,206 · median $110,321 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $58,592 – $98,518 · median $72,358 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,103 – $35,281 · median $25,913 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,524 – $19,266 · median $14,150 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,503 – $12,543 · median $9,213 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,655 – $32,859 · median $24,134 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,148 – $20,309 · median $14,916 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,458 – $14,141 · median $10,386 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,921 – $29,962 · median $22,006 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,266 – $15,491 · median $11,378 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,626 – $11,077 · median $8,136 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $20,363 – $34,044 · median $25,004 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,408 – $17,400 · median $12,780 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,569 – $12,655 · median $9,295 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $18,144 – $30,334 · median $22,280 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,682 – $19,531 · median $14,345 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,589 – $14,359 · median $10,546 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $71,812 – $120,745 · median $88,683 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $43,737 – $73,540 · median $54,012 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $85,535 – $152,522 · median $112,022 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $61,825 – $103,361 · median $75,915 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $46,514 – $77,763 · median $57,114 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $64,533 – $110,516 · median $79,240 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $30,849 – $51,574 · median $37,879 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $58,180 – $97,267 · median $71,439 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $31,762 – $53,101 · median $39,001 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,701 – $31,265 · median $22,963 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $54,879 – $91,749 · median $67,386 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $35,978 – $61,684 · median $45,305 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,747 – $47,243 · median $34,698 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $30,288 – $58,866 · median $43,235 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $20,311 – $33,956 · median $24,940 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $48,309 – $80,765 · median $59,319 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,238 – $38,851 · median $28,535 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,529 – $20,946 · median $15,384 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $37,045 – $61,933 · median $45,488 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,191 – $42,116 · median $30,933 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,129 – $31,980 · median $23,489 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $31,680 – $52,964 · median $38,901 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,059 – $37,367 · median $27,445 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,089 – $28,569 · median $20,983 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $25,491 – $45,891 · median $33,705 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $34,678 – $57,976 · median $42,582 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,846 – $38,195 · median $28,053 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,022 – $28,458 · median $20,901 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,334 – $35,395 · median $25,996 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,340 – $22,302 · median $16,380 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $38,254 – $63,954 · median $46,972 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,582 – $43,240 · median $31,758 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,747 – $33,954 · median $24,938 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,493 – $35,532 · median $26,097 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,918 – $24,179 · median $17,759 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $27,198 – $45,471 · median $33,397 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,835 – $20,905 · median $14,533 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $34,133 – $57,065 · median $41,912 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,789 – $32,141 · median $23,606 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,523 – $25,162 · median $18,481 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $28,509 – $47,663 · median $35,007 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,905 – $31,606 · median $23,213 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,639 – $31,606 · median $23,213 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,148 – $26,997 · median $19,829 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,878 – $34,905 · median $25,637 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,373 – $23,242 · median $16,421 | 10 plans |
| 509 | ARTHROSCOPY | $18,923 – $31,636 · median $23,236 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $30,787 – $51,472 · median $37,804 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $21,126 – $35,319 · median $25,941 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,319 – $28,955 · median $21,266 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,218 – $27,114 · median $19,915 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,983 – $18,362 · median $13,486 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $33,311 – $55,691 · median $40,903 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,670 – $36,229 · median $26,609 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,079 – $26,882 · median $19,744 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $31,397 – $52,491 · median $38,553 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,708 – $37,965 · median $27,884 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,426 – $27,462 · median $20,170 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,768 – $14,659 · median $10,767 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,326 – $23,950 · median $17,591 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,735 – $14,604 · median $10,726 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,899 – $16,550 · median $12,156 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,233 – $12,093 · median $8,882 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $21,785 – $36,421 · median $26,750 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,940 – $23,305 · median $17,117 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,424 – $15,756 · median $11,572 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,091 – $33,589 · median $24,670 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,428 – $19,106 · median $14,033 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,140 – $13,609 · median $9,996 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $27,220 – $45,507 · median $33,423 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,471 – $20,849 · median $15,313 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,038 – $13,438 · median $9,870 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $21,701 – $36,281 · median $26,647 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,981 – $21,703 · median $15,940 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,287 – $15,526 · median $11,403 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $18,381 – $30,731 · median $22,571 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,382 – $17,357 · median $12,748 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,068 – $23,520 · median $17,274 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,990 – $15,030 · median $11,039 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,506 – $24,251 · median $17,811 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,795 – $14,704 · median $10,800 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $16,693 – $27,909 · median $20,498 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,305 – $15,556 · median $11,425 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,996 – $33,430 · median $24,553 | 10 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,266 – $20,507 · median $15,062 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,807 – $14,724 · median $10,814 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,765 – $26,356 · median $19,358 | 10 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,628 – $16,096 · median $11,822 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,903 – $28,260 · median $20,756 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,984 – $18,364 · median $13,488 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,059 – $13,473 · median $9,895 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $32,426 – $54,211 · median $39,816 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $18,036 – $30,152 · median $22,146 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,306 – $20,573 · median $15,111 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $66,336 – $110,903 · median $81,455 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $37,324 – $62,399 · median $45,830 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,508 – $35,959 · median $26,410 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $58,118 – $97,164 · median $71,364 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,684 – $47,954 · median $35,221 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,209 – $30,442 · median $22,359 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $35,110 – $58,699 · median $43,112 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $19,099 – $31,930 · median $23,451 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,503 – $25,919 · median $19,036 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,864 – $31,537 · median $23,163 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,695 – $29,583 · median $21,728 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,055 – $36,872 · median $27,081 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $21,384 – $35,750 · median $26,257 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $22,150 – $37,032 · median $27,199 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $13,171 – $22,020 · median $16,173 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,142 – $15,284 · median $11,226 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,784 – $38,091 · median $27,976 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,646 – $19,470 · median $14,300 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $18,923 – $31,636 · median $23,236 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,427 – $19,430 · median $14,031 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,209 – $15,396 · median $11,308 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,305 – $17,227 · median $12,653 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,458 – $10,796 · median $7,930 | 10 plans |
| 602 | CELLULITIS WITH MCC | $15,826 – $26,459 · median $19,433 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,488 – $15,862 · median $11,650 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,004 – $26,756 · median $19,651 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,950 – $16,635 · median $12,218 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,346 – $29,000 · median $21,299 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,309 – $15,563 · median $11,431 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $24,549 – $41,043 · median $30,144 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,436 – $25,807 · median $18,954 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,634 – $69,605 · median $51,122 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,807 – $34,786 · median $25,549 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,412 – $22,423 · median $16,469 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $40,309 – $67,390 · median $49,495 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,605 – $34,448 · median $25,301 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,728 – $18,065 · median $13,173 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $30,884 – $51,634 · median $37,923 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,258 – $27,181 · median $19,964 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,647 – $22,816 · median $16,757 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $42,503 – $71,058 · median $52,190 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $24,227 – $40,504 · median $29,749 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,095 – $25,236 · median $18,535 | 10 plans |
| 637 | DIABETES WITH MCC | $15,687 – $26,227 · median $19,262 | 10 plans |
| 638 | DIABETES WITH CC | $9,880 – $16,518 · median $12,132 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,750 – $11,284 · median $8,288 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,305 – $23,916 · median $17,565 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,417 – $14,072 · median $10,336 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,369 – $22,351 · median $16,416 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,852 – $29,846 · median $21,921 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,132 – $18,611 · median $13,669 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,388 – $14,024 · median $10,300 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $60,050 – $100,393 · median $73,735 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $30,400 – $50,823 · median $37,328 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,377 – $37,410 · median $27,476 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $35,095 – $58,673 · median $43,094 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,692 – $32,922 · median $24,180 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,201 – $27,086 · median $19,893 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $27,838 – $46,541 · median $34,183 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,434 – $24,132 · median $17,724 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,059 – $18,488 · median $13,579 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $33,604 – $56,181 · median $41,263 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,453 – $27,507 · median $20,203 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,632 – $19,446 · median $14,283 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $36,987 – $61,836 · median $45,416 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $17,745 – $29,666 · median $21,789 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,071 – $18,510 · median $13,595 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $31,414 – $52,520 · median $38,574 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,670 – $27,869 · median $20,469 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,295 – $17,211 · median $12,641 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,568 – $31,042 · median $22,799 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,789 – $19,709 · median $14,476 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $45,130 – $75,451 · median $55,416 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $24,866 – $41,572 · median $30,533 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,861 – $28,189 · median $20,704 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $16,178 – $27,048 · median $19,866 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $9,575 – $16,008 · median $11,757 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,543 – $10,939 · median $8,034 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $20,313 – $33,960 · median $24,942 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,340 – $18,958 · median $13,924 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,801 – $13,042 · median $9,579 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,606 – $21,076 · median $15,480 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,646 – $14,454 · median $10,616 | 10 plans |
| 693 | URINARY STONES WITH MCC | $15,839 – $26,480 · median $19,449 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,417 – $14,072 · median $10,336 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,149 – $20,311 · median $14,917 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,452 – $12,459 · median $9,150 | 10 plans |
| 697 | URETHRAL STRICTURE | $10,479 – $18,041 · median $12,867 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $18,107 – $30,271 · median $22,233 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,986 – $18,367 · median $13,490 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,478 – $12,502 · median $9,182 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,904 – $34,948 · median $25,668 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,969 – $26,698 · median $19,609 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,206 – $40,468 · median $29,722 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,173 – $27,039 · median $19,859 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,549 – $34,408 · median $25,232 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,545 – $19,262 · median $12,115 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,576 – $26,041 · median $19,126 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,122 – $16,923 · median $12,429 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $24,326 – $40,670 · median $29,871 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,289 – $25,560 · median $18,773 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,987 – $33,416 · median $24,543 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,270 – $22,185 · median $16,294 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,624 – $31,136 · median $22,868 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,096 – $20,222 · median $14,853 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,076 – $13,121 · median $8,689 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,601 – $22,738 · median $16,700 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,019 – $13,406 · median $9,846 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,828 – $26,462 · median $19,436 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,802 – $14,715 · median $10,808 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,859 – $19,826 · median $14,562 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,538 – $10,930 · median $8,027 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,651 – $37,869 · median $27,814 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,076 – $21,861 · median $16,056 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $42,416 – $70,912 · median $52,083 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,527 – $35,989 · median $26,433 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,340 – $27,318 · median $20,064 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $42,882 – $71,692 · median $52,655 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $19,587 – $32,746 · median $24,051 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,796 – $24,737 · median $18,169 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,677 – $32,897 · median $24,162 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,912 – $21,587 · median $15,855 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,048 – $35,190 · median $25,846 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,039 – $18,456 · median $13,555 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,039 – $30,158 · median $22,150 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,289 – $17,202 · median $12,634 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,675 – $24,534 · median $18,019 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $27,884 – $46,618 · median $34,239 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,890 – $23,223 · median $17,056 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,490 – $32,584 · median $23,932 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,958 – $19,992 · median $14,683 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,287 – $17,199 · median $12,632 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,246 – $25,488 · median $18,720 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,980 – $18,357 · median $13,482 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,894 – $11,526 · median $8,465 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,617 – $17,750 · median $13,037 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,828 – $11,416 · median $8,385 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,826 – $25,024 · median $18,204 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,591 – $19,378 · median $14,232 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,686 – $12,849 · median $9,437 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $10,070 – $16,835 · median $12,365 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $51,219 – $85,629 · median $62,892 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $31,387 – $52,475 · median $38,541 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,684 – $29,565 · median $21,715 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $38,615 – $64,559 · median $47,416 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,174 – $32,056 · median $23,544 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,910 – $19,911 · median $14,624 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $24,671 – $41,246 · median $30,294 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,341 – $22,304 · median $16,382 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,253 – $17,141 · median $12,589 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,155 – $25,337 · median $18,609 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,941 – $16,621 · median $12,207 | 10 plans |
| 813 | COAGULATION DISORDERS | $16,675 – $27,878 · median $20,475 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $22,519 – $37,648 · median $27,651 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,945 – $18,299 · median $13,440 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,103 – $11,875 · median $8,722 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $23,547 – $45,655 · median $29,304 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,658 – $23,196 · median $13,684 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,275 – $14,704 · median $9,241 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $62,718 – $104,854 · median $77,012 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $24,047 – $40,203 · median $29,528 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,320 – $20,597 · median $15,128 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $50,408 – $84,273 · median $61,896 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $23,692 – $39,609 · median $29,091 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,258 – $22,165 · median $16,280 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $51,442 – $86,002 · median $63,166 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $25,421 – $42,499 · median $31,214 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,266 – $28,867 · median $21,202 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $33,219 – $55,536 · median $40,789 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,754 – $26,338 · median $19,344 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,399 – $20,728 · median $15,224 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,051 – $13,460 · median $9,886 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,599 – $9,361 · median $6,875 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $59,540 – $99,541 · median $73,110 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $23,008 – $38,465 · median $28,252 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,383 – $22,884 · median $16,433 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $53,938 – $90,175 · median $66,230 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,848 – $36,526 · median $26,827 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,762 – $24,680 · median $18,126 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $34,352 – $57,431 · median $42,181 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,891 – $28,238 · median $20,740 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,331 – $18,944 · median $13,913 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,395 – $34,096 · median $25,043 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,875 – $21,524 · median $15,809 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,014 – $15,070 · median $11,068 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $27,510 – $45,991 · median $33,779 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,688 – $22,884 · median $16,808 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,821 – $14,748 · median $10,832 | 10 plans |
| 849 | RADIOTHERAPY | $28,773 – $48,104 · median $35,331 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $99,231 – $165,897 · median $121,846 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $53,874 – $90,068 · median $66,152 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $21,524 – $35,984 · median $26,429 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,511 – $29,275 · median $21,502 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $48,599 – $81,249 · median $59,675 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $23,471 – $39,240 · median $28,820 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,879 – $23,203 · median $17,042 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,806 – $33,113 · median $24,320 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,771 – $18,007 · median $13,226 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,673 – $16,172 · median $11,878 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,625 – $26,579 · median $19,186 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,531 – $15,934 · median $11,703 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $23,098 – $38,617 · median $28,363 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,312 – $18,911 · median $13,890 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,752 – $12,959 · median $9,518 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $74,935 – $125,280 · median $92,014 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $21,136 – $35,335 · median $25,953 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,106 – $18,567 · median $13,637 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $47,725 – $79,789 · median $58,602 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $20,441 – $34,174 · median $25,100 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,132 – $21,955 · median $16,125 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $41,592 – $69,535 · median $51,071 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,754 – $29,682 · median $21,801 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,510 – $39,305 · median $28,868 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $42,912 – $71,742 · median $52,692 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,728 – $36,326 · median $26,680 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,662 – $22,841 · median $16,776 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,432 – $29,144 · median $21,405 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,871 – $16,503 · median $12,121 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $18,721 – $31,298 · median $22,987 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,154 – $11,960 · median $8,784 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,663 – $29,529 · median $21,688 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,529 – $15,931 · median $11,701 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,644 – $32,841 · median $24,121 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,943 – $18,295 · median $13,437 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,408 – $12,385 · median $9,096 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,198 – $30,424 · median $22,346 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,986 – $18,367 · median $13,490 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $34,190 – $57,161 · median $41,982 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $22,744 – $38,024 · median $27,927 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,052 – $35,195 · median $25,850 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,855 – $23,163 · median $17,013 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,558 – $14,308 · median $10,509 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,623 – $19,432 · median $14,272 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,313 – $10,555 · median $7,752 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,108 – $10,211 · median $7,500 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $73,554 – $122,971 · median $90,318 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $41,175 – $68,838 · median $50,559 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $80,404 – $134,423 · median $98,729 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $44,271 – $74,013 · median $54,360 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $28,480 – $47,614 · median $34,971 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $29,264 – $48,925 · median $35,934 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,159 – $27,015 · median $19,842 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,831 – $16,435 · median $12,071 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $68,125 – $113,894 · median $83,652 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $28,581 – $47,783 · median $35,095 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $32,167 – $53,778 · median $39,498 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,311 – $25,598 · median $18,801 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,804 – $18,063 · median $13,267 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,532 – $25,967 · median $19,072 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $51,209 – $85,613 · median $62,880 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $26,373 – $44,091 · median $32,384 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,970 – $30,043 · median $22,065 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,731 – $63,080 · median $46,330 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,485 – $30,903 · median $22,698 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,447 – $20,809 · median $15,284 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $44,314 – $70,768 · median $56,328 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,810 – $17,263 · median $13,742 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $10,308 – $16,462 · median $13,104 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,848 – $17,325 · median $13,789 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,906 – $33,387 · median $26,611 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,835 – $30,079 · median $23,941 | 5 plans |
| 885 | PSYCHOSES | $15,896 – $25,385 · median $20,205 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,259 – $32,353 · median $25,751 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,413 – $21,420 · median $17,049 | 5 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $244,790 – $427,224 · median $288,290 | 5 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $75,318 – $120,280 · median $95,736 | 5 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $35,865 – $57,276 · median $45,588 | 5 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $48,794 – $77,923 · median $62,023 | 5 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $24,198 – $38,644 · median $30,759 | 5 plans |
| 935 | NON-EXTENSIVE BURNS | $24,769 – $39,555 · median $31,484 | 5 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $317,654 – $507,283 · median $373,303 | 4 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $114,463 – $198,454 · median $129,536 | 4 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $120,093 – $191,785 · median $141,131 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $54,684 – $87,329 · median $64,265 | 4 plans |
| 007 | LUNG TRANSPLANT | $147,377 – $235,356 · median $173,195 | 4 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $61,359 – $97,989 · median $72,109 | 4 plans |
| 010 | PANCREAS TRANSPLANT | $89,912 – $143,586 · median $105,665 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $147,749 – $235,950 · median $173,633 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $68,067 – $108,701 · median $79,991 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $68,067 – $108,701 · median $79,991 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $89,396 – $142,763 · median $105,057 | 4 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $51,957 – $82,973 · median $61,059 | 4 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $39,159 – $62,536 · median $46,019 | 4 plans |
| 652 | KIDNEY TRANSPLANT | $34,636 – $55,313 · median $40,704 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $20,328 – $32,463 · median $27,142 | 4 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,597 – $11,239 · median $9,397 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,080 – $26,075 · median $21,481 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $21,676 – $32,070 · median $26,814 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,738 – $15,888 · median $13,283 | 4 plans |
| 795 | NORMAL NEWBORN | $2,432 – $15,779 · median $2,864 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $85,222 – $93,803 · median $89,512 | 2 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $58,202 – $64,061 · median $61,131 | 2 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $35,118 – $38,654 · median $36,886 | 2 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $59,786 – $65,806 · median $62,796 | 2 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $21,161 – $23,293 · median $22,227 | 2 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC | $125,017 – $125,017 · median $125,017 | 1 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC | $91,449 – $91,449 · median $91,449 | 1 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC | $111,175 – $111,175 · median $111,175 | 1 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC | $85,916 – $85,916 · median $85,916 | 1 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC | $97,964 – $97,964 · median $97,964 | 1 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC | $74,258 – $74,258 · median $74,258 | 1 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $45,687 – $45,687 · median $45,687 | 1 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC | $28,568 – $28,568 · median $28,568 | 1 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $42,255 – $42,255 · median $42,255 | 1 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC | $25,885 – $25,885 · median $25,885 | 1 plans |
| 945 | REHABILITATION WITH CC/MCC | $18,579 – $18,579 · median $18,579 | 1 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $13,589 – $13,589 · median $13,589 | 1 plans |
No procedures match that keyword.