Lubbock Heart Surgery — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 | $3,946 – $12,945 · median $7,615 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,678 – $29,657 · median $17,445 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,413 – $12,806 · median $7,533 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,367 – $11,570 · median $6,806 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,678 – $19,926 · median $11,721 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,227 – $13,491 · median $7,936 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,194 – $11,582 · median $6,813 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,946 – $14,097 · median $8,292 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,946 – $12,085 · median $7,109 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,946 – $11,562 · median $6,801 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,946 – $13,036 · median $7,669 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,946 – $9,108 · median $5,358 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,759 – $8,144 · median $4,791 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $111,777 – $256,395 · median $150,821 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $69,514 – $167,322 · median $98,424 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,380 – $65,884 · median $38,755 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $22,426 – $50,928 · median $29,958 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $15,945 – $34,811 · median $20,477 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $219,120 – $521,638 · median $306,846 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,914 – $95,053 · median $55,914 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,616 – $63,948 · median $37,616 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,578 – $38,382 · median $22,578 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $33,179 – $69,221 · median $40,718 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,051 – $47,255 · median $27,797 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $26,311 – $54,923 · median $32,308 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,914 – $37,558 · median $22,093 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,725 – $30,476 · median $17,927 | 13 plans |
| 028 | SPINAL PROCEDURES WITH COMORBITY | $42,693 – $76,708 · median $42,693 | 13 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $24,242 – $43,429 · median $24,242 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,599 – $31,046 · median $15,599 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,571 – $54,123 · median $31,837 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,975 – $25,742 · median $15,142 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,080 – $20,087 · median $11,816 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,290 – $46,757 · median $27,504 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | $13,698 – $28,877 · median $16,986 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY | $10,848 – $23,469 · median $13,805 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $19,173 – $39,768 · median $23,393 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $9,705 – $19,601 · median $11,530 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $6,667 – $14,200 · median $8,353 | 13 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $22,628 – $46,642 · median $27,437 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,741 – $26,560 · median $15,623 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,053 – $20,870 · median $12,277 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,837 – $21,880 · median $12,871 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,652 – $11,829 · median $6,958 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,002 – $18,445 · median $10,850 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,110 – $12,317 · median $7,245 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,841 – $28,062 · median $16,507 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,413 – $15,651 · median $9,206 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,168 – $20,650 · median $12,147 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,594 – $14,990 · median $8,818 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,369 – $11,111 · median $6,536 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,918 – $33,305 · median $19,591 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,636 – $21,227 · median $12,486 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,975 – $16,958 · median $9,975 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,224 – $24,292 · median $14,290 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,967 – $12,204 · median $7,179 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,163 – $8,267 · median $4,863 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,346 – $17,742 · median $10,436 | 13 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $5,201 – $10,442 · median $6,142 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,605 – $9,649 · median $5,676 | 13 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $9,827 – $20,110 · median $11,830 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,920 – $12,394 · median $7,290 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,515 – $9,135 · median $5,373 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,498 – $19,380 · median $11,400 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,965 – $12,452 · median $7,325 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,525 – $23,163 · median $13,625 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,770 – $9,968 · median $5,864 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,256 – $21,864 · median $12,861 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,518 – $10,819 · median $6,364 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,236 – $27,609 · median $16,241 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,857 – $16,861 · median $9,918 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,295 – $11,546 · median $6,792 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,520 – $27,444 · median $16,144 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,451 – $15,736 · median $9,257 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,047 – $11,049 · median $6,500 | 13 plans |
| 088 | CONCUSSION WITH MCC | $8,510 – $16,329 · median $9,606 | 13 plans |
| 089 | CONCUSSION WITH CC | $6,218 – $13,271 · median $7,806 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,992 – $9,944 · median $5,849 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,659 – $21,214 · median $12,479 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $5,784 – $12,358 · median $7,269 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,580 – $9,619 · median $5,658 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $21,283 – $42,514 · median $25,008 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,680 – $31,156 · median $18,327 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,654 – $31,156 · median $18,327 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $21,901 – $43,630 · median $25,665 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,373 – $27,722 · median $16,307 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,208 – $16,457 · median $9,681 | 13 plans |
| 100 | SEIZURES WITH MCC | $10,981 – $23,396 · median $13,762 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $5,200 – $10,903 · median $6,414 | 13 plans |
| 102 | HEADACHES WITH MCC | $6,744 – $13,540 · median $7,965 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $4,852 – $10,102 · median $5,943 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,841 – $28,401 · median $16,706 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,467 – $16,344 · median $9,614 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,523 – $18,541 · median $10,907 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,020 – $21,841 · median $12,848 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,091 – $13,105 · median $7,709 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,966 – $14,052 · median $8,266 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,777 – $9,492 · median $5,584 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,484 – $9,647 · median $5,675 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,200 – $15,983 · median $9,402 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,898 – $9,275 · median $5,456 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,537 – $26,213 · median $15,419 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,214 – $12,265 · median $7,214 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,833 – $18,037 · median $10,610 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,014 – $10,705 · median $6,297 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,226 – $14,927 · median $8,781 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,265 – $51,524 · median $30,308 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,909 – $26,347 · median $15,498 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,397 – $19,284 · median $11,344 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,439 – $45,258 · median $26,622 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,309 – $20,933 · median $12,314 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,168 – $14,523 · median $8,543 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $11,940 – $25,578 · median $15,046 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,614 – $15,359 · median $9,035 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,609 – $9,629 · median $5,664 | 13 plans |
| 149 | DYSEQUILIBRIUM | $4,311 – $9,079 · median $5,341 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $7,766 – $16,084 · median $9,461 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,320 – $8,867 · median $5,216 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,323 – $14,281 · median $8,400 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,174 – $8,917 · median $5,245 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,047 – $18,887 · median $11,110 | 13 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,321 – $11,071 · median $6,512 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,853 – $8,348 · median $4,911 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,215 – $20,739 · median $12,199 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,267 – $10,990 · median $6,465 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,882 – $8,559 · median $5,034 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $29,297 – $54,139 · median $31,847 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $15,542 – $30,489 · median $17,935 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,221 – $23,123 · median $13,602 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,791 – $45,150 · median $26,559 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,645 – $21,785 · median $12,814 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,929 – $16,506 · median $9,709 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $9,045 – $16,593 · median $9,760 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $5,192 – $9,724 · median $5,720 | 13 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $10,819 – $18,877 · median $11,104 | 13 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $6,935 – $11,790 · median $6,935 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,108 – $9,120 · median $5,365 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,180 – $21,333 · median $12,549 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,555 – $12,937 · median $7,610 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,637 – $9,106 · median $5,356 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,114 – $18,481 · median $10,871 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,085 – $12,854 · median $7,561 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,529 – $9,501 · median $5,589 | 13 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $9,036 – $18,826 · median $11,074 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,044 – $11,948 · median $7,028 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,270 – $8,664 · median $5,096 | 13 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $7,173 – $14,923 · median $8,778 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $6,583 – $13,381 · median $7,871 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,174 – $10,183 · median $5,990 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $4,071 – $7,755 · median $4,562 | 13 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $7,676 – $15,878 · median $9,340 | 13 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $5,055 – $9,735 · median $5,727 | 13 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $3,896 – $7,592 · median $4,466 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,168 – $22,797 · median $13,410 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,891 – $11,465 · median $6,744 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,350 – $8,652 · median $5,089 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,469 – $21,310 · median $12,535 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,296 – $13,279 · median $7,811 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,151 – $8,638 · median $5,081 | 13 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $5,658 – $11,732 · median $6,901 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,137 – $8,093 · median $4,761 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,645 – $9,753 · median $5,737 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $9,854 – $22,118 · median $13,011 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $5,183 – $11,368 · median $6,687 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $33,549 – $77,730 · median $45,723 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,890 – $33,204 · median $19,532 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $61,805 – $120,278 · median $70,752 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $58,769 – $118,174 · median $69,514 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $37,952 – $79,428 · median $46,722 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,794 – $79,428 · median $46,722 | 13 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY | $47,162 – $92,752 · median $54,560 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $31,641 – $64,419 · median $37,893 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $26,816 – $60,884 · median $35,814 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,206 – $59,763 · median $35,155 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $20,144 – $38,045 · median $22,380 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH COMORBITY | $51,025 – $101,831 · median $59,901 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $34,842 – $73,235 · median $43,079 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY | $46,458 – $92,352 · median $54,325 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $31,364 – $65,988 · median $38,817 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,132 – $70,891 · median $41,701 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,161 – $50,600 · median $29,765 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $28,180 – $59,453 · median $34,972 | 13 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $16,321 – $34,433 · median $20,255 | 13 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $9,316 – $16,723 · median $9,837 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $21,812 – $38,568 · median $22,687 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $14,741 – $25,741 · median $15,142 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $12,078 – $21,834 · median $12,844 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,719 – $55,213 · median $32,419 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $14,763 – $26,364 · median $15,508 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $9,707 – $18,053 · median $10,620 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $19,457 – $42,138 · median $24,787 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $15,531 – $31,354 · median $18,444 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,629 – $21,522 · median $12,660 | 13 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $14,835 – $32,584 · median $19,167 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,621 – $20,510 · median $12,065 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,803 – $13,194 · median $7,761 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,542 – $37,956 · median $22,327 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,228 – $24,426 · median $14,369 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,874 – $39,293 · median $23,114 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,668 – $22,837 · median $13,433 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,989 – $19,689 · median $11,582 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,539 – $36,933 · median $21,725 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,034 – $40,354 · median $23,737 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $19,692 – $43,707 · median $25,710 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY | $41,250 – $74,030 · median $43,547 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY | $32,773 – $57,509 · median $33,829 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $40,762 – $83,083 · median $48,873 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $25,267 – $51,015 · median $30,009 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $30,358 – $63,736 · median $37,492 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $20,871 – $42,959 · median $25,270 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,741 – $30,840 · median $18,141 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $22,396 – $49,835 · median $29,315 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,245 – $39,763 · median $23,390 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $9,400 – $19,377 · median $11,398 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $5,444 – $11,103 · median $6,531 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $4,250 – $8,735 · median $5,138 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $10,914 – $23,928 · median $14,075 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,229 – $8,362 · median $4,919 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,894 – $7,235 · median $4,256 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $12,498 – $26,730 · median $15,724 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $6,526 – $12,927 · median $7,604 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,711 – $32,690 · median $19,230 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,618 – $20,619 · median $12,129 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,003 – $11,231 · median $6,606 | 13 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $7,419 – $15,508 · median $9,122 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,051 – $10,256 · median $6,033 | 13 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $3,453 – $6,837 · median $4,022 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,339 – $18,867 · median $11,098 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,135 – $7,659 · median $4,505 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,861 – $5,497 · median $3,234 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $8,964 – $19,723 · median $11,602 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $6,105 – $12,895 · median $7,585 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $4,343 – $8,694 · median $5,114 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $6,404 – $14,455 · median $8,503 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $3,965 – $8,132 · median $4,784 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $6,419 – $14,375 · median $8,456 | 13 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $4,329 – $9,121 · median $5,366 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,817 – $19,035 · median $11,197 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,091 – $11,031 · median $6,489 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $7,026 – $14,544 · median $8,555 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $4,390 – $8,887 · median $5,228 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,271 – $6,838 · median $4,023 | 13 plans |
| 311 | ANGINA PECTORIS | $4,089 – $8,479 · median $4,988 | 13 plans |
| 312 | SYNCOPE & COLLAPSE | $4,907 – $10,529 · median $6,193 | 13 plans |
| 313 | CHEST PAIN | $4,222 – $8,697 · median $5,116 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $12,198 – $25,189 · median $14,817 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,694 – $11,636 · median $6,845 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,232 – $8,240 · median $4,847 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $25,263 – $53,911 · median $31,712 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,076 – $29,055 · median $17,091 | 13 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,110 – $60,247 · median $35,439 | 13 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $15,010 – $29,525 · median $17,368 | 13 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $9,756 – $19,355 · median $11,386 | 13 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $28,595 – $55,525 · median $32,662 | 13 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $14,921 – $28,958 · median $17,034 | 13 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,015 – $20,329 · median $11,958 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,368 – $43,737 · median $25,728 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $12,536 – $28,293 · median $16,643 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,418 – $19,785 · median $11,638 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,891 – $43,136 · median $25,374 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,410 – $25,473 · median $14,984 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $9,581 – $18,542 · median $10,907 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,493 – $31,200 · median $18,353 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,240 – $18,176 · median $10,692 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,467 – $14,329 · median $8,429 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,423 – $27,730 · median $16,312 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,891 – $15,810 · median $9,300 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,733 – $10,517 · median $6,186 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,361 – $30,102 · median $17,707 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,736 – $18,416 · median $10,833 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,464 – $14,107 · median $8,298 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,698 – $35,055 · median $20,621 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,445 – $20,323 · median $11,955 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,962 – $16,247 · median $9,557 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $25,215 – $53,064 · median $31,214 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,279 – $28,091 · median $16,524 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,899 – $16,886 · median $9,933 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,312 – $19,230 · median $11,312 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,308 – $12,082 · median $7,107 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,380 – $8,465 · median $4,980 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,122 – $21,419 · median $12,599 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,022 – $12,333 · median $7,255 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,357 – $8,787 · median $5,169 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $12,135 – $25,835 · median $15,197 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,068 – $14,612 · median $8,595 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,263 – $11,165 · median $6,568 | 13 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $10,544 – $22,082 · median $12,989 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,818 – $11,847 · median $6,969 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,732 – $7,615 · median $4,479 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,040 – $23,703 · median $13,943 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,201 – $13,088 · median $7,699 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,500 – $9,671 · median $5,689 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,684 – $16,679 · median $9,811 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,227 – $10,326 · median $6,074 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,493 – $19,114 · median $11,243 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,822 – $11,793 · median $6,937 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,183 – $8,230 · median $4,841 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,861 – $17,839 · median $10,494 | 13 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $4,816 – $9,541 · median $5,612 | 13 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $3,411 – $6,571 · median $3,866 | 13 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,309 – $15,321 · median $9,012 | 13 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $4,481 – $9,417 · median $5,540 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,720 – $19,319 · median $11,364 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $5,506 – $11,303 · median $6,649 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,813 – $7,840 · median $4,612 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $33,581 – $66,082 · median $38,872 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $16,860 – $35,034 · median $20,608 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,395 – $26,812 · median $15,772 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,954 – $43,072 · median $25,336 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,386 – $26,301 · median $15,471 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,187 – $19,179 · median $11,282 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,971 – $39,903 · median $23,472 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,329 – $25,398 · median $14,940 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,146 – $20,058 · median $11,799 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,226 – $43,035 · median $25,315 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,891 – $24,965 · median $14,685 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,325 – $16,468 · median $9,687 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $14,193 – $28,827 · median $16,957 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $9,886 – $20,434 · median $12,020 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,702 – $16,499 · median $9,705 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,573 – $41,157 · median $24,210 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,164 – $20,989 · median $12,346 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,511 – $16,906 · median $9,944 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $24,492 – $50,167 · median $29,510 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,370 – $26,429 · median $15,547 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,034 – $18,123 · median $10,661 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,007 – $23,775 · median $13,986 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,028 – $12,759 · median $7,505 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,632 – $8,607 · median $5,063 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,264 – $22,187 · median $13,051 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,564 – $13,663 · median $8,037 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,245 – $10,308 · median $6,063 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,352 – $19,692 · median $11,584 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,947 – $10,162 · median $5,977 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $3,549 – $7,506 · median $4,416 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,999 – $21,680 · median $12,753 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,441 – $11,661 · median $6,859 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,882 – $8,452 · median $4,972 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,783 – $20,184 · median $11,873 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,308 – $13,220 · median $7,777 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,781 – $9,994 · median $5,879 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,712 – $113,288 · median $59,712 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,372 – $85,570 · median $42,372 | 13 plans |
| 458 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY | $29,649 – $65,965 · median $29,649 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,245 – $80,114 · median $39,245 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,901 – $41,382 · median $18,901 | 13 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $31,434 – $68,849 · median $40,499 | 13 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $17,414 – $37,625 · median $22,132 | 13 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $12,959 – $24,292 · median $12,959 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $36,988 – $70,419 · median $36,988 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $25,059 – $47,126 · median $25,059 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $16,410 – $33,195 · median $19,527 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $18,063 – $36,640 · median $21,553 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $11,128 – $23,301 · median $13,706 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,376 – $58,330 · median $34,311 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $17,874 – $35,588 · median $20,934 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,864 – $29,490 · median $17,347 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $23,856 – $51,857 · median $30,504 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $12,853 – $27,490 · median $16,171 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,792 – $14,257 · median $8,386 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,656 – $41,731 · median $24,548 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,802 – $29,707 · median $17,474 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,590 – $22,455 · median $13,209 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,694 – $39,859 · median $20,694 | 13 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $14,883 – $27,612 · median $14,883 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,589 – $21,680 · median $11,589 | 13 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $19,243 – $33,484 · median $19,696 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,949 – $38,983 · median $22,931 | 13 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $12,579 – $25,260 · median $14,859 | 13 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $9,605 – $18,919 · median $11,129 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $11,565 – $21,368 · median $12,569 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $7,936 – $17,101 · median $7,936 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,089 – $45,710 · median $26,089 | 13 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $18,021 – $30,638 · median $18,021 | 13 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $14,258 – $24,392 · median $14,258 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,763 – $47,975 · median $25,763 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,818 – $26,167 · median $12,818 | 13 plans |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $8,586 – $19,121 · median $8,586 | 13 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $20,843 – $36,442 · median $21,437 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,676 – $24,338 · median $14,317 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $18,664 – $38,230 · median $22,488 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $10,265 – $21,117 · median $12,422 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $7,801 – $16,258 · median $9,564 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $15,445 – $33,716 · median $19,833 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,387 – $22,579 · median $13,282 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,387 – $21,657 · median $12,739 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,587 – $19,543 · median $9,587 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,836 – $27,148 · median $12,836 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,761 – $18,570 · median $10,761 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,463 – $36,487 · median $21,463 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,776 – $25,917 · median $14,776 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,763 – $20,477 · median $11,763 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,187 – $20,708 · median $11,187 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,264 – $13,161 · median $7,264 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,645 – $41,371 · median $22,645 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,766 – $25,856 · median $14,766 | 13 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $10,919 – $18,563 · median $10,919 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,556 – $47,250 · median $26,556 | 13 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $14,213 – $25,819 · median $14,213 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,615 – $18,683 · median $10,615 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,944 – $34,671 · median $20,395 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,818 – $25,581 · median $15,048 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,285 – $18,937 · median $11,140 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,618 – $9,738 · median $5,728 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,211 – $15,486 · median $9,110 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,739 – $10,166 · median $5,739 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,467 – $11,528 · median $6,781 | 13 plans |
| 538 | SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITHOUT COMPLICATION/COMORBITY | $4,230 – $8,701 · median $5,118 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $11,394 – $23,793 · median $13,996 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,613 – $15,659 · median $9,211 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,934 – $9,512 · median $5,595 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,582 – $21,339 · median $12,552 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,111 – $12,418 · median $7,305 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,548 – $9,115 · median $5,362 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $14,651 – $29,978 · median $17,634 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,069 – $13,933 · median $8,196 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,880 – $10,101 · median $5,942 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,997 – $23,325 · median $13,720 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,316 – $14,583 · median $8,578 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,143 – $10,559 · median $6,211 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,518 – $20,247 · median $11,910 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,517 – $11,612 · median $6,831 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,438 – $15,659 · median $9,211 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,637 – $10,027 · median $5,898 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,005 – $15,967 · median $9,392 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,731 – $10,033 · median $5,902 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,184 – $17,961 · median $10,566 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,039 – $10,790 · median $6,347 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,910 – $22,528 · median $13,252 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,293 – $13,603 · median $8,002 | 13 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $5,712 – $10,438 · median $5,712 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,258 – $17,211 · median $10,124 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,101 – $10,817 · median $6,363 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $8,910 – $18,646 · median $10,968 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $5,903 – $11,771 · median $6,924 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,399 – $9,051 · median $5,324 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,627 – $35,528 · median $20,899 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,568 – $20,409 · median $12,005 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,465 – $13,847 · median $8,145 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY | $32,416 – $79,139 · median $46,553 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,998 – $41,934 · median $24,667 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,316 – $21,707 · median $12,769 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,629 – $59,205 · median $34,827 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,921 – $32,020 · median $18,835 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,338 – $19,405 · median $11,415 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,400 – $39,120 · median $23,012 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,118 – $20,874 · median $12,279 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,061 – $17,432 · median $10,254 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,618 – $23,273 · median $13,690 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,024 – $20,830 · median $12,253 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,750 – $25,859 · median $15,211 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,184 – $23,303 · median $13,708 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $9,910 – $23,378 · median $13,752 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $6,723 – $14,330 · median $8,430 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,769 – $10,471 · median $6,159 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,796 – $25,618 · median $15,069 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,816 – $13,076 · median $7,692 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,621 – $20,138 · median $11,846 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,512 – $13,666 · median $8,039 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,927 – $9,294 · median $5,467 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,834 – $12,582 · median $7,401 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,020 – $7,308 · median $4,299 | 13 plans |
| 602 | CELLULITIS WITH COMORBITY | $8,481 – $17,169 · median $10,099 | 13 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $4,993 – $10,520 · median $6,188 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,643 – $17,783 · median $10,460 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,287 – $11,065 · median $6,509 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,848 – $18,279 · median $10,752 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,846 – $10,949 · median $6,441 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,984 – $26,476 · median $15,574 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,222 – $16,903 · median $9,943 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,364 – $42,127 · median $24,781 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,905 – $22,593 · median $13,290 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,616 – $17,133 · median $10,078 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,918 – $34,879 · median $20,517 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $10,319 – $19,331 · median $11,371 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $9,351 – $18,221 · median $10,718 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,175 – $42,994 · median $25,291 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,974 – $21,670 · median $12,747 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,430 – $15,123 · median $8,896 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $16,621 – $36,482 · median $21,460 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,674 – $18,112 · median $10,654 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,924 – $16,046 · median $9,439 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,532 – $45,019 · median $26,482 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,756 – $26,319 · median $15,482 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,244 – $17,630 · median $10,371 | 13 plans |
| 637 | DIABETES WITH MCC | $8,062 – $17,355 · median $10,209 | 13 plans |
| 638 | DIABETES WITH COMPLICATION | $5,162 – $10,826 · median $6,368 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,571 – $7,504 · median $4,414 | 13 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $7,200 – $16,134 · median $9,490 | 13 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $4,413 – $9,400 · median $5,530 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,548 – $17,179 · median $10,105 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,756 – $19,884 · median $11,697 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,966 – $12,382 · median $7,283 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,498 – $9,281 · median $5,459 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH COMORBITY | $31,944 – $62,771 · median $36,924 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $16,987 – $33,815 · median $19,891 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,176 – $25,568 · median $15,040 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,224 – $38,460 · median $22,623 | 13 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $11,325 – $22,106 · median $13,003 | 13 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $9,239 – $18,745 · median $11,027 | 13 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $15,600 – $30,693 · median $18,055 | 13 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $8,444 – $15,966 · median $9,392 | 13 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $6,227 – $12,507 · median $7,357 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,170 – $36,982 · median $21,754 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,350 – $18,364 · median $10,802 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,927 – $12,646 · median $7,439 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,805 – $37,703 · median $22,178 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $10,181 – $21,131 · median $12,430 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,837 – $13,363 · median $7,860 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,427 – $35,273 · median $20,749 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $9,148 – $18,748 · median $11,028 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,727 – $11,806 · median $6,944 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,424 – $21,683 · median $12,755 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,733 – $13,040 · median $7,671 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $20,296 – $50,754 · median $29,855 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,945 – $28,250 · median $16,617 | 13 plans |
| 675 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,275 – $19,828 · median $11,663 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $8,617 – $17,890 · median $10,524 | 13 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $5,144 – $10,579 · median $6,223 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,558 – $7,251 · median $4,266 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,970 – $21,788 · median $12,817 | 13 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | $6,144 – $12,657 · median $7,445 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,013 – $9,547 · median $5,616 | 13 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $6,519 – $14,016 · median $8,245 | 13 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $4,645 – $9,779 · median $5,752 | 13 plans |
| 693 | URINARY STONES WITH MCC | $7,810 – $16,241 · median $9,554 | 13 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $4,513 – $9,443 · median $5,555 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,656 – $13,817 · median $8,128 | 13 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $4,048 – $8,323 · median $4,896 | 13 plans |
| 697 | URETHRAL STRICTURE | $5,843 – $13,020 · median $7,659 | 13 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $9,423 – $19,985 · median $11,756 | 13 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $6,009 – $12,261 · median $7,212 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,367 – $8,334 · median $4,902 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $11,256 – $24,163 · median $14,214 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,733 – $18,533 · median $10,902 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,556 – $28,111 · median $16,536 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,378 – $16,926 · median $9,957 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,468 – $25,172 · median $14,807 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,205 – $13,284 · median $7,814 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $8,739 – $18,161 · median $10,683 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,437 – $12,773 · median $7,514 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,831 – $27,026 · median $15,898 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,474 – $17,769 · median $10,453 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $10,533 – $22,837 · median $13,433 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,227 – $16,224 · median $9,544 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,019 – $21,861 · median $12,859 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,390 – $13,804 · median $8,120 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,792 – $7,921 · median $4,659 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,517 – $14,136 · median $8,315 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,358 – $8,722 · median $5,130 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,307 – $17,913 · median $10,537 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $4,714 – $9,799 · median $5,764 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,891 – $12,789 · median $7,523 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,327 – $8,118 · median $4,775 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,022 – $25,730 · median $15,135 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,276 – $16,253 · median $9,561 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,939 – $43,179 · median $25,399 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,048 – $24,892 · median $14,642 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,644 – $17,739 · median $10,435 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,382 – $43,279 · median $25,458 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,548 – $21,860 · median $12,859 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,496 – $17,227 · median $10,133 | 13 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $10,055 – $22,164 · median $13,038 | 13 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $6,630 – $14,987 · median $8,816 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,507 – $24,753 · median $14,560 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,845 – $13,741 · median $8,083 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,429 – $20,984 · median $12,343 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,499 – $10,385 · median $6,109 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,889 – $16,758 · median $9,858 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,866 – $31,016 · median $18,245 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,569 – $17,827 · median $10,487 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,688 – $22,247 · median $13,087 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,607 – $13,140 · median $7,730 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,371 – $11,603 · median $6,825 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,910 – $17,297 · median $10,175 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,673 – $11,826 · median $6,957 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,999 – $8,016 · median $4,715 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,384 – $12,170 · median $7,159 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,456 – $6,892 · median $4,054 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,471 – $20,412 · median $12,007 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,211 – $12,112 · median $7,125 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,528 – $7,909 · median $4,652 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $5,978 – $10,163 · median $5,978 | 13 plans |
| 795 | NORMAL NEWBORN | $1,116 – $2,414 · median $1,420 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,128 – $54,708 · median $32,181 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,302 – $33,937 · median $19,963 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,861 – $23,059 · median $13,564 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $21,733 – $48,127 · median $28,310 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,044 – $22,455 · median $13,209 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,996 – $16,380 · median $9,635 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,797 – $26,671 · median $15,689 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,163 – $15,292 · median $8,995 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,633 – $12,643 · median $7,437 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $8,075 – $16,964 · median $9,979 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $5,155 – $11,092 · median $6,524 | 13 plans |
| 813 | COAGULATION DISORDERS | $9,042 – $18,425 · median $10,838 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,071 – $25,690 · median $15,112 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,812 – $12,249 · median $7,205 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,870 – $7,634 · median $4,491 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,492 – $27,561 · median $16,212 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,964 – $14,003 · median $8,237 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,791 – $10,387 · median $6,110 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $33,303 – $70,845 · median $41,674 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,615 – $27,042 · median $15,907 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,327 – $14,544 · median $8,555 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $26,359 – $55,383 · median $32,578 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,840 – $27,368 · median $16,099 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,206 – $16,300 · median $9,588 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,519 – $56,507 · median $33,239 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,632 – $27,919 · median $16,423 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,797 – $20,581 · median $12,107 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,777 – $38,172 · median $22,454 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,676 – $18,180 · median $10,694 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,568 – $14,526 · median $8,545 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,553 – $8,717 · median $5,128 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,140 – $6,317 · median $3,716 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,441 – $66,317 · median $39,010 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $12,384 – $25,196 · median $14,821 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,879 – $14,731 · median $8,665 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,367 – $58,035 · median $34,138 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,235 – $25,215 · median $14,833 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,705 – $17,442 · median $10,260 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,850 – $39,077 · median $22,986 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,493 – $19,707 · median $11,592 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,423 – $12,205 · median $7,180 | 13 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $11,160 – $24,097 · median $14,175 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,926 – $14,706 · median $8,651 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,967 – $10,287 · median $6,051 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,645 – $31,317 · median $18,422 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,821 – $15,803 · median $9,296 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,036 – $10,261 · median $6,036 | 13 plans |
| 849 | RADIOTHERAPY | $14,595 – $32,730 · median $19,253 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $29,073 – $59,657 · median $35,092 | 13 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $12,421 – $24,137 · median $14,198 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,881 – $18,086 · median $10,639 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,289 – $54,947 · median $32,322 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $12,304 – $25,869 · median $15,217 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,960 – $16,826 · median $9,898 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,097 – $22,030 · median $12,959 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,917 – $12,054 · median $7,091 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,130 – $10,723 · median $6,308 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,662 – $18,099 · median $10,647 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,909 – $10,505 · median $6,179 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,095 – $25,285 · median $14,874 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,239 – $12,455 · median $7,327 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,262 – $8,815 · median $5,185 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $37,685 – $83,493 · median $49,113 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $10,956 – $23,465 · median $13,803 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $6,005 – $12,361 · median $7,271 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,981 – $50,694 · median $29,820 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION | $11,499 – $23,127 · median $13,604 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,644 – $14,129 · median $8,311 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY | $21,811 – $44,370 · median $26,100 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $9,657 – $17,919 · median $10,541 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,554 – $23,728 · median $13,958 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $23,106 – $46,378 · median $27,281 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $12,001 – $24,102 · median $14,177 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $8,025 – $15,857 · median $9,328 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,582 – $19,746 · median $11,615 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $5,187 – $10,697 · median $6,292 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,944 – $20,313 · median $11,949 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,852 – $8,049 · median $4,735 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,652 – $18,946 · median $11,145 | 13 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $4,635 – $10,354 · median $6,090 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,791 – $22,116 · median $13,009 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $5,995 – $12,108 · median $7,122 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,084 – $8,316 · median $4,892 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,293 – $21,132 · median $12,431 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,503 – $12,294 · median $7,232 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $26,998 – $56,676 · median $33,339 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,856 – $29,698 · median $17,469 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,670 – $20,705 · median $12,179 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,151 – $41,414 · median $24,361 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $9,988 – $19,854 · median $11,679 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,572 – $14,486 · median $8,521 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $169,188 – $338,522 · median $199,131 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,521 – $136,885 · median $80,521 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $59,898 – $124,548 · median $73,264 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $27,498 – $56,014 · median $32,949 | 12 plans |
| 007 | LUNG TRANSPLANT | $67,764 – $156,435 · median $92,021 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $31,797 – $67,702 · median $39,825 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $21,185 – $86,681 · median $50,989 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $62,456 – $145,173 · median $85,396 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $39,413 – $71,629 · median $42,135 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $28,403 – $65,621 · median $38,601 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $39,081 – $86,184 · median $50,697 | 12 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $26,454 – $56,792 · median $33,407 | 12 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,640 – $44,765 · median $26,332 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $18,643 – $39,012 · median $22,948 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,065 – $21,770 · median $12,806 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $33,192 – $71,796 · median $42,233 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $22,669 – $49,032 · median $28,842 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $13,678 – $29,586 · median $17,403 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $23,286 – $50,368 · median $29,628 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $8,242 – $17,829 · median $10,487 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $19,112 – $46,687 · median $27,463 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,058 – $11,599 · median $6,823 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $4,690 – $11,366 · median $6,686 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,819 – $12,971 · median $7,630 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,240 – $23,752 · median $13,972 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,464 – $19,435 · median $11,432 | 12 plans |
| 885 | PSYCHOSES | $7,242 – $16,873 · median $9,925 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,151 – $25,069 · median $14,747 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,314 – $12,936 · median $7,610 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,213 – $7,452 · median $4,384 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,352 – $17,100 · median $10,059 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,415 – $21,080 · median $12,400 | 12 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $4,837 – $10,664 · median $6,273 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $123,437 – $257,909 · median $151,711 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $38,213 – $86,644 · median $50,967 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,640 – $38,906 · median $22,886 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $13,242 – $47,041 · median $27,671 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $11,355 – $26,704 · median $15,708 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $11,314 – $24,884 · median $14,638 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,751 – $43,831 · median $25,783 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,004 – $28,229 · median $16,605 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,260 – $24,494 · median $14,408 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,669 – $18,707 · median $11,004 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,589 – $13,853 · median $8,149 | 12 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,984 – $15,334 · median $9,020 | 12 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,606 – $9,670 · median $5,688 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,499 – $14,371 · median $8,454 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,328 – $7,582 · median $4,460 | 12 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,273 – $6,716 · median $3,951 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,813 – $81,310 · median $47,829 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $22,535 – $45,456 · median $26,739 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $43,418 – $92,047 · median $54,145 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,607 – $50,903 · median $29,943 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,010 – $35,564 · median $20,920 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,963 – $33,024 · median $19,426 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,722 – $18,513 · median $10,890 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,336 – $11,361 · median $6,683 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $33,945 – $73,944 · median $43,496 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,483 – $31,859 · median $18,741 | 12 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,736 – $34,862 · median $20,507 | 12 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,506 – $15,643 · median $9,202 | 12 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,559 – $10,904 · median $6,414 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,745 – $15,676 · median $9,221 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,150 – $35,954 · median $21,150 | 10 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $80,428 – $136,728 · median $80,428 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,269 – $131,356 · median $77,269 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $40,552 – $68,938 · median $40,552 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,667 – $86,133 · median $50,667 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,681 – $72,558 · median $42,681 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,818 – $55,790 · median $32,818 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,552 – $67,238 · median $39,552 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,626 – $43,564 · median $25,626 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,513 – $80,771 · median $47,513 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,212 – $29,260 · median $17,212 | 10 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $19,333 – $32,867 · median $19,333 | 10 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $12,527 – $21,297 · median $12,527 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,749 – $52,274 · median $30,749 | 10 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $22,390 – $38,063 · median $22,390 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,812 – $38,781 · median $22,812 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,434 – $41,537 · median $24,434 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,155 – $29,164 · median $17,155 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,018 – $28,930 · median $17,018 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,755 – $18,284 · median $10,755 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,134 – $13,828 · median $8,134 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,569 – $48,567 · median $28,569 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $78,314 – $133,133 · median $78,314 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,293 – $87,199 · median $51,293 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,948 – $67,912 · median $39,948 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,020 – $108,834 · median $64,020 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,980 – $69,665 · median $40,980 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,478 – $80,712 · median $47,478 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,134 – $51,228 · median $30,134 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,871 – $64,380 · median $37,871 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,954 – $39,022 · median $22,954 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $61,532 – $104,605 · median $61,532 | 10 plans |
No procedures match that keyword.