DeTar Hospital Navarro — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,058 – $45,682 · median $19,979 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,058 – $21,510 · median $9,472 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,058 – $19,738 · median $8,702 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,058 – $31,723 · median $13,911 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,058 – $22,493 · median $9,899 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,058 – $19,755 · median $8,709 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,971 – $21,709 · median $9,590 | 27 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,971 – $23,362 · median $10,310 | 27 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,971 – $20,476 · median $9,053 | 27 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,971 – $19,725 · median $8,726 | 27 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,971 – $21,841 · median $9,648 | 27 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,971 – $16,206 · median $7,194 | 27 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,971 – $14,824 · median $6,591 | 27 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $10,393 – $172,651 · median $77,710 | 26 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $10,393 – $117,074 · median $52,701 | 26 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $10,393 – $117,074 · median $52,701 | 26 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $10,393 – $136,186 · median $61,301 | 26 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $10,393 – $95,545 · median $43,012 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $10,393 – $90,475 · median $40,729 | 26 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $116,739 – $370,917 · median $165,262 | 25 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $76,183 – $243,149 · median $106,025 | 25 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,998 – $97,646 · median $42,660 | 25 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $12,302 – $76,193 · median $33,317 | 25 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $15,850 – $53,075 · median $23,250 | 25 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $43,278 – $139,487 · median $63,403 | 25 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $29,116 – $94,869 · median $43,122 | 25 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,476 – $59,135 · median $26,453 | 25 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $31,517 – $102,432 · median $45,664 | 25 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $21,515 – $70,924 · median $32,238 | 25 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $25,007 – $81,924 · median $35,813 | 25 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,101 – $57,016 · median $24,966 | 25 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,876 – $46,857 · median $20,907 | 25 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $33,046 – $107,249 · median $46,842 | 25 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,764 – $62,255 · median $27,247 | 25 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,074 – $41,178 · median $18,069 | 25 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $24,643 – $80,777 · median $35,313 | 25 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,721 – $40,066 · median $17,882 | 25 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,146 – $31,955 · median $14,269 | 25 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,289 – $70,210 · median $31,914 | 25 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,148 – $44,562 · median $20,256 | 25 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,685 – $36,805 · median $16,430 | 25 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,107 – $60,185 · median $27,357 | 25 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,924 – $31,257 · median $14,208 | 25 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,465 – $23,510 · median $10,507 | 25 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $21,237 – $70,046 · median $31,227 | 25 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,093 – $41,239 · median $18,405 | 25 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,502 – $33,078 · median $14,769 | 25 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,962 – $34,526 · median $15,519 | 25 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,386 – $20,108 · median $9,140 | 25 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,398 – $29,599 · median $13,026 | 25 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,608 – $20,808 · median $9,304 | 25 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,953 – $43,395 · median $19,725 | 25 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,467 – $25,591 · median $11,434 | 25 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,402 – $32,763 · median $14,892 | 25 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,825 – $24,643 · median $11,134 | 25 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,059 – $19,079 · median $8,672 | 25 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,164 – $50,915 · median $23,143 | 25 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,665 – $33,589 · median $15,268 | 25 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,721 – $27,466 · median $12,484 | 25 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,061 – $37,987 · median $17,267 | 25 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,557 – $20,647 · median $9,385 | 25 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,764 – $15,000 · median $6,818 | 25 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,078 – $28,590 · median $12,995 | 25 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,754 – $18,119 · median $8,236 | 25 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,393 – $16,983 · median $7,719 | 25 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,156 – $31,988 · median $14,540 | 25 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,643 – $20,919 · median $9,509 | 25 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,159 – $16,244 · median $7,384 | 25 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,824 – $30,940 · median $13,817 | 25 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,669 – $21,002 · median $9,282 | 25 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,546 – $36,367 · median $15,973 | 25 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,539 – $17,440 · median $7,731 | 25 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,467 – $34,504 · median $15,405 | 25 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,285 – $18,660 · median $8,347 | 25 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,571 – $42,745 · median $19,429 | 25 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,677 – $27,327 · median $12,354 | 25 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,257 – $19,703 · median $8,811 | 25 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,495 – $42,507 · median $19,322 | 25 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,165 – $25,714 · median $11,473 | 25 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,031 – $18,991 · median $8,406 | 25 plans |
| 088 | CONCUSSION WITH MCC | $7,435 – $26,565 · median $12,075 | 25 plans |
| 089 | CONCUSSION WITH CC | $6,042 – $22,177 · median $10,081 | 25 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,528 – $17,405 · median $7,716 | 25 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,659 – $33,572 · median $15,260 | 25 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,627 – $20,867 · median $9,485 | 25 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,380 – $16,939 · median $7,580 | 25 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $19,357 – $64,123 · median $29,147 | 25 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,186 – $47,832 · median $21,742 | 25 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,186 – $47,832 · median $21,742 | 25 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,865 – $65,724 · median $29,875 | 25 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,622 – $42,906 · median $19,147 | 25 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,493 – $26,748 · median $11,950 | 25 plans |
| 100 | SEIZURES WITH MCC | $10,652 – $36,701 · median $16,119 | 25 plans |
| 101 | SEIZURES WITHOUT MCC | $4,964 – $18,781 · median $8,315 | 25 plans |
| 102 | HEADACHES WITH MCC | $6,165 – $22,564 · median $10,086 | 25 plans |
| 103 | HEADACHES WITHOUT MCC | $4,600 – $17,632 · median $7,815 | 25 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,931 – $43,880 · median $19,245 | 25 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,442 – $26,585 · median $11,877 | 25 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,442 – $29,737 · median $13,086 | 25 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,945 – $34,471 · median $15,669 | 25 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,967 – $21,940 · median $9,691 | 25 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,398 – $23,298 · median $10,282 | 25 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,108 – $16,757 · median $7,434 | 25 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,392 – $16,979 · median $7,718 | 25 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,277 – $26,067 · median $11,849 | 25 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,223 – $16,445 · median $7,298 | 25 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,935 – $40,742 · median $18,519 | 25 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,584 – $20,734 · median $9,424 | 25 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,213 – $29,015 · median $12,772 | 25 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,874 – $18,497 · median $8,191 | 25 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,796 – $24,553 · median $10,828 | 25 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $18,040 – $77,048 · median $33,689 | 25 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,996 – $40,934 · median $18,269 | 25 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,780 – $30,803 · median $13,756 | 25 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,416 – $68,060 · median $29,775 | 25 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,531 – $33,168 · median $14,635 | 25 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,613 – $23,974 · median $10,576 | 25 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $11,646 – $39,830 · median $18,105 | 25 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,993 – $25,173 · median $11,248 | 25 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,384 – $16,953 · median $7,587 | 25 plans |
| 149 | DYSEQUILIBRIUM | $4,134 – $16,165 · median $7,303 | 25 plans |
| 150 | EPISTAXIS WITH MCC | $7,323 – $26,213 · median $11,915 | 25 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,037 – $15,860 · median $7,043 | 25 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,502 – $23,626 · median $10,425 | 25 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,060 – $15,932 · median $7,074 | 25 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,599 – $30,233 · median $13,742 | 25 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,041 – $19,022 · median $8,420 | 25 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,801 – $15,116 · median $6,719 | 25 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,442 – $32,889 · median $14,950 | 25 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,004 – $18,906 · median $8,369 | 25 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,897 – $15,418 · median $6,850 | 25 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $24,650 – $80,799 · median $36,727 | 25 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,882 – $46,876 · median $20,916 | 25 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,528 – $36,309 · median $16,209 | 25 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,557 – $67,906 · median $30,866 | 25 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,919 – $34,390 · median $15,632 | 25 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,515 – $26,817 · median $12,190 | 25 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,555 – $26,942 · median $12,246 | 25 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,428 – $17,090 · median $7,768 | 25 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,595 – $30,219 · median $13,736 | 25 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,368 – $20,053 · median $9,115 | 25 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,153 – $16,224 · median $7,374 | 25 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,713 – $33,742 · median $15,337 | 25 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,891 – $21,699 · median $9,863 | 25 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,146 – $16,203 · median $7,365 | 25 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,414 – $29,651 · median $13,243 | 25 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,853 – $21,579 · median $9,785 | 25 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,326 – $16,769 · median $7,622 | 25 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,572 – $30,146 · median $13,703 | 25 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,440 – $20,280 · median $9,218 | 25 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,945 – $15,569 · median $7,077 | 25 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,795 – $24,548 · median $11,158 | 25 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,092 – $22,335 · median $10,152 | 25 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,637 – $17,748 · median $8,067 | 25 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,531 – $14,266 · median $6,389 | 25 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,229 – $25,916 · median $11,780 | 25 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,432 – $17,106 · median $7,775 | 25 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,457 – $14,032 · median $6,247 | 25 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,380 – $35,842 · median $16,001 | 25 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,220 – $19,587 · median $8,903 | 25 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,939 – $15,551 · median $7,069 | 25 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,703 – $33,709 · median $14,990 | 25 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,046 – $22,189 · median $9,799 | 25 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,933 – $15,532 · median $6,900 | 25 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,342 – $19,970 · median $8,833 | 25 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,685 – $14,751 · median $6,560 | 25 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,441 – $17,132 · median $7,625 | 25 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,071 – $34,868 · median $15,320 | 25 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,176 – $19,448 · median $8,605 | 25 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $35,391 – $114,638 · median $52,108 | 25 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,118 – $50,769 · median $22,650 | 25 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $54,764 – $181,298 · median $79,850 | 25 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $27,211 – $88,867 · median $40,394 | 25 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,322 – $57,714 · median $26,234 | 25 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $46,364 – $149,209 · median $67,822 | 25 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,344 – $108,190 · median $49,177 | 25 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $42,049 – $135,612 · median $60,444 | 25 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $30,045 – $97,795 · median $44,452 | 25 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,277 – $104,829 · median $46,731 | 25 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $23,038 – $75,722 · median $34,419 | 25 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,069 – $88,421 · median $40,192 | 25 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $15,678 – $52,533 · median $23,879 | 25 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,614 – $27,129 · median $12,332 | 25 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,560 – $58,464 · median $26,575 | 25 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,720 – $40,064 · median $18,211 | 25 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,941 – $34,461 · median $15,664 | 25 plans |
| 245 | AICD GENERATOR PROCEDURES | $25,093 – $82,196 · median $37,362 | 25 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $12,004 – $40,958 · median $18,617 | 25 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $8,220 – $29,037 · median $13,199 | 25 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $19,186 – $63,584 · median $28,902 | 25 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,276 – $48,116 · median $21,871 | 25 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,799 – $34,014 · median $15,461 | 25 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $14,836 – $49,880 · median $21,858 | 25 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,338 – $32,562 · median $14,801 | 25 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,007 – $22,066 · median $10,030 | 25 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,282 – $57,586 · median $26,175 | 25 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,122 – $38,179 · median $17,354 | 25 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,890 – $59,504 · median $27,047 | 25 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,398 – $35,899 · median $16,026 | 25 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,964 – $31,383 · median $14,224 | 25 plans |
| 263 | VEIN LIGATION AND STRIPPING | $11,615 – $56,118 · median $24,575 | 25 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,373 – $61,025 · median $26,712 | 25 plans |
| 265 | AICD LEAD PROCEDURES | $19,900 – $65,835 · median $28,806 | 25 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $33,706 – $109,330 · median $49,696 | 25 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $26,184 – $85,633 · median $38,924 | 25 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $37,828 – $122,317 · median $53,404 | 25 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $23,228 – $76,318 · median $33,372 | 25 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $29,020 – $94,566 · median $41,318 | 25 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,560 – $64,763 · median $28,339 | 25 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,042 – $47,378 · median $20,769 | 25 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $22,690 – $74,625 · median $33,921 | 25 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,104 – $60,178 · median $26,841 | 25 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $8,823 – $30,936 · median $14,062 | 25 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,055 – $19,067 · median $8,667 | 25 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,977 – $15,671 · median $7,123 | 25 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,894 – $37,463 · median $17,029 | 25 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,807 – $15,135 · median $6,880 | 25 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,294 – $13,519 · median $6,145 | 25 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $12,170 – $41,483 · median $18,856 | 25 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,886 – $21,683 · median $9,856 | 25 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,884 – $50,033 · median $22,742 | 25 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,388 – $32,717 · median $14,872 | 25 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,113 – $19,251 · median $8,750 | 25 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,061 – $25,386 · median $11,539 | 25 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,670 – $17,852 · median $8,115 | 25 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,113 – $12,949 · median $5,886 | 25 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,590 – $30,205 · median $13,730 | 25 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,487 – $14,127 · median $6,421 | 25 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,503 – $11,027 · median $5,012 | 25 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,980 – $31,432 · median $13,824 | 25 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,871 – $21,638 · median $9,559 | 25 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,958 – $15,612 · median $6,935 | 25 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,581 – $23,875 · median $10,670 | 25 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,703 – $14,806 · median $6,630 | 25 plans |
| 304 | HYPERTENSION WITH MCC | $6,545 – $23,761 · median $10,619 | 25 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,153 – $16,225 · median $7,202 | 25 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,667 – $35,251 · median $13,839 | 25 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,023 – $18,965 · median $8,620 | 25 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,622 – $24,004 · median $10,633 | 25 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,046 – $15,889 · median $7,113 | 25 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,114 – $12,950 · median $5,776 | 25 plans |
| 311 | ANGINA PECTORIS | $3,860 – $15,304 · median $6,801 | 25 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,794 – $18,244 · median $8,162 | 25 plans |
| 313 | CHEST PAIN | $3,960 – $15,617 · median $6,937 | 25 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,469 – $39,272 · median $17,851 | 25 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,298 – $19,833 · median $9,015 | 25 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,752 – $14,960 · median $6,651 | 25 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $27,431 – $89,560 · median $40,709 | 25 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $13,443 – $45,493 · median $20,679 | 25 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,813 – $30,905 · median $14,048 | 25 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,281 – $82,786 · median $36,189 | 25 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,185 – $44,679 · median $19,593 | 25 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,256 – $32,302 · median $14,203 | 25 plans |
| 332 | RECTAL RESECTION WITH MCC | $19,914 – $65,878 · median $29,945 | 25 plans |
| 333 | RECTAL RESECTION WITH CC | $12,882 – $43,725 · median $19,512 | 25 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,008 – $31,522 · median $14,328 | 25 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $19,640 – $65,016 · median $29,553 | 25 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,598 – $39,680 · median $18,036 | 25 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,443 – $29,739 · median $13,518 | 25 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,205 – $47,894 · median $21,770 | 25 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,276 – $29,214 · median $13,048 | 25 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,524 – $23,695 · median $10,590 | 25 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,626 – $42,918 · median $19,446 | 25 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,198 – $25,819 · median $11,380 | 25 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,788 – $18,227 · median $8,073 | 25 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,705 – $46,319 · median $20,403 | 25 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,385 – $29,557 · median $13,008 | 25 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,423 – $23,376 · median $10,316 | 25 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $15,961 – $53,425 · median $24,284 | 25 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,253 – $32,293 · median $14,420 | 25 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,398 – $26,447 · median $11,816 | 25 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $24,160 – $79,257 · median $34,651 | 25 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $12,790 – $43,436 · median $19,052 | 25 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,688 – $27,363 · median $12,438 | 25 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,755 – $30,725 · median $13,966 | 25 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,501 – $20,472 · median $9,154 | 25 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,854 – $15,284 · median $6,843 | 25 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,752 – $33,865 · median $15,120 | 25 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,616 – $20,833 · median $9,315 | 25 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,001 – $15,745 · median $6,993 | 25 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,763 – $40,199 · median $17,942 | 25 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,653 – $24,101 · median $10,955 | 25 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,084 – $19,157 · median $8,542 | 25 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,054 – $34,816 · median $15,544 | 25 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,394 – $20,134 · median $9,004 | 25 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,467 – $14,065 · median $6,332 | 25 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,792 – $37,141 · median $16,579 | 25 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,959 – $21,916 · median $9,962 | 25 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,403 – $17,014 · median $7,614 | 25 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,594 – $27,065 · median $12,302 | 25 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,701 – $17,953 · median $8,108 | 25 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,703 – $30,558 · median $13,647 | 25 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,370 – $20,058 · median $9,117 | 25 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,747 – $14,947 · median $6,794 | 25 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,122 – $28,730 · median $13,059 | 25 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,344 – $16,827 · median $7,464 | 25 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,992 – $12,568 · median $5,613 | 25 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,976 – $25,118 · median $11,074 | 25 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,288 – $16,650 · median $7,387 | 25 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,796 – $30,853 · median $14,024 | 25 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,146 – $19,355 · median $8,565 | 25 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,570 – $14,387 · median $6,443 | 25 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $30,088 – $97,931 · median $42,784 | 25 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $15,951 – $53,394 · median $23,389 | 25 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,208 – $41,601 · median $18,253 | 25 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $19,611 – $64,924 · median $29,511 | 25 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,975 – $40,868 · median $18,576 | 25 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,732 – $30,652 · median $13,933 | 25 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,168 – $60,379 · median $27,445 | 25 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,564 – $39,572 · median $17,987 | 25 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,133 – $31,913 · median $14,251 | 25 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $19,594 – $64,872 · median $28,387 | 25 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,367 – $38,952 · median $17,230 | 25 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,498 – $26,764 · median $11,957 | 25 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,125 – $44,491 · median $19,511 | 25 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,304 – $32,452 · median $14,491 | 25 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,512 – $26,807 · median $11,976 | 25 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,739 – $62,177 · median $28,063 | 25 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,556 – $33,248 · median $15,113 | 25 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,697 – $27,391 · median $12,236 | 25 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $22,842 – $75,102 · median $34,137 | 25 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $3,210 – $41,052 · median $18,321 | 25 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,273 – $29,138 · median $13,014 | 25 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,825 – $37,245 · median $16,356 | 25 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,272 – $21,443 · median $9,474 | 25 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,919 – $15,487 · median $7,040 | 25 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,102 – $34,967 · median $15,611 | 25 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,221 – $22,740 · median $10,337 | 25 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,693 – $17,927 · median $8,020 | 25 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,966 – $31,388 · median $14,267 | 25 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,627 – $17,717 · median $8,053 | 25 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,418 – $13,909 · median $6,322 | 25 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,871 – $34,239 · median $15,563 | 25 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,309 – $19,868 · median $8,885 | 25 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,848 – $15,265 · median $6,939 | 25 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,190 – $32,094 · median $14,112 | 25 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,019 – $22,104 · median $9,881 | 25 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,550 – $17,476 · median $7,747 | 25 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $46,219 – $148,750 · median $67,614 | 25 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $32,797 – $106,466 · median $48,394 | 25 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $22,949 – $75,441 · median $34,292 | 25 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $30,377 – $98,840 · median $44,927 | 25 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $14,630 – $49,232 · median $22,378 | 25 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,347 – $101,899 · median $46,318 | 25 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,131 – $57,111 · median $25,959 | 25 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,030 – $34,741 · median $15,791 | 25 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,630 – $93,337 · median $40,783 | 25 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,396 – $64,248 · median $29,204 | 25 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,114 – $50,757 · median $23,071 | 25 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $16,683 – $55,699 · median $25,318 | 25 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,609 – $36,564 · median $16,620 | 25 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $26,558 – $86,810 · median $38,705 | 25 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,204 – $54,189 · median $23,735 | 25 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,427 – $45,443 · median $19,926 | 25 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,611 – $77,526 · median $35,239 | 25 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,516 – $42,573 · median $18,676 | 25 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,491 – $23,591 · median $10,410 | 25 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,000 – $63,000 · median $28,222 | 25 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,526 – $45,753 · median $20,061 | 25 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,224 – $35,351 · median $15,531 | 25 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,018 – $53,604 · median $24,365 | 25 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $11,520 – $39,433 · median $17,924 | 25 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,971 – $31,402 · median $14,023 | 25 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,245 – $51,171 · median $22,420 | 25 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,749 – $59,058 · median $25,855 | 25 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,501 – $39,375 · median $17,574 | 25 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,614 – $30,280 · median $13,523 | 25 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,729 – $33,792 · median $15,360 | 25 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,142 – $22,493 · median $10,224 | 25 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $20,194 – $66,760 · median $29,773 | 25 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $13,949 – $47,085 · median $20,641 | 25 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,036 – $37,909 · median $16,645 | 25 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,941 – $65,965 · median $29,419 | 25 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,921 – $34,398 · median $15,358 | 25 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,646 – $24,078 · median $10,945 | 25 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,592 – $55,415 · median $24,268 | 25 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,689 – $38,053 · median $16,707 | 25 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,406 – $57,979 · median $26,354 | 25 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,615 – $33,431 · median $14,927 | 25 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,402 – $26,462 · median $11,660 | 25 plans |
| 503 | FOOT PROCEDURES WITH MCC | $15,351 – $51,504 · median $23,411 | 25 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,281 – $35,530 · median $15,609 | 25 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,860 – $34,206 · median $15,032 | 25 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,421 – $26,519 · median $11,799 | 25 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,935 – $34,442 · median $15,377 | 25 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,329 – $29,382 · median $13,355 | 25 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,613 – $55,479 · median $25,218 | 25 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,437 – $39,172 · median $17,805 | 25 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,105 – $31,825 · median $13,995 | 25 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,659 – $30,420 · median $13,383 | 25 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,623 – $20,855 · median $9,325 | 25 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,528 – $58,362 · median $26,528 | 25 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,430 – $39,149 · median $17,795 | 25 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,452 – $29,768 · median $13,531 | 25 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,875 – $67,899 · median $29,705 | 25 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,001 – $37,800 · median $16,597 | 25 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,216 – $29,027 · median $12,777 | 25 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 25 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | — | 25 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,622 – $30,305 · median $13,775 | 25 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,434 – $17,109 · median $7,587 | 25 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,051 – $25,355 · median $11,329 | 25 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,442 – $17,135 · median $7,598 | 25 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,249 – $19,677 · median $8,944 | 25 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,962 – $15,622 · median $6,939 | 25 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,833 – $38,807 · median $16,941 | 25 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,130 – $25,603 · median $11,638 | 25 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,331 – $16,785 · median $7,512 | 25 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,716 – $33,750 · median $15,341 | 25 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,654 – $20,954 · median $9,525 | 25 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,150 – $16,217 · median $7,259 | 25 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,649 – $46,143 · median $20,974 | 25 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,344 – $23,127 · median $10,512 | 25 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,599 – $17,631 · median $8,014 | 25 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,620 – $36,599 · median $16,636 | 25 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,640 – $24,059 · median $10,752 | 25 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,808 – $18,287 · median $8,100 | 25 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,219 – $32,184 · median $14,152 | 25 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,287 – $19,798 · median $8,758 | 25 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,130 – $27,067 · median $11,638 | 25 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,566 – $17,525 · median $7,768 | 25 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,270 – $26,045 · median $11,636 | 25 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,568 – $17,534 · median $7,772 | 25 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,178 – $28,905 · median $13,139 | 25 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,913 – $18,618 · median $8,244 | 25 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,257 – $35,455 · median $16,116 | 25 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,194 – $22,654 · median $10,297 | 25 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,421 – $17,071 · median $7,570 | 25 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,836 – $27,829 · median $12,255 | 25 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,925 – $18,658 · median $8,261 | 25 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,490 – $29,888 · median $13,585 | 25 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,359 – $20,025 · median $9,102 | 25 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,121 – $16,125 · median $7,158 | 25 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,176 – $54,103 · median $24,592 | 25 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,292 – $32,416 · median $14,475 | 25 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,305 – $23,004 · median $10,154 | 25 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,675 – $116,660 · median $50,940 | 25 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,093 – $63,292 · median $27,699 | 25 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,884 – $34,279 · median $15,064 | 25 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,957 – $88,066 · median $39,264 | 25 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,579 – $49,071 · median $21,894 | 25 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,835 – $30,976 · median $14,080 | 25 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,812 – $59,256 · median $25,941 | 25 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,504 – $33,083 · median $14,772 | 25 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,937 – $28,147 · median $12,794 | 25 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,596 – $36,524 · median $16,602 | 25 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,484 – $33,021 · median $15,009 | 25 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $11,774 – $40,234 · median $18,191 | 25 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,610 – $36,568 · median $16,622 | 25 plans |
| 592 | SKIN ULCERS WITH MCC | $10,644 – $36,675 · median $16,670 | 25 plans |
| 593 | SKIN ULCERS WITH CC | $6,525 – $23,697 · median $10,771 | 25 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,767 – $18,161 · median $8,255 | 25 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,664 – $39,888 · median $18,131 | 25 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,954 – $21,898 · median $9,672 | 25 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,169 – $32,028 · median $14,558 | 25 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,222 – $22,744 · median $10,338 | 25 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,232 – $16,473 · median $7,373 | 25 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,729 – $21,190 · median $9,364 | 25 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,328 – $13,624 · median $6,069 | 25 plans |
| 602 | CELLULITIS WITH MCC | $7,817 – $27,769 · median $12,622 | 25 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,790 – $18,232 · median $8,076 | 25 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,097 – $28,649 · median $13,022 | 25 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,038 – $19,013 · median $8,416 | 25 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,323 – $29,361 · median $13,114 | 25 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,902 – $18,847 · median $8,344 | 25 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,055 – $41,119 · median $18,691 | 25 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,696 – $27,388 · median $12,449 | 25 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,181 – $63,569 · median $28,895 | 25 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,287 – $35,549 · median $15,870 | 25 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,801 – $27,717 · median $12,599 | 25 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,881 – $53,172 · median $24,169 | 25 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,802 – $30,870 · median $14,032 | 25 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,296 – $29,278 · median $13,308 | 25 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,576 – $64,813 · median $29,460 | 25 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,866 – $34,225 · median $15,557 | 25 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,885 – $24,834 · median $11,288 | 25 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $16,611 – $55,472 · median $24,293 | 25 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,247 – $29,122 · median $12,818 | 25 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,306 – $26,157 · median $11,527 | 25 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $20,497 – $67,717 · median $30,200 | 25 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,983 – $40,894 · median $18,251 | 25 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,027 – $28,431 · median $12,923 | 25 plans |
| 637 | DIABETES WITH MCC | $7,902 – $28,036 · median $12,743 | 25 plans |
| 638 | DIABETES WITH CC | $4,929 – $18,670 · median $8,267 | 25 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,417 – $13,905 · median $6,192 | 25 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,346 – $26,284 · median $11,582 | 25 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,280 – $16,626 · median $7,376 | 25 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,822 – $27,783 · median $12,235 | 25 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,054 – $31,664 · median $14,140 | 25 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,638 – $20,902 · median $9,239 | 25 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,226 – $16,454 · median $7,302 | 25 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $28,580 – $93,181 · median $41,729 | 25 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $15,396 – $51,646 · median $23,041 | 25 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,641 – $39,816 · median $17,768 | 25 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,511 – $58,308 · median $26,504 | 25 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,065 – $34,850 · median $15,841 | 25 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,535 – $30,030 · median $13,412 | 25 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $13,975 – $47,168 · median $21,440 | 25 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,269 – $26,043 · median $11,838 | 25 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,695 – $21,082 · median $9,583 | 25 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,838 – $56,189 · median $25,064 | 25 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,361 – $29,482 · median $13,168 | 25 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,758 – $21,281 · median $9,673 | 25 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,167 – $57,224 · median $25,583 | 25 plans |
| 666 | PROSTATECTOMY WITH CC | $9,621 – $33,452 · median $14,936 | 25 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,084 – $22,309 · median $9,851 | 25 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,060 – $53,737 · median $23,538 | 25 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,536 – $30,033 · median $13,215 | 25 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,375 – $20,075 · median $8,932 | 25 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,873 – $34,244 · median $15,565 | 25 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,937 – $21,846 · median $9,650 | 25 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,109 – $75,944 · median $33,209 | 25 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,862 – $43,663 · median $19,485 | 25 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,028 – $31,583 · median $14,356 | 25 plans |
| 682 | RENAL FAILURE WITH MCC | $8,146 – $28,803 · median $13,092 | 25 plans |
| 683 | RENAL FAILURE WITH CC | $4,817 – $18,317 · median $8,194 | 25 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,302 – $13,543 · median $6,034 | 25 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,920 – $34,395 · median $15,634 | 25 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,763 – $21,297 · median $9,680 | 25 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,347 – $16,835 · median $7,468 | 25 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,382 – $23,246 · median $10,390 | 25 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,452 – $17,168 · median $7,612 | 25 plans |
| 693 | URINARY STONES WITH MCC | $7,395 – $26,438 · median $11,812 | 25 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,299 – $16,686 · median $7,403 | 25 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,291 – $22,960 · median $10,135 | 25 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,790 – $15,080 · median $6,703 | 25 plans |
| 697 | URETHRAL STRICTURE | $5,928 – $21,817 · median $9,637 | 25 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,099 – $31,808 · median $14,204 | 25 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,583 – $20,729 · median $9,268 | 25 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,794 – $15,096 · median $6,710 | 25 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,002 – $37,801 · median $16,836 | 25 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,438 – $29,725 · median $13,276 | 25 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,799 – $43,464 · median $19,064 | 25 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,707 – $27,420 · median $12,077 | 25 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,461 – $39,248 · median $17,228 | 25 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,048 – $22,196 · median $9,802 | 25 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,269 – $29,191 · median $12,849 | 25 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,816 – $21,463 · median $9,483 | 25 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,305 – $41,908 · median $19,049 | 25 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,091 – $28,630 · median $13,014 | 25 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,398 – $35,899 · median $16,318 | 25 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,387 – $26,414 · median $11,639 | 25 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,953 – $34,499 · median $15,681 | 25 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,285 – $22,941 · median $10,428 | 25 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,606 – $14,503 · median $6,592 | 25 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,436 – $23,418 · median $10,645 | 25 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,971 – $15,652 · median $6,952 | 25 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,156 – $28,836 · median $12,694 | 25 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,462 – $17,197 · median $7,625 | 25 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,823 – $21,486 · median $9,766 | 25 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,696 – $14,785 · median $6,575 | 25 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,715 – $40,049 · median $18,204 | 25 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,400 – $26,455 · median $12,025 | 25 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $19,660 – $65,078 · median $29,581 | 25 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,333 – $38,846 · median $17,339 | 25 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,077 – $28,587 · median $12,994 | 25 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $19,705 – $65,222 · median $28,539 | 25 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,953 – $34,497 · median $15,402 | 25 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,844 – $27,852 · median $12,265 | 25 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,091 – $34,934 · median $15,349 | 25 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,824 – $24,639 · median $10,866 | 25 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,220 – $38,647 · median $16,966 | 25 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,256 – $22,851 · median $10,087 | 25 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,554 – $33,241 · median $14,612 | 25 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,728 – $18,038 · median $7,991 | 25 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,630 – $27,180 · median $11,972 | 25 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,122 – $47,631 · median $20,965 | 25 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,117 – $28,713 · median $12,640 | 25 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,129 – $35,053 · median $15,933 | 25 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,983 – $21,990 · median $9,830 | 25 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,574 – $19,784 · median $8,752 | 25 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,875 – $27,952 · median $12,706 | 25 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,385 – $20,105 · median $8,891 | 25 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,650 – $14,640 · median $6,511 | 25 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,541 – $20,599 · median $9,106 | 25 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,138 – $13,027 · median $5,809 | 25 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,294 – $32,421 · median $14,255 | 25 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,515 – $20,516 · median $9,070 | 25 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,601 – $14,486 · median $6,444 | 25 plans |
| 779 | ABORTION WITHOUT D&C | $3,565 – $17,719 · median $7,852 | 25 plans |
| 795 | NORMAL NEWBORN | $876 – $6,603 · median $3,002 | 25 plans |
| 799 | SPLENECTOMY WITH MCC | $24,909 – $81,615 · median $37,098 | 25 plans |
| 800 | SPLENECTOMY WITH CC | $15,452 – $51,821 · median $23,119 | 25 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $10,499 – $36,218 · median $15,908 | 25 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $21,913 – $72,175 · median $32,807 | 25 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,224 – $35,351 · median $16,069 | 25 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,458 – $26,637 · median $11,900 | 25 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,143 – $41,398 · median $18,817 | 25 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,962 – $25,076 · median $11,205 | 25 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,756 – $21,276 · median $9,402 | 25 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,724 – $27,474 · median $12,101 | 25 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,050 – $19,051 · median $8,433 | 25 plans |
| 813 | COAGULATION DISORDERS | $8,389 – $29,571 · median $13,014 | 25 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,697 – $39,991 · median $18,178 | 25 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,577 – $20,711 · median $9,261 | 25 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,476 – $14,092 · median $6,273 | 25 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,924 – $42,675 · median $18,721 | 25 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,924 – $23,227 · median $10,251 | 25 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,256 – $18,041 · median $7,993 | 25 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $32,256 – $104,763 · median $47,619 | 25 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,312 – $41,930 · median $19,059 | 25 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,622 – $24,004 · median $10,911 | 25 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $25,216 – $82,584 · median $37,538 | 25 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,461 – $42,398 · median $19,272 | 25 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,422 – $26,523 · median $12,056 | 25 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $25,728 – $84,195 · median $38,271 | 25 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $12,712 – $43,188 · median $19,631 | 25 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,371 – $32,664 · median $14,585 | 25 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,380 – $57,896 · median $26,085 | 25 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,278 – $29,219 · median $12,861 | 25 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,924 – $23,978 · median $10,578 | 25 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,924 – $15,645 · median $6,949 | 25 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,876 – $12,202 · median $5,450 | 25 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $30,194 – $98,267 · median $44,667 | 25 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $11,472 – $39,283 · median $17,856 | 25 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,707 – $24,272 · median $11,033 | 25 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $26,424 – $86,387 · median $38,516 | 25 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $11,481 – $39,311 · median $17,868 | 25 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,941 – $28,160 · median $12,400 | 25 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,792 – $59,194 · median $26,906 | 25 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,973 – $31,409 · median $14,277 | 25 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,557 – $20,649 · median $9,386 | 25 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,971 – $37,706 · median $17,139 | 25 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,696 – $24,236 · median $11,016 | 25 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,684 – $17,897 · median $8,007 | 25 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,259 – $48,063 · median $21,444 | 25 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,195 – $25,809 · median $11,650 | 25 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,672 – $17,859 · median $8,118 | 25 plans |
| 849 | RADIOTHERAPY | $8,444 – $50,090 · median $21,950 | 25 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $27,162 – $88,714 · median $40,325 | 25 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,990 – $37,763 · median $16,857 | 25 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,235 – $29,084 · median $12,802 | 25 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $25,018 – $81,958 · median $35,828 | 25 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,778 – $40,248 · median $17,664 | 25 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,661 – $27,277 · median $12,015 | 25 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,030 – $34,741 · median $15,510 | 25 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,488 – $20,432 · median $9,034 | 25 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,882 – $18,523 · median $8,203 | 25 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,241 – $29,103 · median $13,229 | 25 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,783 – $18,209 · median $8,066 | 25 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,513 – $39,411 · median $17,914 | 25 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,671 – $21,008 · median $9,549 | 25 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,013 – $15,785 · median $7,010 | 25 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $38,015 – $122,904 · median $55,866 | 25 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,684 – $36,800 · median $16,727 | 25 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,628 – $20,872 · median $9,226 | 25 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,081 – $75,857 · median $34,481 | 25 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,530 – $36,315 · median $15,951 | 25 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,433 – $23,408 · median $10,330 | 25 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,202 – $66,786 · median $30,357 | 25 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,159 – $28,845 · median $13,111 | 25 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,804 – $37,178 · median $16,326 | 25 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,116 – $69,666 · median $31,068 | 25 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,974 – $37,713 · median $16,834 | 25 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,220 – $25,887 · median $11,409 | 25 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,990 – $31,465 · median $14,302 | 25 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,870 – $18,485 · median $8,186 | 25 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,249 – $32,279 · median $14,414 | 25 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,665 – $14,687 · median $6,532 | 25 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,573 – $30,318 · median $13,371 | 25 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,508 – $17,993 · median $7,972 | 25 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,069 – $34,864 · median $15,847 | 25 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,513 – $20,509 · median $9,170 | 25 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,786 – $15,070 · median $6,699 | 25 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,622 – $33,454 · median $15,206 | 25 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,416 – $20,775 · median $9,183 | 25 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,957 – $66,014 · median $30,006 | 25 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,853 – $43,634 · median $19,138 | 25 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,152 – $38,276 · median $16,805 | 25 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,628 – $25,137 · median $11,184 | 25 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,467 – $17,012 · median $7,544 | 25 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,543 – $23,756 · median $10,798 | 25 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,452 – $14,018 · median $6,241 | 25 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,121 – $12,775 · median $5,700 | 25 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $37,021 – $119,773 · median $54,442 | 25 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $20,697 – $68,344 · median $31,066 | 25 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,909 – $135,174 · median $60,249 | 25 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,176 – $76,157 · median $33,959 | 25 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,193 – $54,155 · median $24,158 | 25 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,036 – $50,511 · median $22,959 | 25 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,429 – $29,697 · median $13,499 | 25 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,173 – $19,438 · median $8,835 | 25 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $33,667 – $109,207 · median $48,682 | 25 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $14,506 – $48,841 · median $22,200 | 25 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,873 – $53,148 · median $24,158 | 25 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,123 – $25,580 · median $11,627 | 25 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,965 – $18,783 · median $8,538 | 25 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,137 – $25,627 · median $11,296 | 25 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,805 – $84,438 · median $38,381 | 25 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,522 – $45,741 · median $20,378 | 25 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,427 – $32,840 · median $14,438 | 25 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,856 – $62,546 · median $28,430 | 25 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,040 – $31,621 · median $13,906 | 25 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,596 – $23,920 · median $10,553 | 25 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,547 – $29,935 · median $13,646 | 24 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,606 – $20,432 · median $9,327 | 24 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,225 – $14,694 · median $6,719 | 24 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,474 – $24,419 · median $10,841 | 24 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,368 – $16,827 · median $7,497 | 24 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $65,117 – $156,686 · median $71,261 | 24 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $45,389 – $109,121 · median $49,640 | 24 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $34,532 – $82,944 · median $37,742 | 24 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $49,097 – $118,061 · median $53,484 | 24 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,722 – $66,523 · median $30,278 | 24 plans |
| 509 | ARTHROSCOPY | $9,899 – $33,580 · median $14,877 | 24 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,370 – $54,715 · median $24,408 | 23 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $59,808 – $191,561 · median $85,366 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $39,217 – $126,692 · median $56,470 | 23 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $33,036 – $107,220 · median $47,796 | 23 plans |
| 277 | CELLULITIS AGE >17 W CC | $25,402 – $83,168 · median $37,082 | 23 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $30,614 – $99,589 · median $44,397 | 23 plans |
| 279 | CELLULITIS AGE 0-17 | $19,835 – $65,631 · median $29,270 | 23 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $24,546 – $80,472 · median $35,881 | 23 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,229 – $44,819 · median $19,999 | 23 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $14,964 – $50,286 · median $22,435 | 23 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $9,697 – $33,689 · median $15,042 | 23 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $23,801 – $78,124 · median $34,835 | 23 plans |
| 324 | URINARY STONES W/O CC | $17,331 – $57,740 · median $25,755 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,657 – $58,769 · median $26,214 | 23 plans |
| 397 | COAGULATION DISORDERS | $13,172 – $44,639 · median $19,919 | 23 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $8,325 – $29,368 · median $13,117 | 23 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $6,296 – $22,976 · median $10,269 | 23 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,912 – $34,369 · median $15,344 | 23 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $32,689 – $106,126 · median $47,309 | 23 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $22,325 – $73,473 · median $32,764 | 23 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $13,471 – $45,580 · median $20,338 | 23 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $22,933 – $75,389 · median $33,617 | 23 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $8,117 – $28,715 · median $12,826 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,476 – $37,212 · median $16,611 | 23 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,786 – $29,316 · median $12,577 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $117,428 – $373,089 · median $166,229 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $39,450 – $127,425 · median $56,797 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,714 – $58,949 · median $26,294 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $21,418 – $70,618 · median $31,492 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,158 – $41,445 · median $18,497 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $11,330 – $38,836 · median $17,334 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,517 – $29,974 · median $13,387 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,307 – $23,012 · median $10,286 | 23 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $154,131 – $488,721 · median $219,942 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $62,325 – $199,491 · median $89,788 | 22 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,596 – $70,110 · median $31,567 | 22 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,310 – $19,779 · median $8,918 | 22 plans |
| 881 | DEPRESSIVE NEUROSES | $1,285 – $19,445 · median $8,767 | 22 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,262 – $21,748 · median $9,804 | 22 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,310 – $31,019 · median $13,976 | 22 plans |
| 885 | PSYCHOSES | $1,285 – $27,344 · median $12,322 | 22 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,298 – $39,101 · median $17,613 | 22 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,273 – $21,697 · median $9,781 | 22 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,095 – $13,831 · median $6,241 | 22 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,598 – $33,379 · median $15,038 | 22 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,279 – $18,438 · median $8,314 | 22 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $66,098 – $211,379 · median $94,195 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $237,505 – $751,384 · median $334,742 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $56,708 – $181,795 · median $81,825 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $25,504 – $83,488 · median $37,587 | 20 plans |
| 007 | LUNG TRANSPLANT | $71,226 – $332,518 · median $149,737 | 20 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $30,825 – $100,254 · median $45,132 | 20 plans |
| 010 | PANCREAS TRANSPLANT | $39,466 – $127,477 · median $57,382 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $32,613 – $105,887 · median $47,667 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $29,878 – $97,269 · median $43,788 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $39,240 – $126,765 · median $57,062 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,858 – $84,604 · median $38,089 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $20,382 – $67,353 · median $30,326 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $17,762 – $59,100 · median $26,612 | 20 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $10,240 · median $3,597 | 4 plans |
| 999 | UNGROUPABLE | $1,676 – $19,589 · median $10,632 | 2 plans |
No procedures match that keyword.