Medical City Denton — Pricing
784 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 784 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 784 procedures
Procedures with negotiated rates only
These 784 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 | $649 – $40,136 · median $15,261 | 33 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $649 – $23,852 · median $10,129 | 32 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | — | 32 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $649 – $18,971 · median $8,777 | 32 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $649 – $33,590 · median $13,847 | 32 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | — | 32 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $649 – $18,145 · median $9,033 | 32 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $649 – $27,309 · median $11,310 | 32 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $649 – $19,299 · median $9,440 | 32 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $649 – $19,299 · median $9,440 | 32 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $649 – $20,915 · median $9,601 | 32 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $649 – $14,514 · median $7,477 | 32 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $649 – $13,636 · median $6,819 | 32 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $35,000 – $274,829 · median $69,226 | 30 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $35,000 – $266,541 · median $83,018 | 30 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $35,000 – $248,946 · median $62,070 | 30 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $35,000 – $235,968 · median $55,075 | 30 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $35,000 – $291,909 · median $90,456 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,464 – $141,654 · median $46,234 | 30 plans |
| 245 | AICD GENERATOR PROCEDURES | $9,352 – $144,059 · median $43,232 | 30 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $9,352 – $321,139 · median $85,403 | 29 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $35,000 – $511,657 · median $111,472 | 29 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $35,000 – $332,461 · median $101,955 | 29 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $35,000 – $277,850 · median $72,296 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,000 – $171,665 · median $61,205 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,054 – $122,208 · median $38,152 | 29 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $35,000 – $210,433 · median $72,296 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $35,000 – $269,259 · median $77,513 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $35,000 – $183,270 · median $58,264 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,000 – $202,699 · median $62,805 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,161 – $116,779 · median $38,459 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,766 – $112,184 · median $27,670 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,352 – $106,333 · median $22,167 | 29 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,340 – $79,664 · median $24,712 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,681 – $46,064 · median $18,591 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $16,948 – $82,706 · median $27,240 | 29 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,118 – $51,816 · median $20,379 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $16,948 – $100,436 · median $30,280 | 29 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,148 – $55,937 · median $21,865 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,351 – $44,743 · median $18,157 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $18,591 – $204,538 · median $32,210 | 29 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,822 – $164,950 · median $51,102 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,987 – $200,053 · median $57,314 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,547 – $132,777 · median $42,308 | 29 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $14,340 – $212,273 · median $41,141 | 29 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,980 – $296,633 · median $75,098 | 29 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $25,574 – $213,385 · median $66,029 | 29 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,528 – $160,249 · median $51,163 | 29 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $9,352 – $159,068 · median $44,833 | 28 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $9,352 – $120,972 · median $34,402 | 28 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $9,352 – $78,119 · median $22,991 | 28 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $18,591 – $237,632 · median $76,665 | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $18,591 – $202,143 · median $53,658 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ | $18,591 – $202,143 · median $34,520 | 28 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $18,591 – $201,145 · median $49,122 | 28 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $18,591 – $194,624 · median $34,578 | 28 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,118 – $198,177 · median $48,688 | 28 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,703 – $135,533 · median $34,529 | 28 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,350 – $109,353 · median $28,188 | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $18,591 – $179,218 · median $49,190 | 28 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,591 – $98,953 · median $29,449 | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,564 – $65,601 · median $21,137 | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $18,591 – $123,534 · median $36,189 | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,903 – $62,957 · median $22,470 | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,923 – $49,237 · median $18,964 | 28 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $18,591 – $114,637 · median $34,680 | 28 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,928 – $67,057 · median $21,418 | 28 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,480 – $54,039 · median $19,108 | 28 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $13,354 – $97,898 · median $27,818 | 28 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,039 – $47,497 · median $18,875 | 28 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,555 – $33,555 · median $14,013 | 28 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $18,591 – $118,458 · median $33,741 | 28 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE | $17,810 – $113,109 · median $22,458 | 28 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,118 – $113,109 · median $20,231 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $4,736 – $59,328 · median $17,524 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,736 – $28,905 · median $10,459 | 28 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $4,736 – $44,195 · median $14,205 | 28 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,736 – $32,161 · median $10,707 | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $4,736 – $73,820 · median $21,288 | 28 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,736 – $39,348 · median $14,164 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $4,736 – $54,413 · median $16,792 | 28 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,736 – $36,070 · median $11,843 | 28 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,736 – $26,309 · median $9,006 | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $4,736 – $79,693 · median $23,100 | 28 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $4,736 – $52,500 · median $16,138 | 28 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $4,736 – $41,412 · median $13,900 | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $4,736 – $58,641 · median $18,321 | 28 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,736 – $29,982 · median $10,074 | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,736 – $28,905 · median $7,935 | 28 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $4,736 – $42,918 · median $13,834 | 28 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,736 – $25,990 · median $8,914 | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,736 – $23,591 · median $8,216 | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $4,736 – $51,259 · median $16,182 | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $4,736 – $31,067 · median $10,389 | 28 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,736 – $28,905 · median $8,553 | 28 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,736 – $45,563 · median $14,639 | 28 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,736 – $30,731 · median $11,726 | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $4,736 – $50,778 · median $15,759 | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,736 – $27,031 · median $9,256 | 28 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $4,736 – $45,584 · median $14,511 | 28 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,736 – $29,416 · median $11,259 | 28 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,736 – $20,556 · median $7,075 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $4,736 – $58,602 · median $17,572 | 28 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,736 – $26,674 · median $9,112 | 28 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,284 – $68,399 · median $21,095 | 28 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,412 – $40,987 · median $16,175 | 28 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,212 – $38,837 · median $11,664 | 28 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,284 – $66,801 · median $20,776 | 28 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,046 – $38,667 · median $14,414 | 28 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,682 – $30,208 · median $10,847 | 28 plans |
| 088 | CONCUSSION WITH MCC | $4,736 – $41,586 · median $13,925 | 28 plans |
| 089 | CONCUSSION WITH CC | $4,736 – $31,607 · median $10,769 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,736 – $25,271 · median $8,704 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $4,736 – $53,738 · median $16,185 | 28 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,736 – $31,214 · median $11,897 | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,736 – $23,269 · median $8,123 | 28 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $4,736 – $107,558 · median $30,730 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $4,736 – $70,666 · median $20,641 | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,736 – $70,666 · median $20,641 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $4,736 – $105,683 · median $30,216 | 28 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,736 – $63,947 · median $19,056 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $4,736 – $41,073 · median $14,414 | 28 plans |
| 100 | SEIZURES WITH MCC | $4,736 – $58,526 · median $17,550 | 28 plans |
| 101 | SEIZURES WITHOUT MCC | $4,736 – $28,905 · median $10,462 | 28 plans |
| 102 | HEADACHES WITH MCC | $4,736 – $34,180 · median $11,294 | 28 plans |
| 103 | HEADACHES WITHOUT MCC | $4,736 – $25,065 · median $8,644 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,352 – $66,527 · median $19,906 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,352 – $34,849 · median $12,618 | 28 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,352 – $45,132 · median $14,478 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,352 – $49,189 · median $16,239 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,779 – $31,798 · median $13,008 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,736 – $34,289 · median $12,988 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,736 – $28,905 · median $7,874 | 28 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,736 – $28,905 · median $9,158 | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $4,736 – $38,437 · median $12,857 | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,736 – $24,342 · median $8,435 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $9,352 – $71,076 · median $21,191 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,376 – $28,905 · median $12,052 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,352 – $41,229 · median $13,392 | 28 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,162 – $26,755 · median $10,011 | 28 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,352 – $40,474 · median $13,281 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $9,352 – $124,675 · median $35,416 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,352 – $63,334 · median $19,327 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,352 – $46,353 · median $15,006 | 28 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $9,352 – $97,337 · median $27,927 | 28 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,352 – $51,786 · median $18,537 | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $34,926 · median $12,631 | 28 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $4,736 – $67,626 · median $20,175 | 28 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,736 – $36,695 · median $12,025 | 28 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,736 – $23,605 · median $8,220 | 28 plans |
| 149 | DYSEQUILIBRIUM | $4,736 – $28,905 · median $8,523 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $4,736 – $40,746 · median $13,202 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,736 – $22,347 · median $7,854 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,736 – $33,452 · median $11,179 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,736 – $20,982 · median $7,452 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $4,736 – $47,942 · median $14,646 | 28 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,736 – $28,905 · median $10,588 | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,736 – $20,556 · median $7,130 | 28 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $4,736 – $48,272 · median $15,564 | 28 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,736 – $28,905 · median $10,660 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,736 – $20,556 · median $7,041 | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $9,352 – $135,875 · median $38,483 | 28 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,352 – $74,198 · median $21,902 | 28 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,352 – $54,950 · median $18,760 | 28 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $9,352 – $113,531 · median $32,314 | 28 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,352 – $53,865 · median $17,016 | 28 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $39,911 · median $13,198 | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY | $9,352 – $90,460 · median $25,431 | 28 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,736 – $41,542 · median $13,434 | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,736 – $28,905 · median $9,287 | 28 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $4,736 – $47,656 · median $14,872 | 28 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,736 – $29,248 · median $11,200 | 28 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,736 – $28,905 · median $8,777 | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $4,736 – $51,524 · median $16,409 | 28 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,736 – $32,730 · median $10,951 | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,736 – $28,905 · median $9,550 | 28 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,736 – $46,792 · median $14,485 | 28 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,736 – $31,486 · median $10,511 | 28 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,736 – $22,924 · median $8,022 | 28 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,736 – $46,580 · median $14,455 | 28 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,736 – $29,596 · median $9,962 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,736 – $28,905 · median $8,371 | 28 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,736 – $36,483 · median $11,963 | 28 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,736 – $33,116 · median $12,572 | 28 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,736 – $25,327 · median $8,721 | 28 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,736 – $28,905 · median $7,683 | 28 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,736 – $38,850 · median $13,315 | 28 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,736 – $28,905 · median $10,122 | 28 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,736 – $28,407 · median $7,212 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $4,736 – $55,548 · median $16,489 | 28 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,736 – $29,183 · median $11,177 | 28 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,736 – $28,905 · median $8,015 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $4,736 – $52,040 · median $16,375 | 28 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,736 – $32,647 · median $10,848 | 28 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,736 – $28,905 · median $7,865 | 28 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,736 – $28,499 · median $9,643 | 28 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,736 – $28,905 · median $7,984 | 28 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,736 – $23,906 · median $8,308 | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,736 – $55,651 · median $16,608 | 28 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,736 – $26,704 · median $9,121 | 28 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $4,736 – $190,674 · median $52,219 | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $4,736 – $79,130 · median $22,946 | 28 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $9,352 – $148,481 · median $40,832 | 28 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $9,352 – $85,849 · median $24,550 | 28 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC | $9,352 – $44,510 · median $16,614 | 28 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,574 – $118,170 · median $34,751 | 28 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,885 – $87,842 · median $27,522 | 28 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,057 – $60,263 · median $20,060 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $9,352 – $77,131 · median $22,596 | 28 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,352 – $49,929 · median $18,206 | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,740 – $26,755 · median $10,474 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,591 – $81,490 · median $24,597 | 28 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $9,266 – $272,406 · median $29,169 | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $44,980 – $380,664 · median $69,450 | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,830 – $285,825 · median $55,229 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,292 – $265,363 · median $77,914 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,603 – $95,098 · median $29,775 | 28 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $14,340 – $107,478 · median $31,318 | 28 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $18,591 – $147,490 · median $40,676 | 28 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $18,591 – $94,463 · median $27,144 | 28 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,263 – $48,393 · median $15,952 | 28 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,960 – $32,554 · median $11,406 | 28 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,511 – $32,554 · median $9,291 | 28 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,284 – $57,647 · median $20,268 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,627 – $32,554 · median $9,458 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,056 – $30,856 · median $7,661 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $9,773 – $65,250 · median $19,418 | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,006 – $32,123 · median $13,124 | 28 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $10,631 – $80,521 · median $24,211 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,804 – $46,480 · median $16,695 | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,382 – $28,862 · median $11,925 | 28 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,849 – $38,470 · median $14,007 | 28 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,514 – $28,905 · median $10,724 | 28 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,213 – $97,188 · median $7,491 | 28 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,736 – $36,200 · median $13,602 | 28 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,736 – $23,284 · median $8,232 | 28 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $4,736 – $48,299 · median $15,412 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,736 – $28,905 · median $8,057 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,422 – $28,905 · median $6,118 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,877 – $47,691 · median $16,510 | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,877 – $31,559 · median $13,110 | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,424 – $21,029 · median $8,912 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,736 – $34,292 · median $12,989 | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,736 – $20,556 · median $7,130 | 28 plans |
| 304 | HYPERTENSION WITH MCC | $4,736 – $34,634 · median $11,426 | 28 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,736 – $22,131 · median $7,792 | 28 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $4,736 – $44,145 · median $14,174 | 28 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,736 – $28,905 · median $10,511 | 28 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,736 – $35,554 · median $11,693 | 28 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,736 – $21,795 · median $7,694 | 28 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,736 – $20,556 · median $6,540 | 28 plans |
| 311 | ANGINA PECTORIS | $4,736 – $20,592 · median $7,380 | 28 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,736 – $25,687 · median $8,825 | 28 plans |
| 313 | CHEST PAIN | $4,703 – $55,643 · median $9,358 | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $4,736 – $63,484 · median $18,927 | 28 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,736 – $28,905 · median $10,888 | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,736 – $20,556 · median $7,227 | 28 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $46,747 – $264,653 · median $65,517 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $18,591 – $135,813 · median $38,999 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,222 – $77,756 · median $22,352 | 28 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A | $9,352 – $98,067 · median $25,753 | 28 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,352 – $62,323 · median $20,689 | 28 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $9,352 – $125,565 · median $33,530 | 28 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,352 – $94,192 · median $26,428 | 28 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $9,352 – $84,375 · median $23,804 | 28 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $9,352 – $149,725 · median $42,275 | 28 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $9,352 – $71,583 · median $21,262 | 28 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,352 – $46,975 · median $15,013 | 28 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,352 – $135,368 · median $38,344 | 28 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,352 – $69,684 · median $20,996 | 28 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,352 – $48,673 · median $17,981 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $9,352 – $102,255 · median $29,277 | 28 plans |
| 333 | RECTAL RESECTION WITH CC | $9,352 – $62,650 · median $20,640 | 28 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,352 – $48,891 · median $16,122 | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $9,352 – $106,836 · median $30,532 | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $9,352 – $62,276 · median $19,461 | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,352 – $45,253 · median $14,513 | 28 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,352 – $79,434 · median $23,209 | 28 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,352 – $43,903 · median $14,120 | 28 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,352 – $36,710 · median $12,949 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $9,352 – $69,770 · median $21,008 | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,352 – $37,111 · median $13,021 | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,659 – $28,905 · median $10,937 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $9,352 – $71,338 · median $21,031 | 28 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,352 – $44,360 · median $14,253 | 28 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,292 – $32,503 · median $12,199 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $9,352 – $86,462 · median $25,216 | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,352 – $50,150 · median $15,936 | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,352 – $39,301 · median $13,109 | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $9,352 – $125,748 · median $35,710 | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $9,352 – $66,388 · median $19,891 | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $39,947 · median $14,995 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $4,736 – $49,230 · median $16,029 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,736 – $30,000 · median $10,079 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,736 – $20,575 · median $7,374 | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $4,736 – $51,542 · median $16,222 | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,736 – $30,345 · median $11,589 | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,736 – $21,383 · median $7,569 | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $4,736 – $62,249 · median $19,453 | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,736 – $36,223 · median $11,888 | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,736 – $26,029 · median $8,925 | 28 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $4,736 – $53,599 · median $16,690 | 28 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,736 – $29,065 · median $9,807 | 28 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,736 – $28,905 · median $7,618 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $4,736 – $56,730 · median $17,729 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,736 – $32,108 · median $10,692 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,736 – $28,905 · median $8,544 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,736 – $37,270 · median $12,496 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,736 – $28,905 · median $9,916 | 28 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,736 – $47,898 · median $14,940 | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,736 – $29,257 · median $9,863 | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,736 – $20,556 · median $7,110 | 28 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,736 – $43,337 · median $13,956 | 28 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,736 – $23,635 · median $8,229 | 28 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,736 – $20,556 · median $6,411 | 28 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,736 – $37,880 · median $12,369 | 28 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,736 – $23,004 · median $8,164 | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,736 – $48,818 · median $15,549 | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,736 – $27,750 · median $9,425 | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,736 – $20,556 · median $6,941 | 28 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $9,352 – $73,042 · median $21,164 | 28 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,352 – $44,614 · median $14,007 | 28 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,352 – $33,140 · median $13,059 | 28 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,119 – $173,357 · median $42,981 | 28 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $9,352 – $160,035 · median $45,098 | 28 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $9,352 – $82,789 · median $23,948 | 28 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $9,352 – $62,960 · median $19,758 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $9,352 – $103,216 · median $29,541 | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $9,352 – $61,801 · median $18,888 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $9,352 – $45,725 · median $17,045 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $9,352 – $80,672 · median $23,700 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $9,352 – $62,839 · median $19,189 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,352 – $49,009 · median $15,604 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $9,352 – $103,290 · median $29,023 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $9,352 – $58,313 · median $18,760 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,352 – $40,395 · median $13,269 | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $9,352 – $70,062 · median $20,987 | 28 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,352 – $48,894 · median $18,021 | 28 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,352 – $38,844 · median $14,604 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $9,352 – $104,044 · median $29,485 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,352 – $48,275 · median $15,774 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,352 – $43,316 · median $13,950 | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $9,352 – $119,902 · median $34,109 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $9,352 – $67,308 · median $20,594 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $45,569 · median $14,604 | 28 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $78,397 – $464,186 · median $111,876 | 28 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $53,472 – $314,735 · median $76,307 | 28 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $41,731 – $243,898 · median $59,552 | 28 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $62,618 – $369,589 · median $89,358 | 28 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,472 – $242,409 · median $59,183 | 28 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,736 – $57,756 · median $17,337 | 28 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,736 – $31,536 · median $12,011 | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,736 – $28,905 · median $7,985 | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $4,736 – $53,788 · median $17,002 | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,736 – $33,243 · median $11,022 | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,736 – $28,905 · median $8,952 | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,736 – $49,050 · median $15,263 | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,736 – $28,905 · median $9,808 | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,736 – $20,556 · median $6,849 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,736 – $55,728 · median $16,774 | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,736 – $28,485 · median $9,638 | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C | $4,736 – $20,713 · median $7,404 | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $4,736 – $49,661 · median $15,794 | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,736 – $31,969 · median $10,651 | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,736 – $23,502 · median $8,190 | 28 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL | $50,565 – $297,099 · median $72,159 | 28 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,253 – $180,948 · median $44,600 | 28 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY | $39,111 – $228,211 · median $55,814 | 28 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,905 – $136,924 · median $34,113 | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $63,565 – $375,287 · median $92,598 | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $43,453 – $254,324 · median $63,301 | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $32,981 – $198,179 · median $48,045 | 28 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $46,384 – $271,144 · median $66,331 | 28 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,267 – $126,534 · median $33,954 | 28 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $18,591 – $159,218 · median $44,874 | 28 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $14,498 – $86,928 · median $25,901 | 28 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $13,959 – $51,176 · median $18,428 | 28 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,703 – $225,100 · median $56,381 | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,403 – $151,339 · median $40,442 | 28 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,496 – $115,908 · median $31,176 | 28 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC | $25,251 – $144,424 · median $36,034 | 28 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT | $15,061 – $83,309 · median $22,650 | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,955 – $215,237 · median $51,619 | 28 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,514 – $128,381 · median $32,128 | 28 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,610 – $104,904 · median $27,110 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $9,352 – $132,205 · median $37,122 | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,352 – $63,593 · median $19,844 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC | $9,352 – $34,286 · median $12,517 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,352 – $101,379 · median $29,038 | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,352 – $68,938 · median $20,702 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,352 – $52,349 · median $16,575 | 28 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,786 – $129,901 · median $32,083 | 28 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,456 – $91,677 · median $23,973 | 28 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,857 – $70,094 · median $19,125 | 28 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $9,352 – $112,590 · median $23,194 | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $9,494 – $142,242 · median $28,995 | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,065 – $93,710 · median $23,002 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,749 – $46,583 · median $17,349 | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,445 – $86,839 · median $20,100 | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,556 – $54,717 · median $14,691 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $11,168 – $104,687 · median $29,943 | 28 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,744 – $70,784 · median $21,444 | 28 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,071 – $55,586 · median $18,760 | 28 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $18,591 – $103,782 · median $31,525 | 28 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $8,213 – $58,163 · median $18,498 | 28 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $11,064 – $39,593 · median $15,568 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC | $9,352 – $74,431 · median $21,967 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT | $9,352 – $34,222 · median $13,517 | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $9,352 – $93,411 · median $26,742 | 28 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,352 – $52,621 · median $18,686 | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,352 – $41,188 · median $15,435 | 28 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,591 – $78,021 · median $24,037 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,520 – $51,757 · median $18,386 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,520 – $51,757 · median $18,743 | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,352 – $44,192 · median $14,204 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,448 – $85,637 · median $20,805 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,678 – $57,024 · median $15,237 | 28 plans |
| 509 | ARTHROSCOPY | $9,352 – $51,783 · median $16,411 | 28 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,554 – $126,282 · median $28,270 | 28 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,871 – $86,654 · median $18,503 | 28 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ | $12,871 – $71,039 · median $17,281 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,352 – $44,384 · median $14,260 | 28 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,681 – $30,059 · median $11,487 | 28 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,591 – $91,161 · median $27,589 | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,990 – $59,304 · median $21,158 | 28 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC | $12,166 – $50,163 · median $17,723 | 28 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST | $18,165 – $105,654 · median $30,208 | 28 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,696 – $58,128 · median $20,268 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,915 – $42,249 · median $15,812 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,643 – $128,783 · median $32,985 | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,702 – $93,144 · median $24,337 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $4,736 – $44,953 · median $14,290 | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,736 – $23,995 · median $8,333 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,736 – $39,207 · median $12,755 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,736 – $28,905 · median $9,246 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,736 – $27,090 · median $9,293 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,736 – $20,556 · median $7,121 | 28 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,736 – $59,631 · median $17,857 | 28 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,736 – $38,160 · median $12,564 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,736 – $28,905 · median $9,973 | 28 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $4,736 – $54,979 · median $16,566 | 28 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $4,736 – $31,273 · median $10,449 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $4,736 – $22,279 · median $7,835 | 28 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $4,736 – $74,490 · median $21,675 | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,736 – $34,130 · median $11,315 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,736 – $21,999 · median $7,837 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $4,736 – $59,389 · median $18,279 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,736 – $35,525 · median $11,685 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,736 – $28,905 · median $10,186 | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,312 – $50,303 · median $16,253 | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,852 – $28,414 · median $11,752 | 28 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,736 – $38,511 · median $14,014 | 28 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,736 – $28,905 · median $9,517 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,736 – $39,696 · median $14,226 | 28 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,736 – $24,071 · median $8,356 | 28 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,736 – $45,687 · median $14,396 | 28 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,736 – $25,466 · median $8,761 | 28 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,736 – $54,720 · median $16,884 | 28 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,736 – $33,573 · median $11,118 | 28 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,736 – $24,104 · median $8,365 | 28 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $4,736 – $43,151 · median $13,902 | 28 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $4,736 – $26,347 · median $9,017 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $4,736 – $46,262 · median $14,806 | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,736 – $30,059 · median $11,487 | 28 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,736 – $28,905 · median $8,529 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $9,352 – $88,750 · median $25,748 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,352 – $49,375 · median $15,711 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,352 – $33,679 · median $12,409 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $9,352 – $181,538 · median $49,777 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,352 – $102,143 · median $28,868 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,352 – $58,859 · median $18,781 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $9,352 – $159,047 · median $44,827 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,352 – $78,496 · median $23,019 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,352 – $49,832 · median $18,188 | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $9,352 – $96,082 · median $27,587 | 28 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,352 – $52,267 · median $16,551 | 28 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,352 – $42,426 · median $13,691 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,352 – $51,624 · median $17,468 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,352 – $48,423 · median $15,434 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,352 – $60,356 · median $18,810 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,352 – $58,520 · median $18,760 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $4,736 – $60,619 · median $17,877 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $4,736 – $36,043 · median $11,836 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,736 – $28,905 · median $9,676 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $4,736 – $62,352 · median $18,613 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,736 – $31,869 · median $10,622 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $4,736 – $51,783 · median $16,033 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,736 – $31,807 · median $10,604 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,736 – $25,203 · median $8,685 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,736 – $28,905 · median $10,835 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,736 – $20,556 · median $6,788 | 28 plans |
| 602 | CELLULITIS WITH MCC | $4,736 – $43,319 · median $13,951 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,736 – $28,905 · median $10,083 | 28 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,065 – $43,800 · median $15,632 | 28 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,560 – $28,905 · median $11,616 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,736 – $47,467 · median $15,156 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,736 – $25,480 · median $8,765 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $9,352 – $67,181 · median $20,420 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,352 – $42,243 · median $15,809 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $9,352 – $113,941 · median $31,708 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $9,352 – $56,963 · median $18,760 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $9,352 – $36,704 · median $12,948 | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,508 – $94,839 · median $28,687 | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,934 – $55,654 · median $20,315 | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,938 – $50,847 · median $20,201 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $9,352 – $110,377 · median $30,755 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $9,352 – $56,427 · median $18,760 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $8,559 – $29,572 · median $11,315 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $9,352 – $84,519 · median $24,769 | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,352 – $44,493 · median $16,607 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,352 – $37,347 · median $13,059 | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $9,352 – $116,341 · median $32,820 | 28 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $9,352 – $66,335 · median $19,873 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $41,309 · median $13,403 | 28 plans |
| 637 | DIABETES WITH MCC | $4,736 – $42,933 · median $14,414 | 28 plans |
| 638 | DIABETES WITH CC | $4,736 – $28,905 · median $10,416 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,736 – $20,556 · median $6,898 | 28 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M | $4,736 – $39,154 · median $12,740 | 28 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | $4,736 – $23,039 · median $8,056 | 28 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,736 – $36,589 · median $12,580 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,736 – $48,859 · median $15,561 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,736 – $30,469 · median $10,215 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,736 – $28,905 · median $8,883 | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $9,352 – $164,333 · median $45,178 | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $9,352 – $83,192 · median $24,400 | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,352 – $61,238 · median $18,958 | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $9,352 – $96,040 · median $27,576 | 28 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,352 – $53,891 · median $17,643 | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,249 – $44,336 · median $16,787 | 28 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,591 – $76,185 · median $23,858 | 28 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,041 – $39,502 · median $15,756 | 28 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,732 – $30,265 · median $12,462 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $9,352 – $91,963 · median $26,670 | 28 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,352 – $45,026 · median $16,797 | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,124 – $31,834 · median $12,079 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $9,352 – $101,220 · median $28,307 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $9,352 – $48,561 · median $15,474 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,701 – $30,298 · median $12,620 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,352 – $85,970 · median $24,819 | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,352 – $45,622 · median $14,620 | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,209 – $28,172 · median $10,818 | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,352 – $50,813 · median $16,234 | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,212 – $32,261 · median $12,156 | 28 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $9,352 – $123,525 · median $34,769 | 28 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $9,352 – $68,051 · median $20,667 | 28 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,352 – $46,144 · median $14,908 | 28 plans |
| 682 | RENAL FAILURE WITH MCC | $4,736 – $44,280 · median $14,193 | 28 plans |
| 683 | RENAL FAILURE WITH CC | $4,736 – $26,206 · median $9,205 | 28 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,736 – $20,556 · median $6,816 | 28 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $4,736 – $55,589 · median $17,517 | 28 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,736 – $31,032 · median $10,379 | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,736 – $28,905 · median $8,625 | 28 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,736 – $34,505 · median $11,902 | 28 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,736 – $28,905 · median $9,610 | 28 plans |
| 693 | URINARY STONES WITH MCC | $12,002 – $43,346 · median $15,860 | 28 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,926 – $28,905 · median $9,883 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,736 – $33,246 · median $11,022 | 28 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,736 – $28,905 · median $7,956 | 28 plans |
| 697 | URETHRAL STRICTURE | $4,736 – $29,534 · median $9,944 | 28 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,736 – $49,555 · median $15,763 | 28 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,736 – $30,065 · median $11,489 | 28 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,736 – $20,556 · median $7,338 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,466 – $57,208 · median $19,046 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,091 – $43,703 · median $17,329 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $9,352 – $66,244 · median $20,440 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,352 – $44,260 · median $14,224 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $9,352 – $56,326 · median $18,760 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,049 – $31,533 · median $12,010 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,352 – $42,627 · median $13,749 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,091 – $28,905 · median $11,610 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $9,352 – $66,574 · median $21,216 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,352 – $41,839 · median $15,666 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,352 – $54,699 · median $18,760 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,352 – $36,315 · median $12,879 | 28 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $4,736 – $50,967 · median $16,345 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,736 – $33,104 · median $10,981 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,736 – $28,905 · median $8,310 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,736 – $37,237 · median $13,787 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,736 – $28,905 · median $8,487 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,736 – $43,316 · median $13,950 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,736 – $24,089 · median $8,361 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,736 – $32,453 · median $10,792 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,736 – $20,556 · median $6,813 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $9,352 – $61,990 · median $19,067 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,352 – $35,784 · median $12,784 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $9,352 – $116,076 · median $32,278 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $9,352 – $58,912 · median $18,788 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,352 – $44,717 · median $14,357 | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC | $18,591 – $117,355 · median $35,172 | 28 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,565 – $53,602 · median $18,760 | 28 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT | $9,773 – $40,492 · median $15,188 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,001 – $53,850 · median $18,760 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,185 – $35,336 · median $14,567 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $9,352 – $57,603 · median $18,760 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,719 – $30,212 · median $11,542 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,352 – $49,366 · median $15,708 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,206 – $28,905 · median $11,788 | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,342 – $40,159 · median $15,070 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $9,352 – $76,309 · median $22,309 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $38,016 · median $13,059 | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,736 – $53,337 · median $16,882 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,736 – $32,727 · median $10,872 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,736 – $28,151 · median $9,542 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,736 – $41,722 · median $13,486 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,736 – $30,050 · median $10,094 | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,736 – $20,556 · median $6,956 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,736 – $29,054 · median $9,804 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,736 – $28,905 · median $7,601 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,352 – $40,964 · median $14,002 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,656 – $31,719 · median $11,707 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,736 – $28,905 · median $8,151 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $4,736 – $27,556 · median $9,479 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $9,352 – $140,167 · median $39,658 | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $9,352 – $85,896 · median $24,798 | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,352 – $48,399 · median $15,723 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $9,352 – $105,678 · median $29,499 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $9,352 – $52,473 · median $18,660 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,314 – $32,591 · median $12,215 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $4,736 – $67,523 · median $19,921 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $4,736 – $36,512 · median $11,972 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $4,736 – $28,057 · median $9,514 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,736 – $41,474 · median $13,414 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,736 – $28,905 · median $10,476 | 28 plans |
| 813 | COAGULATION DISORDERS | $4,736 – $45,634 · median $14,680 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $4,736 – $61,624 · median $18,841 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,736 – $29,956 · median $10,066 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,736 – $28,905 · median $7,758 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,591 – $74,737 · median $23,083 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,658 – $37,972 · median $14,549 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,184 – $26,755 · median $9,310 | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $9,352 – $171,635 · median $51,494 | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $9,352 – $65,807 · median $20,762 | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $33,714 · median $13,428 | 28 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $9,352 – $137,948 · median $41,775 | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $9,352 – $64,838 · median $21,237 | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,352 – $36,282 · median $13,881 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $9,352 – $140,778 · median $46,122 | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $9,352 – $69,566 · median $22,626 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $9,352 – $47,252 · median $16,000 | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $9,352 – $90,908 · median $29,276 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $9,352 – $43,113 · median $16,118 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,648 – $33,930 · median $12,860 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,537 – $28,905 · median $9,525 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,703 – $20,556 · median $6,125 | 28 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $4,736 – $162,939 · median $51,243 | 28 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $4,736 – $62,966 · median $20,031 | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $4,736 – $37,462 · median $12,864 | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT | $4,736 – $147,605 · median $48,282 | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE | $4,736 – $59,790 · median $20,123 | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,736 – $40,398 · median $13,238 | 28 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $4,736 – $94,027 · median $29,455 | 28 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,736 – $46,223 · median $15,153 | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,736 – $31,008 · median $10,554 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $4,736 – $55,810 · median $16,796 | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $4,736 – $35,233 · median $11,600 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $4,736 – $24,667 · median $8,529 | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $4,736 – $75,283 · median $23,341 | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,736 – $37,459 · median $12,247 | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,736 – $24,142 · median $8,534 | 28 plans |
| 849 | RADIOTHERAPY | $4,736 – $78,741 · median $22,644 | 28 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $9,352 – $271,558 · median $78,500 | 28 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $9,352 – $147,449 · median $41,652 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,352 – $58,909 · median $18,482 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $47,921 · median $17,824 | 28 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $9,352 – $132,998 · median $37,695 | 28 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $9,352 – $64,236 · median $19,968 | 28 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,352 – $37,983 · median $14,298 | 28 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $4,736 – $54,204 · median $16,377 | 28 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,736 – $29,478 · median $9,927 | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,736 – $26,471 · median $9,053 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,736 – $43,511 · median $14,208 | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,736 – $26,082 · median $8,940 | 28 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $4,736 – $63,213 · median $18,852 | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,736 – $30,955 · median $10,357 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,736 – $21,212 · median $7,514 | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $4,736 – $205,085 · median $57,432 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $4,736 – $57,851 · median $18,174 | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,736 – $30,395 · median $10,194 | 28 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $9,352 – $115,843 · median $31,434 | 28 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,736 – $28,260 · median $9,360 | 28 plans |
| 881 | DEPRESSIVE NEUROSES | $4,736 – $28,905 · median $9,446 | 28 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,736 – $28,905 · median $9,904 | 28 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $4,736 – $54,729 · median $16,219 | 28 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,736 – $49,236 · median $14,761 | 28 plans |
| 885 | PSYCHOSES | $4,736 – $41,553 · median $13,137 | 28 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $4,736 – $52,960 · median $15,780 | 28 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $4,736 – $35,062 · median $12,084 | 28 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,736 – $28,905 · median $7,212 | 28 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $4,736 – $42,686 · median $14,087 | 28 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,736 – $52,500 · median $15,654 | 28 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,736 – $28,905 · median $9,140 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $9,352 – $130,607 · median $37,040 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,352 – $55,937 · median $18,760 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,352 – $35,937 · median $12,812 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $9,352 – $113,823 · median $32,137 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,352 – $48,588 · median $15,482 | 28 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $9,352 – $64,339 · median $19,165 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $9,352 – $117,438 · median $32,642 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $9,352 – $59,463 · median $18,869 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,352 – $37,388 · median $13,059 | 28 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,736 – $47,706 · median $14,613 | 28 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,736 – $27,013 · median $9,211 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,736 – $51,232 · median $15,888 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,736 – $28,905 · median $7,786 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,736 – $48,337 · median $14,721 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,736 – $26,073 · median $8,938 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $4,736 – $53,756 · median $16,785 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,736 – $29,947 · median $11,447 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,736 – $20,556 · median $7,275 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,736 – $49,799 · median $15,127 | 28 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,736 – $30,065 · median $11,489 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $9,352 – $93,567 · median $26,899 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $9,352 – $62,243 · median $19,103 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ | $9,352 – $57,612 · median $18,105 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,736 – $37,916 · median $12,380 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,736 – $23,423 · median $8,167 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,736 – $31,807 · median $12,107 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,736 – $20,556 · median $6,815 | 28 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,736 – $28,905 · median $7,212 | 28 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $18,591 – $201,293 · median $59,985 | 28 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $18,591 – $180,074 · median $34,112 | 28 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,591 – $220,037 · median $65,716 | 28 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,591 – $181,715 · median $35,758 | 28 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,591 – $172,241 · median $25,491 | 28 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $14,284 – $80,088 · median $23,538 | 28 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,222 – $44,227 · median $15,239 | 28 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,892 – $30,818 · median $11,171 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $9,352 – $186,435 · median $52,326 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $9,352 – $78,219 · median $22,827 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $4,736 – $88,030 · median $25,383 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,736 – $41,901 · median $14,414 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,736 – $29,566 · median $11,312 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,736 – $42,506 · median $13,714 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $9,352 – $140,162 · median $38,717 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,352 – $72,184 · median $21,346 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,352 – $49,177 · median $15,653 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $9,352 – $103,272 · median $29,380 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,352 – $50,589 · median $16,064 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,352 – $34,062 · median $12,477 | 28 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | $159,066 – $631,784 · median $224,394 | 27 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | $9,352 – $416,540 · median $121,429 | 27 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $208,699 – $830,374 · median $295,389 | 24 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $18,591 – $500,081 · median $93,651 | 24 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $14,284 – $177,933 · median $49,998 | 24 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $18,591 – $233,687 · median $65,264 | 24 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $18,591 – $135,819 · median $38,650 | 24 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $18,591 – $102,364 · median $29,446 | 24 plans |
| 652 | KIDNEY TRANSPLANT | $18,591 – $90,542 · median $26,722 | 24 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $9,352 – $699,372 · median $192,768 | 24 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $9,352 – $196,889 · median $55,188 | 24 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $9,352 – $93,755 · median $26,950 | 24 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $4,736 – $127,555 · median $36,205 | 24 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $4,736 – $63,257 · median $18,600 | 24 plans |
| 935 | NON-EXTENSIVE BURNS | $4,736 – $64,749 · median $19,008 | 24 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $18,591 – $313,931 · median $87,235 | 23 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $18,591 – $142,950 · median $39,462 | 23 plans |
| 007 | LUNG TRANSPLANT | $18,591 – $385,255 · median $106,763 | 23 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $18,591 – $160,400 · median $45,198 | 23 plans |
| 010 | PANCREAS TRANSPLANT | $18,591 – $235,040 · median $64,079 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $14,284 – $386,228 · median $107,029 | 23 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $14,284 – $177,933 · median $48,813 | 23 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,708 – $32,263 · median $15,681 | 23 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,972 – $100,403 · median $48,801 | 23 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,972 – $69,397 · median $33,730 | 23 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,708 – $42,907 · median $20,855 | 23 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,972 – $71,214 · median $34,614 | 23 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,708 – $26,892 · median $13,071 | 23 plans |
| 795 | NORMAL NEWBORN | $2,515 – $5,895 · median $2,907 | 23 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,168 – $2,609 · median $1,274 | 23 plans |
| 999 | UNGROUPABLE | $1,168 – $2,609 · median $1,274 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,415 – $27,718 · median $13,408 | 21 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,394 – $20,973 · median $10,145 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $283,943 – $1,111,734 · median $317,263 | 18 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK | $35,000 – $91,183 · median $63,092 | 2 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH | $35,000 – $87,453 · median $61,227 | 2 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 | $25,452 – $35,000 · median $30,226 | 2 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK | $35,000 – $35,000 · median $35,000 | 1 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $35,000 – $35,000 · median $35,000 | 1 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $35,000 – $35,000 · median $35,000 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR | $35,000 – $35,000 · median $35,000 | 1 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $58,656 – $101,817 · median $94,948 | 1 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $7,867 – $7,867 · median $7,867 | 1 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $5,323 – $5,323 · median $5,323 | 1 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $5,323 – $5,323 · median $5,323 | 1 plans |
No procedures match that keyword.