Medical City North Hills — Pricing
777 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 777 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 777 procedures
Procedures with negotiated rates only
These 777 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 | $649 – $13,954 · median $7,617 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $649 – $17,468 · median $10,862 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | — | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $649 – $17,468 · median $10,862 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $649 – $17,468 · median $10,862 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | — | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $649 – $17,468 · median $10,862 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $649 – $13,954 · median $7,772 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $649 – $13,954 · median $7,772 | 11 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $649 – $11,419 · median $7,772 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $649 – $13,954 · median $7,772 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $649 – $11,419 · median $7,772 | 11 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $649 – $11,419 · median $7,772 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,315 – $45,036 · median $27,021 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,803 – $45,036 · median $22,900 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,380 – $45,036 · median $22,465 | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $11,722 – $114,617 · median $64,324 | 4 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $53,743 – $424,776 · median $93,188 | 4 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $53,743 – $230,670 · median $88,223 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $53,743 – $230,670 · median $71,425 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $53,743 – $228,162 · median $68,750 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $53,743 – $206,674 · median $78,157 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $53,743 – $206,674 · median $65,316 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $48,320 – $195,900 · median $64,324 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,743 – $128,506 · median $82,031 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $53,743 – $127,654 · median $69,588 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $53,743 – $74,905 · median $61,809 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $43,264 – $74,905 · median $57,726 | 4 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,881 – $61,767 · median $47,442 | 4 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,881 – $53,743 · median $37,469 | 4 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,743 – $207,460 · median $74,629 | 4 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $53,743 – $100,361 · median $70,039 | 4 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $48,950 – $101,410 · median $64,324 | 4 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,041 – $26,014 · median $13,866 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,041 – $26,014 · median $8,628 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,553 – $26,014 · median $7,041 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $52,430 – $119,566 · median $74,905 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $32,682 – $116,458 · median $74,905 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $74,905 – $99,850 · median $82,238 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $55,976 – $100,502 · median $74,905 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,989 – $74,449 · median $28,223 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $51,416 – $82,676 · median $53,743 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $23,881 – $28,630 · median $24,334 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $16,441 – $25,435 · median $23,881 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $28,223 – $31,625 · median $29,518 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,493 – $28,223 · median $23,832 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,223 – $35,846 · median $35,527 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,964 – $28,223 · median $27,370 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,969 – $28,223 · median $20,172 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $37,531 – $110,731 · median $53,743 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $63,031 – $274,771 · median $74,905 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $49,500 – $210,648 · median $74,905 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $53,743 – $196,935 · median $70,152 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $43,776 – $125,430 · median $53,743 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $53,743 – $142,604 · median $54,007 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $36,242 – $94,647 · median $53,743 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $26,326 – $67,789 · median $53,743 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,275 – $23,288 · median $18,087 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,465 – $16,275 · median $14,791 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A | $21,221 – $29,953 · median $23,881 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,035 – $43,867 · median $23,881 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $11,722 – $44,815 · median $23,881 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,722 – $33,618 · median $23,881 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $11,722 – $30,114 · median $23,881 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,041 – $14,226 · median $8,210 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,041 – $14,226 · median $9,269 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $7,041 – $14,226 · median $9,353 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,041 – $26,014 · median $12,315 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,041 – $14,226 · median $8,445 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $7,041 – $26,014 · median $20,647 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,041 – $14,226 · median $10,848 | 3 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $296,367 – $415,166 · median $355,766 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $115,949 – $415,166 · median $265,557 | 2 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $11,722 – $56,773 · median $34,247 | 2 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $11,722 – $43,176 · median $27,449 | 2 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $11,722 – $27,881 · median $19,801 | 2 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $84,813 – $163,624 · median $124,218 | 2 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $58,158 – $167,818 · median $112,988 | 2 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ | $37,147 – $167,818 · median $102,482 | 2 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $60,025 – $166,991 · median $113,508 | 2 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $39,998 – $161,577 · median $100,787 | 2 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $47,054 – $65,333 · median $56,193 | 2 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $32,180 – $65,333 · median $48,756 | 2 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,964 – $65,642 · median $45,803 | 2 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,470 – $63,964 · median $52,217 | 2 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $29,915 – $35,317 · median $32,616 | 2 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,414 – $28,451 · median $25,932 | 2 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $40,877 – $44,090 · median $42,483 | 2 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,470 – $46,086 · median $34,278 | 2 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,787 – $40,877 · median $28,832 | 2 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $39,541 – $40,915 · median $40,228 | 2 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,933 – $27,179 · median $25,556 | 2 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,287 – $25,481 · median $22,384 | 2 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,850 – $34,940 · median $27,895 | 2 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,952 – $24,795 · median $20,874 | 2 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,976 – $20,926 · median $16,451 | 2 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $39,687 – $98,343 · median $69,015 | 2 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE | $23,765 – $93,903 · median $58,834 | 2 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,492 – $93,903 · median $56,198 | 2 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $7,041 – $21,174 · median $14,108 | 2 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,041 – $9,694 · median $8,367 | 2 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,041 – $15,774 · median $11,407 | 2 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,041 – $11,478 · median $9,260 | 2 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $7,041 – $26,347 · median $16,694 | 2 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,041 – $14,044 · median $10,542 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $7,041 – $19,420 · median $13,231 | 2 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,041 – $12,874 · median $9,957 | 2 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,041 – $9,390 · median $8,215 | 2 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $7,041 – $28,443 · median $17,742 | 2 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $7,041 – $18,738 · median $12,889 | 2 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $7,041 – $14,780 · median $10,911 | 2 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $7,041 – $20,929 · median $13,985 | 2 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,041 – $10,701 · median $8,871 | 2 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,041 – $7,242 · median $7,142 | 2 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,041 – $15,318 · median $11,179 | 2 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,041 – $9,276 · median $8,159 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,041 – $8,420 · median $7,730 | 2 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $7,041 – $18,295 · median $12,668 | 2 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,041 – $11,088 · median $9,065 | 2 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,041 – $7,893 · median $7,467 | 2 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,041 – $16,262 · median $11,651 | 2 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,041 – $10,968 · median $9,005 | 2 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $7,041 – $18,123 · median $12,582 | 2 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,041 – $9,648 · median $8,344 | 2 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,041 – $16,269 · median $11,655 | 2 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,041 – $10,499 · median $8,770 | 2 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,015 – $7,041 · median $7,028 | 2 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $7,041 – $20,916 · median $13,978 | 2 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,041 – $9,520 · median $8,281 | 2 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $22,999 – $24,412 · median $23,706 | 2 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,629 – $15,824 · median $15,226 | 2 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,059 – $11,115 · median $10,587 | 2 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,945 – $23,842 · median $23,393 | 2 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,073 – $13,801 · median $13,437 | 2 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,301 – $10,493 · median $9,897 | 2 plans |
| 088 | CONCUSSION WITH MCC | $7,041 – $14,842 · median $10,942 | 2 plans |
| 089 | CONCUSSION WITH CC | $7,041 – $11,281 · median $9,161 | 2 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,041 – $9,019 · median $8,030 | 2 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $7,041 – $19,180 · median $13,110 | 2 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,041 – $11,141 · median $9,091 | 2 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,041 – $8,305 · median $7,673 | 2 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $7,041 – $38,388 · median $22,715 | 2 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $7,041 – $25,221 · median $16,131 | 2 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,041 – $25,221 · median $16,131 | 2 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $7,041 – $37,719 · median $22,380 | 2 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $7,041 – $22,823 · median $14,932 | 2 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,041 – $14,659 · median $10,850 | 2 plans |
| 100 | SEIZURES WITH MCC | $7,041 – $20,888 · median $13,965 | 2 plans |
| 101 | SEIZURES WITHOUT MCC | $7,041 – $9,697 · median $8,369 | 2 plans |
| 102 | HEADACHES WITH MCC | $7,041 – $12,199 · median $9,620 | 2 plans |
| 103 | HEADACHES WITHOUT MCC | $7,041 – $8,946 · median $7,993 | 2 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $11,722 – $23,744 · median $17,733 | 2 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,722 – $12,438 · median $12,080 | 2 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,722 – $16,108 · median $13,915 | 2 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,722 – $17,556 · median $14,639 | 2 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,349 – $11,722 · median $11,535 | 2 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,041 – $12,238 · median $9,640 | 2 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,041 – $7,137 · median $7,089 | 2 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,041 – $8,451 · median $7,746 | 2 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,041 – $13,719 · median $10,380 | 2 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,041 – $8,688 · median $7,865 | 2 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,722 – $25,367 · median $18,545 | 2 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,293 – $11,722 · median $11,007 | 2 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,722 – $14,715 · median $13,218 | 2 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,560 – $11,722 · median $10,141 | 2 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,722 – $14,446 · median $13,084 | 2 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $11,722 – $44,498 · median $28,110 | 2 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,722 – $22,604 · median $17,163 | 2 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,722 – $16,544 · median $14,133 | 2 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $11,722 – $34,740 · median $23,231 | 2 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,722 – $18,483 · median $15,102 | 2 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $12,465 · median $12,093 | 2 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $7,041 – $24,136 · median $15,589 | 2 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,041 – $13,097 · median $10,069 | 2 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,041 – $8,425 · median $7,733 | 2 plans |
| 149 | DYSEQUILIBRIUM | $7,041 – $7,865 · median $7,453 | 2 plans |
| 150 | EPISTAXIS WITH MCC | $7,041 – $14,542 · median $10,792 | 2 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,041 – $7,976 · median $7,508 | 2 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,041 – $11,939 · median $9,490 | 2 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,041 – $7,489 · median $7,265 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,041 – $17,111 · median $12,076 | 2 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,041 – $9,823 · median $8,432 | 2 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,041 – $7,075 · median $7,058 | 2 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $7,041 – $17,229 · median $12,135 | 2 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,041 – $9,896 · median $8,468 | 2 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,940 – $7,041 · median $6,991 | 2 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $11,722 – $48,495 · median $30,108 | 2 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $11,722 – $26,482 · median $19,102 | 2 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,722 – $19,612 · median $15,667 | 2 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $11,722 – $40,520 · median $26,121 | 2 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,722 – $19,225 · median $15,473 | 2 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $14,245 · median $12,983 | 2 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY | $11,722 – $32,286 · median $22,004 | 2 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,041 – $14,827 · median $10,934 | 2 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,041 – $8,570 · median $7,806 | 2 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,041 – $17,009 · median $12,025 | 2 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,041 – $10,439 · median $8,740 | 2 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,041 – $8,099 · median $7,570 | 2 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,041 – $18,389 · median $12,715 | 2 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,041 – $11,682 · median $9,361 | 2 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,041 – $8,812 · median $7,927 | 2 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,041 – $16,701 · median $11,871 | 2 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,041 – $11,238 · median $9,139 | 2 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,041 – $8,182 · median $7,611 | 2 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,041 – $16,625 · median $11,833 | 2 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,041 – $10,563 · median $8,802 | 2 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,041 – $7,724 · median $7,383 | 2 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,041 – $13,021 · median $10,031 | 2 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,041 – $11,819 · median $9,430 | 2 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,041 – $9,039 · median $8,040 | 2 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,810 – $7,041 · median $6,925 | 2 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $7,041 – $19,826 · median $13,433 | 2 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,041 – $10,416 · median $8,728 | 2 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,041 – $7,370 · median $7,205 | 2 plans |
| 199 | PNEUMOTHORAX WITH MCC | $7,041 – $18,573 · median $12,807 | 2 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,041 – $11,652 · median $9,347 | 2 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,041 – $7,122 · median $7,082 | 2 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,041 – $10,172 · median $8,606 | 2 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,041 – $7,326 · median $7,184 | 2 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,041 – $8,532 · median $7,787 | 2 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,041 – $19,862 · median $13,452 | 2 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,041 – $9,531 · median $8,286 | 2 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $7,041 – $68,053 · median $37,547 | 2 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $7,041 – $28,242 · median $17,642 | 2 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $11,722 – $52,994 · median $32,358 | 2 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $11,722 – $30,640 · median $21,181 | 2 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC | $11,722 – $15,886 · median $13,804 | 2 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $35,691 – $91,042 · median $63,366 | 2 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $23,703 – $93,135 · median $58,419 | 2 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $31,128 – $36,093 · median $33,610 | 2 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $26,862 – $28,456 · median $27,659 | 2 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $18,406 – $28,456 · median $23,431 | 2 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $11,722 – $27,529 · median $19,625 | 2 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,722 – $17,820 · median $14,771 | 2 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,385 – $11,722 · median $10,553 | 2 plans |
| 263 | VEIN LIGATION AND STRIPPING | $28,219 – $45,006 · median $36,612 | 2 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,687 – $36,773 · median $27,730 | 2 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $31,128 – $52,641 · median $41,884 | 2 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $27,840 – $33,715 · median $30,777 | 2 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,272 – $27,026 · median $22,149 | 2 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,699 – $27,026 · median $18,363 | 2 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,630 – $27,026 · median $17,328 | 2 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,575 – $26,419 · median $23,497 | 2 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,796 – $23,991 · median $15,893 | 2 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,906 – $22,741 · median $14,324 | 2 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $26,908 – $28,739 · median $27,823 | 2 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,589 – $17,012 · median $16,800 | 2 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,301 – $13,594 · median $11,948 | 2 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,453 – $13,730 · median $13,592 | 2 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,063 – $11,761 · median $10,412 | 2 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,777 – $15,385 · median $10,581 | 2 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,041 – $12,920 · median $9,980 | 2 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,041 – $8,310 · median $7,676 | 2 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,041 – $17,238 · median $12,140 | 2 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,041 – $7,412 · median $7,226 | 2 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,647 – $7,041 · median $5,844 | 2 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,736 – $17,021 · median $15,879 | 2 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,264 – $14,736 · median $13,000 | 2 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,505 – $14,169 · median $10,837 | 2 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,041 – $12,239 · median $9,640 | 2 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,041 – $7,075 · median $7,058 | 2 plans |
| 304 | HYPERTENSION WITH MCC | $7,041 – $12,361 · median $9,701 | 2 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,041 – $7,899 · median $7,470 | 2 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,041 – $15,756 · median $11,398 | 2 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,041 – $9,747 · median $8,394 | 2 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,041 – $12,690 · median $9,865 | 2 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,041 – $7,779 · median $7,410 | 2 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,887 – $7,041 · median $6,464 | 2 plans |
| 311 | ANGINA PECTORIS | $7,041 – $7,350 · median $7,195 | 2 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,041 – $9,168 · median $8,104 | 2 plans |
| 313 | CHEST PAIN | $7,505 – $11,417 · median $9,461 | 2 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $7,041 – $22,658 · median $14,850 | 2 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,041 – $10,125 · median $8,583 | 2 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,041 – $7,182 · median $7,112 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $65,089 – $89,104 · median $77,096 | 2 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $46,218 – $99,788 · median $73,003 | 2 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,354 – $58,750 · median $41,552 | 2 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $11,722 – $53,438 · median $32,580 | 2 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $11,722 – $25,548 · median $18,635 | 2 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,722 – $16,766 · median $14,244 | 2 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $11,722 – $48,314 · median $30,018 | 2 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,722 – $24,871 · median $18,296 | 2 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,722 – $17,372 · median $14,547 | 2 plans |
| 332 | RECTAL RESECTION WITH MCC | $11,722 – $36,496 · median $24,109 | 2 plans |
| 333 | RECTAL RESECTION WITH CC | $11,722 – $22,360 · median $17,041 | 2 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,722 – $17,450 · median $14,586 | 2 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $11,722 – $38,131 · median $24,926 | 2 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,722 – $22,227 · median $16,974 | 2 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,722 – $16,151 · median $13,936 | 2 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $11,722 – $28,350 · median $20,036 | 2 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,722 – $15,669 · median $13,695 | 2 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,722 – $13,102 · median $12,412 | 2 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,722 – $24,901 · median $18,311 | 2 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,722 – $13,245 · median $12,483 | 2 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,269 – $11,722 · median $10,495 | 2 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $11,722 – $25,461 · median $18,591 | 2 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,722 – $15,832 · median $13,777 | 2 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,601 – $11,722 · median $11,661 | 2 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $11,722 – $30,859 · median $21,290 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,722 – $17,899 · median $14,810 | 2 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,722 – $14,027 · median $12,874 | 2 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $11,722 – $44,881 · median $28,301 | 2 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $11,722 – $23,694 · median $17,708 | 2 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $14,257 · median $12,989 | 2 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,041 – $17,571 · median $12,306 | 2 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,041 – $10,707 · median $8,874 | 2 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,041 – $7,343 · median $7,192 | 2 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,041 – $18,396 · median $12,718 | 2 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,041 – $10,830 · median $8,936 | 2 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,041 – $7,632 · median $7,336 | 2 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $7,041 – $22,217 · median $14,629 | 2 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,041 – $12,928 · median $9,985 | 2 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,041 – $9,290 · median $8,165 | 2 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $7,041 – $19,130 · median $13,086 | 2 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,041 – $10,374 · median $8,707 | 2 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,698 – $7,041 · median $6,870 | 2 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $7,041 – $20,247 · median $13,644 | 2 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,041 – $11,460 · median $9,250 | 2 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,041 – $7,884 · median $7,463 | 2 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,041 – $13,302 · median $10,171 | 2 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,041 – $9,150 · median $8,095 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,041 – $17,095 · median $12,068 | 2 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,041 – $10,442 · median $8,742 | 2 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,041 – $7,053 · median $7,047 | 2 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,041 – $15,467 · median $11,254 | 2 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,041 – $8,435 · median $7,738 | 2 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,757 – $7,041 · median $6,399 | 2 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,041 – $13,520 · median $10,280 | 2 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,041 – $17,423 · median $12,232 | 2 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,041 – $9,904 · median $8,473 | 2 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,696 – $7,041 · median $6,869 | 2 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $11,722 – $26,069 · median $18,895 | 2 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,722 – $15,923 · median $13,822 | 2 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,722 – $11,828 · median $11,775 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $41,343 – $124,584 · median $82,964 | 2 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $11,722 – $57,118 · median $34,420 | 2 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $11,722 – $29,548 · median $20,635 | 2 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $11,722 – $22,471 · median $17,096 | 2 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $11,722 – $36,839 · median $24,280 | 2 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $11,722 – $22,057 · median $16,889 | 2 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $11,722 – $16,320 · median $14,021 | 2 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $11,722 – $28,792 · median $20,257 | 2 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,722 – $22,428 · median $17,075 | 2 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,722 – $17,492 · median $14,607 | 2 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $11,722 – $36,865 · median $24,293 | 2 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,722 – $20,813 · median $16,267 | 2 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,722 – $14,417 · median $13,069 | 2 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $11,722 – $25,006 · median $18,364 | 2 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,722 – $17,451 · median $14,586 | 2 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,722 – $13,864 · median $12,793 | 2 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $11,722 – $37,134 · median $24,428 | 2 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,722 – $17,230 · median $14,476 | 2 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,722 – $15,460 · median $13,591 | 2 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $11,722 – $42,794 · median $27,258 | 2 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $11,722 – $24,023 · median $17,872 | 2 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $16,264 · median $13,993 | 2 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $110,287 – $333,589 · median $221,938 | 2 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $74,693 – $226,185 · median $150,439 | 2 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $57,926 – $175,278 · median $116,602 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $87,753 – $265,606 · median $176,680 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $57,556 – $174,208 · median $115,882 | 2 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $7,041 – $20,614 · median $13,827 | 2 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,041 – $11,255 · median $9,148 | 2 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,041 – $7,328 · median $7,184 | 2 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $7,041 – $19,197 · median $13,119 | 2 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,041 – $11,865 · median $9,453 | 2 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,041 – $8,261 · median $7,651 | 2 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,041 – $17,507 · median $12,274 | 2 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,041 – $9,051 · median $8,046 | 2 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,472 – $7,041 · median $6,757 | 2 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,041 – $19,890 · median $13,465 | 2 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,041 – $10,166 · median $8,604 | 2 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C | $7,041 – $7,393 · median $7,217 | 2 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,041 – $17,724 · median $12,383 | 2 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,041 – $11,410 · median $9,226 | 2 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,041 – $8,388 · median $7,715 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL | $70,542 – $213,511 · median $142,026 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,963 – $130,039 · median $86,501 | 2 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY | $54,185 – $164,005 · median $109,095 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,469 – $98,274 · median $65,371 | 2 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $89,107 – $166,086 · median $127,596 | 2 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $60,386 – $166,086 · median $113,236 | 2 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $45,431 – $164,528 · median $104,979 | 2 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $64,570 – $85,719 · median $75,145 | 2 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $30,131 – $82,168 · median $56,149 | 2 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $30,915 – $56,826 · median $43,871 | 2 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $21,690 – $31,025 · median $26,358 | 2 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $18,265 – $20,745 · median $19,505 | 2 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $53,602 – $88,428 · median $71,015 | 2 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $36,037 – $70,667 · median $53,352 | 2 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,601 – $71,375 · median $49,488 | 2 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC | $34,391 – $42,548 · median $38,470 | 2 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT | $19,839 – $41,320 · median $30,580 | 2 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $51,105 – $54,325 · median $52,715 | 2 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,482 – $54,868 · median $42,675 | 2 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,908 – $54,868 · median $39,888 | 2 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $11,722 – $47,185 · median $29,453 | 2 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,722 – $22,697 · median $17,209 | 2 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC | $11,722 – $12,237 · median $11,979 | 2 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,722 – $36,183 · median $23,952 | 2 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,722 – $24,605 · median $18,163 | 2 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,722 – $18,684 · median $15,203 | 2 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,945 – $37,065 · median $34,005 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,832 – $37,594 · median $29,713 | 2 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,692 – $37,416 · median $27,054 | 2 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $11,722 – $26,811 · median $19,266 | 2 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,926 – $33,919 · median $25,422 | 2 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,858 – $22,314 · median $21,586 | 2 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,626 – $16,926 · median $16,776 | 2 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,715 – $20,679 · median $18,697 | 2 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,033 – $21,203 · median $17,118 | 2 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $19,537 – $37,364 · median $28,450 | 2 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,188 – $25,263 · median $24,225 | 2 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $19,619 – $19,839 · median $19,729 | 2 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $37,041 – $41,668 · median $39,354 | 2 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $14,098 – $20,759 · median $17,428 | 2 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $14,131 – $15,590 · median $14,861 | 2 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC | $11,722 – $26,565 · median $19,143 | 2 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT | $11,722 – $12,214 · median $11,968 | 2 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $11,722 – $33,339 · median $22,530 | 2 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,722 – $18,781 · median $15,251 | 2 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,722 – $14,700 · median $13,211 | 2 plans |
| 503 | FOOT PROCEDURES WITH MCC | $26,470 – $27,846 · median $27,158 | 2 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,075 – $18,472 · median $18,273 | 2 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,399 – $18,472 · median $17,436 | 2 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,722 – $15,772 · median $13,747 | 2 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,393 – $20,805 · median $20,599 | 2 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,580 – $16,948 · median $15,264 | 2 plans |
| 509 | ARTHROSCOPY | $11,722 – $18,482 · median $15,102 | 2 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $27,477 – $30,072 · median $28,774 | 2 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,506 – $20,638 · median $18,072 | 2 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ | $15,506 – $16,916 · median $16,211 | 2 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,722 – $15,841 · median $13,781 | 2 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,728 – $11,722 · median $11,225 | 2 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $32,536 – $41,233 · median $36,884 | 2 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,166 – $41,233 · median $31,199 | 2 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC | $15,705 – $41,645 · median $28,675 | 2 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST | $22,440 – $37,709 · median $30,074 | 2 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,455 – $20,746 · median $20,600 | 2 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,079 – $15,374 · median $15,227 | 2 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,667 – $40,911 · median $35,789 | 2 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,182 – $40,911 · median $31,547 | 2 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,041 – $16,044 · median $11,542 | 2 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,041 – $8,564 · median $7,802 | 2 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,041 – $13,993 · median $10,517 | 2 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,041 – $8,532 · median $7,787 | 2 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,041 – $9,669 · median $8,355 | 2 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,041 – $7,066 · median $7,053 | 2 plans |
| 539 | OSTEOMYELITIS WITH MCC | $7,041 – $21,283 · median $14,162 | 2 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,041 – $13,620 · median $10,330 | 2 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,041 – $9,205 · median $8,123 | 2 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $7,041 – $19,622 · median $13,332 | 2 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $7,041 – $11,162 · median $9,101 | 2 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $7,041 – $7,951 · median $7,496 | 2 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,041 – $26,586 · median $16,813 | 2 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,041 – $12,181 · median $9,611 | 2 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,041 – $7,852 · median $7,446 | 2 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $7,041 – $21,197 · median $14,119 | 2 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,041 – $12,679 · median $9,860 | 2 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,041 – $9,071 · median $8,056 | 2 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,954 – $18,599 · median $18,276 | 2 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,141 – $10,387 · median $10,264 | 2 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,041 – $13,745 · median $10,393 | 2 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,041 – $8,782 · median $7,911 | 2 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,041 – $14,168 · median $10,604 | 2 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,041 – $8,591 · median $7,816 | 2 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,041 – $16,306 · median $11,673 | 2 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,041 – $9,089 · median $8,065 | 2 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,041 – $19,530 · median $13,285 | 2 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,041 – $11,982 · median $9,512 | 2 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,041 – $8,603 · median $7,822 | 2 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $7,041 – $15,401 · median $11,221 | 2 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $7,041 – $9,404 · median $8,222 | 2 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,041 – $16,511 · median $11,776 | 2 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,041 – $10,728 · median $8,885 | 2 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,041 – $7,870 · median $7,456 | 2 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $11,722 – $31,675 · median $21,698 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,722 – $17,622 · median $14,672 | 2 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,722 – $12,020 · median $11,871 | 2 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $11,722 – $64,792 · median $38,257 | 2 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,722 – $36,456 · median $24,089 | 2 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,722 – $21,007 · median $16,364 | 2 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $11,722 – $56,765 · median $34,243 | 2 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,722 – $28,016 · median $19,869 | 2 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,722 – $17,785 · median $14,753 | 2 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $11,722 – $34,292 · median $23,007 | 2 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,722 – $18,654 · median $15,188 | 2 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,722 – $15,142 · median $13,432 | 2 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,722 – $18,425 · median $15,073 | 2 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,722 – $17,282 · median $14,502 | 2 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $11,722 – $21,542 · median $16,632 | 2 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,722 – $20,886 · median $16,304 | 2 plans |
| 592 | SKIN ULCERS WITH MCC | $7,041 – $21,635 · median $14,338 | 2 plans |
| 593 | SKIN ULCERS WITH CC | $7,041 – $12,864 · median $9,953 | 2 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,041 – $8,929 · median $7,985 | 2 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,041 – $22,254 · median $14,648 | 2 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,041 – $11,374 · median $9,208 | 2 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,041 – $18,482 · median $12,761 | 2 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,041 – $11,352 · median $9,197 | 2 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,041 – $8,995 · median $8,018 | 2 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,041 – $10,072 · median $8,556 | 2 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,308 – $7,041 · median $6,674 | 2 plans |
| 602 | CELLULITIS WITH MCC | $7,041 – $15,461 · median $11,251 | 2 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,441 – $15,633 · median $15,537 | 2 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,339 – $9,719 · median $9,529 | 2 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,041 – $16,941 · median $11,991 | 2 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,041 – $9,094 · median $8,068 | 2 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,722 – $23,978 · median $17,850 | 2 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,722 – $15,077 · median $13,399 | 2 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $11,722 – $40,666 · median $26,194 | 2 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $11,722 – $20,331 · median $16,026 | 2 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $11,722 – $13,100 · median $12,411 | 2 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $11,722 – $39,394 · median $25,558 | 2 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $11,722 – $20,139 · median $15,930 | 2 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $10,555 – $11,722 · median $11,138 | 2 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $11,722 – $30,166 · median $20,944 | 2 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,722 – $15,880 · median $13,801 | 2 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,722 – $13,329 · median $12,525 | 2 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $11,722 – $41,523 · median $26,622 | 2 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,722 – $23,676 · median $17,699 | 2 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $14,743 · median $13,232 | 2 plans |
| 637 | DIABETES WITH MCC | $7,041 – $15,323 · median $11,182 | 2 plans |
| 638 | DIABETES WITH CC | $7,041 – $9,651 · median $8,346 | 2 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,593 – $7,041 · median $6,817 | 2 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M | $7,041 – $13,974 · median $10,508 | 2 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | $7,041 – $8,223 · median $7,632 | 2 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,041 – $13,059 · median $10,050 | 2 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,041 – $17,438 · median $12,240 | 2 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,041 – $10,874 · median $8,958 | 2 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,041 – $8,197 · median $7,619 | 2 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $11,722 – $58,652 · median $35,187 | 2 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $11,722 – $29,692 · median $20,707 | 2 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,722 – $21,856 · median $16,789 | 2 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $11,722 – $34,278 · median $23,000 | 2 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,722 – $19,234 · median $15,478 | 2 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,824 – $18,336 · median $17,080 | 2 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $27,191 – $41,992 · median $34,591 | 2 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,098 – $22,856 · median $18,477 | 2 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,802 – $16,418 · median $13,610 | 2 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $11,722 – $32,822 · median $22,272 | 2 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,722 – $16,070 · median $13,896 | 2 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,362 – $11,722 · median $11,542 | 2 plans |
| 665 | PROSTATECTOMY WITH MCC | $11,722 – $36,126 · median $23,924 | 2 plans |
| 666 | PROSTATECTOMY WITH CC | $11,722 – $17,332 · median $14,527 | 2 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,813 – $11,722 · median $11,267 | 2 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $11,722 – $30,683 · median $21,202 | 2 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,722 – $16,283 · median $14,002 | 2 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,055 – $11,722 · median $10,888 | 2 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,722 – $18,136 · median $14,929 | 2 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,514 – $11,722 · median $11,618 | 2 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $11,722 – $44,087 · median $27,904 | 2 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,722 – $24,288 · median $18,005 | 2 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,722 – $16,469 · median $14,095 | 2 plans |
| 682 | RENAL FAILURE WITH MCC | $7,041 – $15,804 · median $11,423 | 2 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,392 – $7,041 · median $6,717 | 2 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $7,041 – $19,840 · median $13,441 | 2 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,041 – $11,075 · median $9,058 | 2 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,041 – $7,620 · median $7,331 | 2 plans |
| 693 | URINARY STONES WITH MCC | $14,522 – $15,471 · median $14,996 | 2 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,222 – $10,466 · median $9,344 | 2 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,041 – $11,866 · median $9,453 | 2 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,041 – $7,278 · median $7,160 | 2 plans |
| 697 | URETHRAL STRICTURE | $7,041 – $10,541 · median $8,791 | 2 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,041 – $17,686 · median $12,364 | 2 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,041 – $10,730 · median $8,886 | 2 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,041 – $7,303 · median $7,172 | 2 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,418 – $22,231 · median $21,324 | 2 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,598 – $20,558 · median $18,078 | 2 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,722 – $23,643 · median $17,682 | 2 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,722 – $15,797 · median $13,759 | 2 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,722 – $20,103 · median $15,912 | 2 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,254 – $11,722 · median $11,488 | 2 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,722 – $15,214 · median $13,468 | 2 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,886 – $11,722 · median $10,804 | 2 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,722 – $23,761 · median $17,741 | 2 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,722 – $14,933 · median $13,327 | 2 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,722 – $19,523 · median $15,622 | 2 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,722 – $12,961 · median $12,341 | 2 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,041 – $18,190 · median $12,616 | 2 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,041 – $11,815 · median $9,428 | 2 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,041 – $7,666 · median $7,354 | 2 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,041 – $13,290 · median $10,166 | 2 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,041 – $7,832 · median $7,436 | 2 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,041 – $15,460 · median $11,250 | 2 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,041 – $8,598 · median $7,819 | 2 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,041 – $11,583 · median $9,312 | 2 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,386 – $7,041 · median $6,713 | 2 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,722 – $22,125 · median $16,923 | 2 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,722 – $12,772 · median $12,247 | 2 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $11,722 – $41,428 · median $26,575 | 2 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,722 – $21,026 · median $16,374 | 2 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,722 – $15,960 · median $13,841 | 2 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC | $41,885 – $44,024 · median $42,954 | 2 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $18,799 – $19,131 · median $18,965 | 2 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT | $14,125 – $14,452 · median $14,288 | 2 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $18,413 – $19,219 · median $18,816 | 2 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,612 – $15,853 · median $14,232 | 2 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,722 – $20,559 · median $16,140 | 2 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,783 – $11,722 · median $11,252 | 2 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,722 – $17,619 · median $14,670 | 2 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,050 – $11,722 · median $10,886 | 2 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,333 – $16,295 · median $15,314 | 2 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $11,722 – $27,235 · median $19,478 | 2 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $13,568 · median $12,645 | 2 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,041 – $19,036 · median $13,039 | 2 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,041 – $11,680 · median $9,361 | 2 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,041 – $10,047 · median $8,544 | 2 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,041 – $14,891 · median $10,966 | 2 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,041 – $10,725 · median $8,883 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,733 – $7,041 · median $6,887 | 2 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,041 – $10,369 · median $8,705 | 2 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,670 – $7,041 · median $6,855 | 2 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,722 – $14,620 · median $13,171 | 2 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,321 – $11,722 · median $11,521 | 2 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,041 – $7,506 · median $7,274 | 2 plans |
| 779 | ABORTION WITHOUT D&C | $7,041 – $9,835 · median $8,438 | 2 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $11,722 – $50,027 · median $30,874 | 2 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $11,722 – $30,657 · median $21,189 | 2 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,722 – $17,274 · median $14,498 | 2 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $11,722 – $37,717 · median $24,719 | 2 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,722 – $18,728 · median $15,225 | 2 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,632 – $11,722 · median $11,677 | 2 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $7,041 – $24,100 · median $15,570 | 2 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $7,041 – $13,032 · median $10,036 | 2 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $7,041 – $10,014 · median $8,527 | 2 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,041 – $14,802 · median $10,922 | 2 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,041 – $9,711 · median $8,376 | 2 plans |
| 813 | COAGULATION DISORDERS | $7,041 – $16,287 · median $11,664 | 2 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $7,041 – $21,994 · median $14,518 | 2 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,041 – $10,691 · median $8,866 | 2 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,938 – $7,041 · median $6,990 | 2 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $11,722 – $61,258 · median $36,490 | 2 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,722 – $23,487 · median $17,604 | 2 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $12,033 · median $11,877 | 2 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $11,722 – $49,235 · median $30,478 | 2 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,722 – $23,141 · median $17,431 | 2 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,722 – $12,949 · median $12,335 | 2 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $11,722 – $50,245 · median $30,983 | 2 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $11,722 – $24,829 · median $18,275 | 2 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $11,722 – $16,865 · median $14,293 | 2 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $11,722 – $32,446 · median $22,084 | 2 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $11,722 – $15,387 · median $13,554 | 2 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $7,041 – $58,154 · median $32,598 | 2 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $7,041 – $22,473 · median $14,757 | 2 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,041 – $13,370 · median $10,206 | 2 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT | $7,041 – $52,682 · median $29,861 | 2 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE | $7,041 – $21,340 · median $14,190 | 2 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,041 – $14,418 · median $10,730 | 2 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $7,041 – $33,559 · median $20,300 | 2 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,041 – $16,497 · median $11,769 | 2 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,041 – $11,067 · median $9,054 | 2 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $7,041 – $19,919 · median $13,480 | 2 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $7,041 – $12,575 · median $9,808 | 2 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $7,041 – $8,804 · median $7,922 | 2 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $7,041 – $26,869 · median $16,955 | 2 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,041 – $13,369 · median $10,205 | 2 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,041 – $8,616 · median $7,829 | 2 plans |
| 849 | RADIOTHERAPY | $7,041 – $28,103 · median $17,572 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $11,722 – $96,921 · median $54,321 | 2 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $11,722 – $52,626 · median $32,174 | 2 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,722 – $21,025 · median $16,373 | 2 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $17,104 · median $14,413 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $11,722 – $47,468 · median $29,595 | 2 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,722 – $22,926 · median $17,324 | 2 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,722 – $13,557 · median $12,639 | 2 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $7,041 – $19,346 · median $13,193 | 2 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,041 – $10,521 · median $8,781 | 2 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,041 – $9,448 · median $8,244 | 2 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,041 – $15,529 · median $11,285 | 2 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,041 – $9,309 · median $8,175 | 2 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,041 – $22,561 · median $14,801 | 2 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,041 – $11,048 · median $9,045 | 2 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,041 – $7,571 · median $7,306 | 2 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $7,041 – $73,196 · median $40,119 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $11,722 – $41,345 · median $26,533 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,041 – $10,086 · median $8,564 | 2 plans |
| 881 | DEPRESSIVE NEUROSES | $7,041 – $9,618 · median $8,330 | 2 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,041 – $10,121 · median $8,581 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,041 – $19,533 · median $13,287 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,041 – $17,573 · median $12,307 | 2 plans |
| 885 | PSYCHOSES | $7,041 – $14,831 · median $10,936 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,041 – $18,902 · median $12,971 | 2 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,041 – $12,514 · median $9,777 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,567 – $7,041 · median $6,804 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,041 – $15,235 · median $11,138 | 2 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $7,041 – $18,738 · median $12,889 | 2 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,041 – $9,283 · median $8,162 | 2 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $11,722 – $46,615 · median $29,168 | 2 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,722 – $19,964 · median $15,843 | 2 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,722 – $12,826 · median $12,274 | 2 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $11,722 – $40,624 · median $26,173 | 2 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,722 – $17,341 · median $14,531 | 2 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,722 – $22,963 · median $17,342 | 2 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $11,722 – $41,914 · median $26,818 | 2 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,722 – $21,223 · median $16,472 | 2 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,722 – $13,344 · median $12,533 | 2 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,041 – $17,027 · median $12,034 | 2 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,041 – $9,641 · median $8,341 | 2 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,041 – $18,285 · median $12,663 | 2 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,987 – $7,041 · median $7,014 | 2 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,041 – $17,252 · median $12,146 | 2 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,041 – $9,306 · median $8,173 | 2 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $7,041 – $19,186 · median $13,113 | 2 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,041 – $10,688 · median $8,865 | 2 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,041 – $7,235 · median $7,138 | 2 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,041 – $17,774 · median $12,407 | 2 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,041 – $10,730 · median $8,886 | 2 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $11,722 – $33,395 · median $22,558 | 2 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,722 – $22,215 · median $16,968 | 2 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ | $11,722 – $20,562 · median $16,142 | 2 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,041 – $13,532 · median $10,287 | 2 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,041 – $8,360 · median $7,700 | 2 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,041 – $11,352 · median $9,197 | 2 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,167 – $7,041 · median $6,604 | 2 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,965 – $7,041 · median $6,503 | 2 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $71,843 – $121,420 · median $96,632 | 2 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $40,217 – $74,656 · median $57,437 | 2 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $78,533 – $81,319 · median $79,926 | 2 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $43,240 – $51,773 · median $47,506 | 2 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,817 – $33,907 · median $30,862 | 2 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,584 – $29,577 · median $29,080 | 2 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,785 – $16,587 · median $16,186 | 2 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,601 – $11,095 · median $10,348 | 2 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $11,722 – $66,540 · median $39,131 | 2 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $11,722 – $27,917 · median $19,819 | 2 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $7,041 – $31,419 · median $19,230 | 2 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,041 – $14,955 · median $10,998 | 2 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,041 – $10,553 · median $8,797 | 2 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,041 – $15,171 · median $11,106 | 2 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $11,722 – $50,025 · median $30,873 | 2 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,722 – $25,763 · median $18,742 | 2 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,722 – $17,552 · median $14,637 | 2 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $11,722 – $36,859 · median $24,290 | 2 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,722 – $18,056 · median $14,889 | 2 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,722 – $12,157 · median $11,939 | 2 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | $213,811 – $213,811 · median $213,811 | 1 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | — | 1 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $112,045 – $112,045 · median $112,045 | 1 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $51,020 – $51,020 · median $51,020 | 1 plans |
| 007 | LUNG TRANSPLANT | $137,500 – $137,500 · median $137,500 | 1 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $57,248 – $57,248 · median $57,248 | 1 plans |
| 010 | PANCREAS TRANSPLANT | $83,888 – $83,888 · median $83,888 | 1 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $137,848 – $137,848 · median $137,848 | 1 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $63,506 – $63,506 · median $63,506 | 1 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $63,506 – $63,506 · median $63,506 | 1 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $396,787 – $396,787 · median $396,787 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $83,405 – $83,405 · median $83,405 | 1 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK | $91,183 – $91,183 · median $91,183 | 1 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH | $87,453 – $87,453 · median $87,453 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 | $25,452 – $25,452 · median $25,452 | 1 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $24,410 – $24,410 · median $24,410 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $48,475 – $48,475 · median $48,475 | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $36,534 – $36,534 · median $36,534 | 1 plans |
| 652 | KIDNEY TRANSPLANT | $32,315 – $32,315 · median $32,315 | 1 plans |
| 765 | CESAREAN SECTION W CC/MCC | $7,867 – $7,867 · median $7,867 | 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 |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $5,323 – $5,323 · median $5,323 | 1 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | — | 1 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | — | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | — | 1 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | — | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | — | 1 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,313 – $2,313 · median $2,313 | 1 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $26,674 – $26,674 · median $26,674 | 1 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,552 – $13,552 · median $13,552 | 1 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,591 – $8,591 · median $8,591 | 1 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,110 – $12,110 · median $12,110 | 1 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,863 – $7,863 · median $7,863 | 1 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,469 – $5,469 · median $5,469 | 1 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | — | 1 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | — | 1 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,722 – $11,722 · median $11,722 | 1 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $7,041 – $7,041 · median $7,041 | 1 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $7,041 – $7,041 · median $7,041 | 1 plans |
| 935 | NON-EXTENSIVE BURNS | $7,041 – $7,041 · median $7,041 | 1 plans |
No procedures match that keyword.